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Mistake-Proofing in Health Care: Lessons for Ongoing Patient Safety Improvements
Carolyn M. Clancy, MD
Healthcare Research and Quality, Rockville, Maryland
References
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- Grout JR Mistake-Proofing the Design of Health Care Processes. Washington, DC: US Agency for Healthcare Research and Quality; 2007.
- Shingo S. Zero Quality Control: Source Inspection and the Poka-Yoke System. Dillion AP, trans. Portland, OR: Productivity Press; 1986.
- Grout JR Mistake proofing: changing designs to reduce error. Qual Saf Health Care. 2006;15(suppl 1): i44-i49.
- Haraden C. What is a bundle? Institute for Healthcare Improvement. http://www.ihi.org/IHI/Topics/CriticalCare/IntensiveCare/ImprovementStories/WhatIsaBundle.htm. Accessed May 24, 2007.
- Bernard S. The perfect prescription. How the pill bottle was remade—sensibly and beautifully. New York. April 18, 2005.
- Target Corp. Deborah Adler biography: creator and principal designer of ClearRx prescription system. http://pressroom.target.com/pr/news/health-beauty/clearrx/bio.aspx. Accessed May 24, 2007.
American Journal of Medical Quality, Vol. 22, No. 6,
463-465 (2007)
DOI: 10.1177/1062860607308146

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