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Grout JR. Rockville, MD: Agency for Healthcare Research and Quality; May 2007. AHRQ Publication No. 07-P0020.
In this report, the author draws from multidisciplinary sources to share examples of practical process and design changes that can mitigate human error in health care.
Journal Article > Commentary
Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010.
Crane J, Crane FG. Hosp Top. Fall 2006;84:3-8.
The authors suggest a model process utilizing failure mode and effects analysis to effectively implement emerging technologies that help minimize medication error.
Journal Article > Study
Wetterneck TB, Skibinski KA, Roberts TL, et al. Am J Health Syst Pharm. 2006;63:1528-1538.
The authors describe their use of failure mode and effects analysis to inform the launch of a smart pump initiative and found that it was useful for identifying potential problems with the implementation.