Institute for Healthcare Improvement: Failure Modes and Effects Analysis Tool Report

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		Misuse of Oxygen Resulting in Fire in the Home

			ALITON'S PHARMACY HOME HEALTHCARE CENTERS PORT JERVIS, New York, United States Other

Aim: Restructure patient education materials and train staff to implement new protocols and reeducation goals with the hopes of reducing and potentially eliminating any fires in the home as a result of the misuse of oxygen.

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1	Evaluated 10 oxygen patients - assessed safely - educated two new oxygen patients

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