Ewen Brenda M, Combs Rhonda, Popelas Carl, Faraone Gail M
Christiana Care Visiting Nurse Association, New Castle, Delaware 19720, USA.
Home Healthc Nurse. 2012 Jan;30(1):28-37. doi: 10.1097/NHH.0b013e318233a75e.
A home care patient received an unintended dose of 5-fluorouracil. This article details the agency's journey from error to the creation of a multidisciplinary collaboration to the implementation of statewide practice changes in an effort to improve patient safety.
一位居家护理患者意外接受了5-氟尿嘧啶剂量。本文详细介绍了该机构从失误到建立多学科合作，再到实施全州范围的实践变革以努力提高患者安全的历程。
