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Slide Presentation of the 2007 Annual Meeting of AHRQ

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"Culture eats Strategy for Breakfast" -Glyn Elwyn

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Culture of changes in workflow...

Hundreds of hours invested in preparing, reviewing, education and practicing workflows.

Necessity or personal decision drove a need to "regress" or "ignore" these workflows...

Impact was errors in pharmacy charging—through charge on dispense and charge on admin.

Lost appreciation for change in scope of action of data...

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