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Slide Presentation from the AHRQ 2007 Annual Conference

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Annual Medication Error Index

(errors/patient days) coronary critical care

Text Description is below the image.

Line graph shows the number of errors before and after move to new unit:

Old unit with multi-bed rooms
- 1997: 10
- 1998: 10
Move to new unit with single, acuity-adaptable rooms
- 1999: 5
- 2000: 5
- 2001: 3

Source: A. Hendrich (2004). In Keeping Patients Safe: Transforming the Work Environment of Nurses. Quality Chasm Series, Institute of Medicine

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