如何讓用藥更安全. 台大藥學系 林慧玲. Medication-Use System. Reference: Bates et al. JAMA . 1995;274:29-34. Systems Analysis of ADEs. 1900 ADEs/hospital/yr & 1600 potential ADEs/hospital/yr proximal cause vs. underlying systems failure 7 systems failures 78% of the errors
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Reference: Bates et al. JAMA. 1995;274:29-34
Reference: Leape et al. JAMA. 1995;274:35-43
From: Reason, J. BMJ. 2000;320:768-770.