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Reporting and second-order problem solving can turn short-term fixes into long-term remedies.

Reporting and second-order problem solving can turn short-term fixes into long-term remedies. ISMP Medication Safety Alert! Acute Care Edition. May 19, 2016;21:1-4.

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June 1, 2016

ISMP Medication Safety Alert! Acute Care Edition. May 19, 2016;21:1-4.

Workarounds are prevalent in health care and create opportunities for unintended consequences. This newsletter article discusses how workarounds serve as indicators of system failures and present opportunities to identify and design long-term strategies to reduce risks.

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Reporting and second-order problem solving can turn short-term fixes into long-term remedies. ISMP Medication Safety Alert! Acute Care Edition. May 19, 2016;21:1-4.

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