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Fluorouracil Incident Root Cause Analysis Report.
Fluorouracil Incident Root Cause Analysis Report. Toronto, CA: Institute for Safe Medication Practices Canada; May 2007.
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June 22, 2015
Toronto, CA: Institute for Safe Medication Practices Canada; May 2007.
This report shares findings from a root cause analysis of a medication error incident that led to a patient's death. The report discusses systems failures that contributed to the event, as well as recommendations to improve safety.
