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Mistake-Proofing the Design of Health Care Processes

Table 1.4. Medical examples of control functions

Effect Prevent Error Detect Error
Forced control

Pre-mix scald anti-scald valve

Photograph of pre-mix scald anti-scald valve.

For a detailed description, go to Chapter 5, Example 5.2e.

Infant abduction sensor locks the exit in case of an abduction

Photograph of infant abduction sensor, which locks the exit in case of an abduction.

For a detailed description, go to Chapter 8, Example 8.1.
Shut down

Medical gas connectors with indexing pins

Photograph of medical gas connectors with indexing pins.

For a detailed description, go to Chapter 7, Examplexample 7.8.

Bloodloc™

Photograph of Bloodloc(tm) system.

For a detailed description, go to Chapter 5, Example 5.4A.
Warning

Computerized physician order entry

Photograph of man entering data at a computer.

For a detailed description, go to Chapter 8, Example 8.9.

Esophageal intubation detector

Photograph of esophageal intubation detector.

For a detailed description, go to Chapter 5, Example 5.6.
Sensory alert

Broselow® Tape

Close-up photograph of Broselow(R) Tape.

Photograph of Broselow(R) Tape extended on the ground with a child lying beside the tape.

For a detailed description, go to Chapter 7, Example 7.1.

Sign your site

Photograph of a hand with 'Yes' written on the back to indicate site of procedure.

For a detailed description, go to Chapter 7, Example 7.11.

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