Key learning from the Dana-Farber Cancer Institute’s 10-year patient safety journey

Conway J, Nathan DG, Benz EJ, et al. “Key Learning from the Dana-Farber Cancer Institute’s 10-Year Patient Safety Journey.” American Society of Clinical Oncology 2006 Educational Book, 42nd Annual Meeting, June 2-6, 2006, in Atlanta, GA. 2006:615-619.

The tragic chemotherapy overdoses to Betsy Lehman and Maureen Bateman, which were discovered at the Dana-Farber Cancer Institute (DFCI) in February 1995, are well known. During the 10-year anniversary of these events, DFCI leadership assessed its patient safety learning, identifying the six most critical elements of learning.

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