OneDose Medication Safety White Paper

Medication administration is one of the highest-stakes tasks in EMS, and most of the risk never shows up in an incident report. This white paper starts from that gap and rebuilds the classic Rights of Medication Safety for how EMS actually works: Right Indication, Right Authorization, Right Drug, Right Dose, Right Route, and Right Completion. Each step is mapped to the specific cognitive failure point most likely to cause it — a knowledge gap, a misapplied rule, a slip under pressure, or a missed step — turning a list of best practices into a diagnostic tool for where dosing errors actually originate.

From there, the paper walks through how OneDose’s Protocol Platform, Dosing Engine, eMACC digital cross-check, AI Assistant, and OneWeight stretcher scale are each built to close one of those specific gaps, rather than acting as one generic safety layer. It backs this up with real numbers: an IRB-approved validation study showing OneWeight measuring within 5% of a certified scale in 98% of patients, and a two-year field audit from an active EMS agency where dose-error rates fell as medication volume rose. For anyone responsible for protocols, QA, or medication safety at their agency, it’s a concrete framework for finding — and fixing — the failure points before they reach a patient.

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