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Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

Muething SE, Conway PH, Kloppenborg E, et al. Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis. Qual Saf Health Care. 2010;19(5):435-9. doi:10.1136/qshc.2008.031393.

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October 20, 2010
Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19(5):435-9.

In this study, investigators identified possible medication errors using trigger tools, and a multidisciplinary team conducted real-time analyses to identify underlying system flaws contributing to the errors.

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Muething SE, Conway PH, Kloppenborg E, et al. Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis. Qual Saf Health Care. 2010;19(5):435-9. doi:10.1136/qshc.2008.031393.