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Perspectives on Safety > Interview
Unintended Consequences, June 2011
His seminal work in patient safety is generally credited with introducing the concept of unintended consequences.
Cases & Commentaries
- Web M&M
Hedy Cohen, RN, BSN, MS; February-March 2009
New medication administration policies at one hospital cause a patient to receive two doses of her daily medication within a few hours, when only one dose was intended.