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Inter‐Regional Collaboration for Errors and Near Misses with Unfractionated Heparin

Unfractionated heparin is a high‐risk medication, as serious adverse events may result from errors of use. Different practices and protocols for unfractionated heparin are used at the three district health boards in Auckland. Concern about the inadequacies of heparin use prompted a collaborative evaluation of adherence to unfractionated heparin protocols and to aid the formulation of solutions for process improvement.