Mistake-proofing the Design of Health Care Processes. Figure 9.1

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Mistake-Proofing the Design of Health Care Processes

Figure 9.1. This infusion pump can hold and pump up to four medications at once

Photograph of an infusion pump that can hold and pump up to four medications at once. The hooks that hold the containers in the infusion pump are randomly arranged. One hook is occupied by a container that is connected to the smaller pump on the left. The tubes are thoroughly tangled.

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