What type of event is this? Provide reasons to support your answer.
Hospitals perform several types of patient care reviews, usually through a committee. What type of review(s) would be done on this case? Chapter 26 discusses process improvement strategies. What is the process used to identify the cause of this death, who needs to be involved in the investigation, and what tools should be used to analyze the situation?
Discuss what kinds of changes are likely to result in an improved system for treating patients using toxic medications.
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