Mistake-Proofing the Design of Health Care Processes
Mistake-Proofing the Design of Health Care Processes is a synthesis of practical examples from the real world of health care on the use of process or design features to prevent medical errors or the negative impact of errors. It contains over 150 examples of mistake-proofing that can be applied in health care—and in many cases relatively inexpensively.
An important addition to patient safety literature, this work draws on examples contributed by clinicians in the field as well as research from several academic disciplines. The focus is on what works to reduce medical errors for the in-the-trenches workers who face important decisions, judgments, and risks every day while performing their jobs. This volume draws on the groundbreaking writings of Shingo Shingeo, innovative solutions from nurses at a regional medical center, architects in the center of the current hospital design revolution, and many others.
AHRQ Publication No. 07-0020
Current as of May 2007
Grout JR. Mistake-Proofing the Design of Health Care Processes. AHRQ Publication No. 07-0020, May 2007. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/qual/mistakeproof/