Leape LL, Kabcenell A, Berwick DM, Roessner J
Boston, Massachusetts, USA: Institute for Healthcare Improvement; 1998

**NOTE: This Breakthrough Series Guide was published in 1998 and has NOT been updated. Please be advised that much of the clinical content may be out of date.**        Institute for Healthcare Improvement (IHI) Breakthrough Series Guides are based on the real-life experiences of health care organizations that have made dramatic changes while participating in IHI Breakthrough Series Collaboratives. Each Guide contains a synopsis of a Collaborative’s goals and results, the model for accelerating improvement, change concepts that Collaborative participants used successfully, additional resources, key contacts, and a bibliography. This Guide is based on the 1996–97 Collaborative on Reducing Adverse Drug Events.

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