Using A3 Methodology to Identify the Root Cause of a Chemotherapy Error in a Hematopoietic Stem Cell Transplant Patient  Kathlene DeGregory, PharmD, BCOP,

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Presentation transcript:

Using A3 Methodology to Identify the Root Cause of a Chemotherapy Error in a Hematopoietic Stem Cell Transplant Patient  Kathlene DeGregory, PharmD, BCOP, Leslie Ward, PharmD, BCPS, BCOP, Nicole Watts, PharmD, BCOP, Gana Elizabeth Locker, Tamila L. Kindwall-Keller, DO, MS, Lisa Huntsinger, RN, MSN, CCRN, Stephanie Mallow-Corbett, PharmD, FCCM  Biology of Blood and Marrow Transplantation  Volume 21, Issue 2, Pages S366-S367 (February 2015) DOI: 10.1016/j.bbmt.2014.11.589 Copyright © 2015 Terms and Conditions

Figure 1 Rules in Use Biology of Blood and Marrow Transplantation 2015 21, S366-S367DOI: (10.1016/j.bbmt.2014.11.589) Copyright © 2015 Terms and Conditions

Figure 2 Current condition Biology of Blood and Marrow Transplantation 2015 21, S366-S367DOI: (10.1016/j.bbmt.2014.11.589) Copyright © 2015 Terms and Conditions

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