Slide Presentation from the AHRQ 2007 Annual Conference

Annual Medication Error Index

(errors/patient days) coronary critical care

Line graph shows the number of errors before and after move to new unit:

• Old unit with multi-bed rooms
  • 1997: 10
  • 1998: 10
• Move to new unit with single, acuity-adaptable rooms
  • 1999: 5
  • 2000: 5
  • 2001: 3

Source: A. Hendrich (2004). In Keeping Patients Safe: Transforming the Work Environment of Nurses. Quality Chasm Series, Institute of Medicine