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picture1_Poka Yoke Pdf 86632 | Order Sets Poka Yoke White Paper No Bleed4


picture2_Poka Yoke Pdf 86632 | Order Sets Poka Yoke White Paper No Bleed4 picture3_Poka Yoke Pdf 86632 | Order Sets Poka Yoke White Paper No Bleed4

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File: Poka Yoke Pdf 86632 | Order Sets Poka Yoke White Paper No Bleed4
ORDER SETS: A POKA-YOKE FOR CLINICAL DECISIONS Ujjwal Rao, MBBS, PhD Poka (unintended mistake) Yoke (avoid) is the Japanese equivalent for “error proofing.” Poka (unintended mistake) This Lean ...

icon picture PDF Filetype PDF | Posted on 14 Sep 2022 | 2 years ago
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...Order sets a poka yoke for clinical decisions ujjwal rao mbbs phd unintended mistake avoid is the japanese equivalent error proofing this lean manufacturing strategy more relevant than ever in healthcare today why first do no harm supreme court of india recently ordered one largest compensations so far country to girl who lost her vision at birth case medical negligence now years old was born prematurely government hospital but discharged from without retinopathy test must babies by time family discovered lapse had fentanyl potent opioid medication used as part anesthesia pharmacist received an drip mcg per hour which nurse just transcribed after accepting telephone called clarify dose confirmed that although large she read back anesthesiologist several times make sure heard correctly himself only find intended frequency preventable errors resulting patient injury and death staggering it estimated every hospitalisations approximately adverse events occur translating roughly million avo...
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