Mistake-Proofing in Health Care: Lessons for Ongoing Patient Safety Improvements

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References

Reiling JG Creating a culture of patient safety through innovative hospital design. Advances in Patient Safety: From Research to Implementation. Vol. 2. Washington, DC: US Agency for Healthcare Research and Quality; 2005.

Naik G. Ounce of prevention to reduce errors, hospitals prescribe innovative design . Wall Street Journal. May 8, 2006: A1.

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.