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Showing results for "patient safety".

341. Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdf
     January 01, 2004 - safety movement in the United States. … Patients have a Advances in Patient Safety: Vol. 3 372 right to know their past and present medical … Yet, I have been Advances in Patient Safety: Vol. 3 374 unable to locate any case in which an … Advances in Patient Safety: Vol. 3 376 Part II: Ethical reflections on the cooperation clause Preserving … Advances in Patient Safety: Vol. 3 380 Author affiliation Center for Ethics, Emory University, Atlanta

342. Learning from Errors in Ambulatory Pediatrics (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
     February 01, 2004 - Prior patient safety studies in ambulatory and in-patient adult populations have demonstrated that … (one pediatrician and two patient safety researchers). … (Problem type: Communication) Advances in Patient Safety: Vol. 1 364 Table 5. … Pediatric patient safety in the ambulatory setting. Ambul Pediatr 2004;4:47–54. 8. … Patient safety problems in children’s medical care: a Critical Incident Analysis.

343. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
     January 01, 2004 - The impact of diagnostic failure on patient safety does not appear to have been fully recognized. … Advances in Patient Safety: Vol. 2 244 The word “bias” originally was used in the game of bowls to … Advances in Patient Safety: Vol. 2 246 Impact of affective state Physicians and caregivers are … Advances in Patient Safety: Vol. 2 252 The cognitive and affective autopsy also has the potential … Advances in Patient Safety: Vol. 2 254 38. Poses RM, Cebul RD, Collins M, et al.

344. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
     January 01, 2005 - Advances in Patient Safety: Vol. 2 264 Figure 1. … Advances in Patient Safety: Vol. 2 272 T ab le 4 . … How the public perceives patient safety. … Administrative data based patient safety research: a critical review. … Advances in Patient Safety: Vol. 2 278 82. McDonald J.

345. Identifying Barriers to the Success of a Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
     March 01, 2004 - information for developing Advances in Patient Safety: Vol. 3 168 a proactive approach to managing … A team of researchers at the University of Texas Center of Excellence for Patient Safety Research and … Advances in Patient Safety: Vol. 3 172 Behaviors and attitudes toward the mandatory reporting system … (See Table 2 for a list Advances in Patient Safety: Vol. 3 174 Table 2. … The Patient Safety Reporting System.

346. Post-fielding Surveillance of a Guideline-based Decision Support System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
     January 01, 2004 - Based on this experience, new technologies for improving patient safety should include mechanisms for … Advances in Patient Safety: Vol. 1 334 Figure 1. … Nineteen comments were reports Advances in Patient Safety: Vol. 1 336 of the same problem: an … New technologies for improving patient safety should include mechanisms and funding for post-fielding … Patient safety in guideline-based decision support for hypertension management: ATHENA DSS.

347. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
     June 30, 2004 - Main Abstract Objective: The Applied Strategies for Improving Patient Safety (ASIPS) collaborative … ‡ Fixed choice (Yes/No) + optional brief narrative Number of patients involved Fixed choice (1 or more … Safety compendium.18 Advances in Patient Safety: Vol. 2 142 Figure 1. … safety reporting system to inform the development of patient safety interventions. 1. … Advances in Patient Safety: Vol. 2 144 2.

348. Development and Implementation of The University of Texas Close Call Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
     March 01, 2004 - After examining the specifications needed to get all three modalities Advances in Patient Safety: … • Patient Safety Reporting System (PSRS). … Advances in Patient Safety: Vol. 2 154 Table 1. Primary information categories a. … While drop-down menus made the screen much less cluttered, the approach Advances in Patient Safety … Developing a culture of patient safety at the VA. Ambulatory Outreach, 2000 Spring; 25–9. 4.

349. The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Kohl.pdf
     April 01, 2004 - The Brighton Collaboration may be a useful model for other realms of patient safety. … Advances in Patient Safety: Vol. 2 92 F ig u re 1 . … Its success then needs to be supported by Advances in Patient Safety: Vol. 2 98 creation of an … Advances in Patient Safety: Vol. 2 100 Author affiliations Centers for Disease Control and Prevention … Advances in Patient Safety: Vol. 2 102 46.

350. Work System Analysis: The Key to Understanding Health Care Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
     April 22, 2004 - safety problems—as well as patient safety problems that are yet unknown. … System changes to improve patient safety. Br Med J 2000 Mar 18;320(7237):771–3. 16. … Advances in Patient Safety: Vol. 2 348 26. Kaushal R, Bates DW, Landrigan C, et al. … VA National Center for Patient Safety. … Patient safety standards—hospitals.

351. Using Specialized Information Technology to Reduce Errors in Emergency Cardiac Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Daudelin.pdf
     January 01, 2000 - Selker Abstract Information Technology (IT) solutions to patient safety/medical error problems are … Many current IT applications for patient safety are focused on hospital processes, such as physician … was sent home who met criteria for patient safety alerts. … Advances in Patient Safety: Vol. 3 14 Figure 5. … for quickly compiling data into one system for use in a patient safety system.

352. From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
     February 09, 2005 - White Abstract Clinical decision support (CDS) systems show promise for enhancing patient safety, … Unfortunately, the most relevant appeal (that such a system would markedly improve patient safety) could … If “all politics is local,” then much of patient safety research is localized as well. … safety.2 However, despite the consensus opinion Advances in Patient Safety: Vol. 3 396 that … Advances in Patient Safety: Vol. 3 406 Table 2.

353. Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
     January 01, 2004 - patient safety; and (6) patient safety research dissemination Advances in Patient Safety: Vol. 3 … coming out of AHRQ’s patient safety portfolio of research. … in hospitals, and patient safety reporting. … The field staff include hospital patient safety officers and those responsible for patient safety reporting … of patient safety in hospital settings.

354. Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory Settings (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Chan.pdf
     July 01, 2004 - Medication safety research Collectively, the datasets have been referred to as the first Patient Safety … research as well as non-Patient Safety research. … Advances in Patient Safety: Vol. 2 236 Table 5. … Safety dataset to determine the incidence of different types of adverse events for patients on prolonged … Advances in Patient Safety: Vol. 2 238 References 1.

355. A Conceptual Model for Disclosure of Medical Errors (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
     January 01, 2004 - safety is fundamental to high-quality patient care. … safety is fundamental to high-quality patient care. … Advances in Patient Safety: Vol. 2 484 system is aware of its errors. … Advances in Patient Safety: Vol. 2 488 Table 1. … UCLA Healthcare Center for Patient Safety (LH) and Ethics Center (NW).

356. Systemwide Deployment of Medical Team Training: Lessons Learned in the 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/King.pdf
     January 01, 2002 - Teamwork, a powerful patient safety tool, can achieve this goal. Lessons learned within the U.S. … Advances in Patient Safety: Vol. 3 428 Figure 2. … or population of patients. … Air Force Patient Safety Program, Bolling Air Force Base (BK). … DoD Patient Safety Award Application, 2003– 04. 8. Kotter JP, Cohen DS.

357. Taxonomic Guidance for Remedial Actions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
     December 23, 2004 - The facility had a problem with preventive maintenance of its Advances in Patient Safety: Vol. 2 … addressing the patients’ needs). … As in the Eindhoven taxonomy, slips Advances in Patient Safety: Vol. 2 80 Figure 1. … A Advances in Patient Safety: Vol. 2 82 Figure 3. … Advances in Patient Safety: Vol. 2 86 Author affiliations Departments of Medical Physics, Human

358. Medical Injury Identification Using Hospital Discharge Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Layde.pdf
     January 01, 2003 - on in-hospital patient safety problems. … It provides a more accurate estimate of the full scope of patient safety problems. … Safety: Vol. 2 130 Limitations of this approach to patient safety monitoring should be considered … Patient safety indicators: using administrative data to identify potential patient safety concerns. … Advances in Patient Safety: Vol. 2 132 23.

359. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
     January 01, 2003 - A total of 16 Advances in Patient Safety: Vol. 2 398 Figure 1. … The research Advances in Patient Safety: Vol. 2 400 team analyzed data from random, stratified … Comprehensive patient safety programs in health care settings. … In: Patient safety: achieving a new standard of care. A report of the Institute of Medicine. … Statewide patient safety coalitions: a status report.

360. Looking for Trouble in All the Right Places: The Legal Implications Associated with “Electronic Signatures” and High-risk Clinical Situations (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Escobar.pdf
     February 01, 2005 - Advances in Patient Safety: Vol. 3 56 T a b le 2 . … safety research and societal attention to patient safety. … session at the National Patient Safety Foundation’s Annenberg Conference on Patient Safety, in Indianapolis … Promoting patient safety through reducing medical error: a paradigm of cooperation between patient, … In: Peer review and mediation to promote patient safety. Houston J.