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A medication error in the ER from Harvard closed case files shines a light on fixes that might prevent another mistake: team training, better consultation, and even a “discharge time-out” to verify concerns and follow-up.
About the series
Even in the safest healthcare setting, things can go wrong. For more than 40 years, CRICO has analyzed MPL cases from the Harvard medical community. Join our experts as they unpack what occurred and the lessons learned for safer patient care from the causes of these errors.