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Controls in the NICU
This case examines medication administration processes and technologies on a neonatal intensive care unit (NICU). Taking the point of view of a hospital's VP of Administration, the case also gives students an opportunity to consider the perspectives of the CIO and Medical Director. It describes tragedies in which infants died after being inadvertently overdosed with blood thinners (poor information quality and poor process quality were implicated in these tragedies), and briefly introduces students to several U.S. national initiatives that aim to improve clinical processes and outcomes.