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Showing results for "patient safety".

321. Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
     March 01, 2002 - Minimizing or eliminating medication errors is vital to improve patient Advances in Patient Safety … Advances in Patient Safety: Vol. 1 154 T ab le 4 . … In: Beyond State reporting: Medical errors and patient safety issues. … Advances in Patient Safety: Vol. 1 160 51. Billings C. … A tale of two stories: contrasting views of patient safety.

322. Outpatient Benzodiazepine Prescribing, Adverse Events, and Costs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/French.pdf
     April 27, 2004 - Safety: Vol. 1 194 This preliminary study is one part of a patient safety research agenda exploring … Advances in Patient Safety: Vol. 1 196 Future studies will refine the episodes of care associated … safety researchers to more effectively target patient safety interventions and to promote evidence-based … VISN 8 Patient Safety Center (AMS, RRC, PP, DCW). VISN 8 Measurement Evaluation Team (DDF). … Advances in Patient Safety: Vol. 1 198 28.

323. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Schillinger.pdf
     January 01, 2004 - Advances in Patient Safety: Vol. 1 200 Introduction For patients with atrial fibrillation and other … We Advances in Patient Safety: Vol. 1 202 obtained the clinicians’ regimen reports by recording … may have more than one indication Advances in Patient Safety: Vol. 1 206 Figure 1. … Advances in Patient Safety: Vol. 1 210 15. Golin CE, Smith SR, Reif S. … Advances in Patient Safety: From Research to Implementation.

324. Detection of Inpatient Health Care Associated Injuries: Comparing Two ICD-9-CM Code Classifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Masheter.pdf
     March 01, 2004 - AHRQ patient safety indicators AHRQ and Stanford University have developed 20 Patient Safety (PS) … Utah Patient Safety Updates. Vol. I, No. 1–5. … Utah/Missouri Patient Safety Project. … Patient safety sentinel event reporting. State of Utah. … Advances in Patient Safety: Vol. 1 244 21. U.S.

325. Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
     January 01, 2003 - Center for Patient Safety is a leader in this movement. … many comprehensive patient safety initiatives. … safety reporting systems on analyzing injury hospitalizations and patients’ experiences (e.g., the … The VHA is a leader in patient safety research and intervention Advances in Patient Safety: Vol. … Patient Safety Committee. Patient safety efforts should focus on errors.

326. Surveillance of Surgery-related Adverse Events in Missouri Using ICD-9-CM Codes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
     March 01, 2004 - Records were sampled using the following criteria: First, only Advances in Patient Safety: Vol. 1 … These patients were considered to have incurred a patient injury event (score of 1 or more on the Harm … Patient Safety Indicators, Version 2.1, Revision 1. … Hougland P, Masheter C, Xu W, Utah/Missouri Patient Safety Consortium. … Patient safety efforts should focus on medical injuries. JAMA 2002;287(15):1993–7. 23.

327. A Study of Adverse Occurrences and Major Functional Impairment Following Surgery (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
     March 15, 2004 - Advances in Patient Safety: Vol. 1 276 The few studies that have used comparison groups have focused … Advances in Patient Safety: Vol. 1 284 Table 3. … , were able to demonstrate increased LOS for various AHRQ patient safety categories. … It may be valuable to target peripheral vascular bypass and colorectal resection in patient safety … Advances in Patient Safety: Vol. 1 288 Funding for this project came from the Centers for Medicare

328. Prologue—Volume 1—Five Years Later—Are We Any Safer? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/James.pdf
     January 01, 2004 - on the execution of patient safety efforts, and catalogued four major barriers at that level: 1. … Advances in Patient Safety: Vol. 1 2 4. … Patient safety represents a difficult and complex problem. Dr. … We all hold the future of patient safety in our hands. … Patient safety proves elusive. Mod Healthc 2004 Nov 1;pp. 6–7, 24–5, 30, 32. 4. Blendon RJ.

329. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
     January 01, 2003 - as important risk factors for patient safety.1–3 Few attempts, however, have been made to identify … Advances in Patient Safety: Vol. 1 56 Table 1. … Additionally, we restricted our enrollment criteria to Advances in Patient Safety: Vol. 1 62 … safety. … Advances in Patient Safety: Vol. 1 64 23. Potter P, Barr N, McSweeney M, et al.

330. An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
     January 01, 2003 - conditions on patient safety a major research initiative.2 Understanding the nature of medical errors … Safety: Vol. 1 40 multiple patients within environments that are fast-paced and unpredictable, and … Advances in Patient Safety: Vol. 1 46 Table 1. … Certainly understaffing is a threat to patient safety. … The effect of health care working conditions on patient safety.

331. A New Model of Tracheostomy Care: Closing the Research–Practice Gap (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Clair.pdf
     January 01, 2004 - These inconsistencies represented a patient safety threat in the form of nosocomial infections, prolonged … Safety: Vol. 3 522 improvement of safety for patients. … Advances in Patient Safety: Vol. 3 524 Table 2. … Each unit was Advances in Patient Safety: Vol. 3 526 contacted and its staff members received … Conclusion Patient safety is expected to be the highest priority for health care providers.

332. Physician Use of Hand-held Computers for Drug Information and Prescribing (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Galt.pdf
     January 01, 2004 - Advances in Patient Safety: Vol. 4 98 Construction of the instrument The survey instrument covered … Advances in Patient Safety: Vol. 4 100 Path analysis Path analysis was conducted using a stepwise … Advances in Patient Safety: Vol. 4 102 Two constructs formed that did not hold constant pre- to postintervention … Advances in Patient Safety: Vol. 4 108 References 1. Overdyk FJ, Haynes GR, Arvanitis PJ. … Communication from Veterans Affairs Patient Safety Center, 2002. 23.

333. Organizational Climate, Stress, and Error in Primary Care: The MEMO Study (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Linzer.pdf
     January 01, 2002 - Advances in Patient Safety: Vol. 1 66 Introduction While much research has focused on stress among … Advances in Patient Safety: Vol. 1 68 The clinician survey was derived in part from our Physician … Advances in Patient Safety: Vol. 1 72 Table 3. … outcomes on quality of care or patient safety. … National Patient Safety Foundation at the AMA; 1998. p.151–54. 20.

334. Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
     January 01, 2005 - Advances in Patient Safety: Vol. 2 384 6 months. … Advances in Patient Safety: Vol. 2 386 Figure 4. … Advances in Patient Safety: Vol. 2 392 • Patients at high risk of rehospitalization should have the … http://www.jcaho.org/accredited+organizations/patient +safety/npsg.htm. 7. … Advances in Patient Safety: Vol. 2 394 36. Frankel RM, Devers K.

335. Observing Nurse Interaction with Infusion Pump Technologies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
     January 01, 2004 - Advances in Patient Safety: Vol. 2 360 F ig u re 1 . … Human factors in healthcare: benefiting worker/patient safety and quality. … Making health care safer: a critical analysis of patient safety practices. … Technology and patient safety: a two-edged sword. … Reducing workload and increasing patient safety through work and workspace design.

336. Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
     February 12, 2004 - The system has helped to identify patterns of patient safety errors and areas where patient safety events … patient safety newsletters (available on the DoD patient safety Web site), patient safety hot topic … Safety Center MHSPSR: Military Health System Patient Safety Registry Advances in Patient Safety … Safety Center PSO/M: Patient Safety Officer /Manager PSR: Patient Safety Registry PSWG: Department … safety database Patient safety data collection Patient safety data analysis Conclusion Acknowledgments

337. Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
     January 01, 2005 - From this frame large, medium, Advances in Patient Safety: Vol. 3 226 and small facilities as … Some facilities also ask to include quality managers or patient safety managers. … sites, and for MedSun authorized reporters.5 FDA Patient Safety News. … recalls, and ways to protect patients when using medical products. … It also is vital to provide useful feedback so patient safety may be improved.

338. Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
     January 01, 2004 - Advances in Patient Safety: Vol. 2 200 Drugs, such as oral anticoagulants, that have a narrow therapeutic … Advances in Patient Safety: Vol. 2 202 We obtained patients’ indications for chronic anticoagulation … Among English and Spanish speakers, the visual Advances in Patient Safety: Vol. 2 206 concordance … Advances in Patient Safety: Vol. 2 210 Acknowledgments This research was supported through grants … Advances in Patient Safety: Vol. 2 212 46. Smedley BD, Stith AY, Nelson AR.

339. Methodological Challenges in Describing Medication Dosing Errors in Children (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/McPhillips.pdf
     January 01, 2004 - safety. … Advances in Patient Safety: Vol. 2 216 Barriers to safe pediatric prescribing Off-label use of … Advances in Patient Safety: Vol. 2 218 Discrepancies in dosing recommendations The problem of … Advances in Patient Safety: Vol. 2 222 Acknowledgments We would like to acknowledge the Agency for … How can information technology improve patient safety and reduce medication errors in children’s health

340. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
     April 09, 2004 - Advances in Patient Safety: Vol. 3 140 Table 2. … Patient Safety Conference The NYSDOH will hold a statewide Patient Safety Conference to disseminate … safety and move quality and patient safety to the next level. … Patient safety: achieving a new standard of care. … Patient Safety Reporting System.