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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 on theme: "Using A3 Methodology to Identify the Root Cause of a Chemotherapy Error in a Hematopoietic Stem Cell Transplant Patient  Kathlene DeGregory, PharmD, BCOP,"— Presentation transcript:

1 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: /j.bbmt Copyright © Terms and Conditions

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

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


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