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Search results for "Root Cause Analysis"
- Computerized Adverse Event Detection
- Root Cause Analysis
ISMP Medication Safety Alert! Acute Care Edition. May 5, 2011;16:1-3.
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.