Figure 3-5

Mistake-Proofing the Design of Health Care Processes -

Figure 3.5. "Won't Connect? Don't Connect!"

Here is where a "safety culture" is needed for mistake-proofing. If users do not understand that the process is communicating important information to them, they may try to override the protections provided by the process.

Source: Medical Gas Mix-Ups. Food and Drug Administration, Center for Drug Evaluation and Research. http://www.fda.gov/cder/dmpq/medgas_mixup/default.htm.

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