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Showing results for "patient safety".

361. Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdf
     January 01, 2004 - of the intensive care Advances in Patient Safety: Vol. 3 296 environment.21 The perioperative … Advances in Patient Safety: Vol. 3 298 Surgical delay Surgeons voiced other concerns in relation … Advances in Patient Safety: Vol. 3 300 Engagement of department leaders A critical factor that … Advances in Patient Safety: Vol. 3 302 Author affiliations Weill Medical College of Cornell University … Making health care safer: a critical analysis of patient safety practices.

362. Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdf
     November 29, 2004 - Advances in Patient Safety: Vol. 1 372 Automated pharmacy data was used to ascertain names, dates … Advances in Patient Safety: Vol. 1 374 Table 2. … of normal+ 0.2% < 0.1% Advances in Patient Safety: Vol. 1 376 Table 4. … Advances in Patient Safety: Vol. 1 378 Diabetes care in the study setting was substantially better … Advances in Patient Safety: Vol. 1 380 16. O’Connor P, Rush W, Pronk N, et al.

363. Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
     July 01, 2003 - Introduction During the millennium period, the issue of patient safety was elevated to national focus … These two committees oversee the patient safety aspects of the ACPOE implementation. … basis, could result Advances in Patient Safety: Vol. 2 192 in patient harm, and consequently … Patient safety efforts should focus on medical errors. JAMA 2002 Apr;287(15):1997–2001. 17. … Advances in Patient Safety: Vol. 2 198 19.

364. Clinical Inertia and Outpatient Medical Errors (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
     January 01, 2003 - Advances in Patient Safety: Vol. 2 296 Prevalence and cost of clinical inertia Prevalence It … visit, with the Advances in Patient Safety: Vol. 2 300 patient setting the clinical agenda for … Advances in Patient Safety: Vol. 2 302 The recommended visit interval of 3–6 months for those with … Advances in Patient Safety: Vol. 2 308 47. Pellegrini F, Belfiglio M, De Berardis G, et al. … Advances in patient safety: from research to implementation.

365. Barriers Associated with Medication Information Handoffs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
     January 01, 2004 - care settings to improve patient safety. … Advances in Patient Safety: Vol. 3 92 Important generalized process variations Patient complexity … Advances in Patient Safety: Vol. 3 94 Patient focus group findings corroborate other risks identified … AHRQ’s patient safety initiative. Building foundations, reducing risk. … Proposed patient safety standards for 2005. http://www.jcaho.org/accredited+organizations/ patient+

366. Clinical Informatics and Its Usefulness for Assessing Risk and Preventing Falls and Pressure Ulcers in Nursing Home Environments (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Teigland.pdf
     March 01, 2004 - Introduction This study, which started in October 2001, is one of the 22 patient safety projects funded … Advances in Patient Safety: Vol. 3 72 Since the only technology requirement for participation was … Advances in Patient Safety: Vol. 3 78 F ig u re 3 . … safety, efficiency, and quality of care in nursing Advances in Patient Safety: Vol. 3 84 homes … Patient safety in geriatrics: a call for action. J Gerontol 2003; 58A(9):813–819. 8.

367. Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
     July 01, 2003 - These demonstration projects aim to improve the completeness of Advances in Patient Safety: Vol. … A 40 percent random sampling of Advances in Patient Safety: Vol. 3 272 eligible cases was used … Infection control—a problem for patient safety. N Engl J Med 2003;348:651–6. 2. … Making health care safer: a critical analysis of patient safety practices. … Making health care safer: a critical analysis of patient safety practices.

368. Developing a Taxonomy for Coding Ambulatory Medical Errors: 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/Pace.pdf
     January 01, 2004 - Methods: Individuals in 34 primary care practices reported medical errors to a Patient Safety Reporting … Resar15 and Battles16 have noted that the ultimate goal of patient safety activities is to reduce patient … Australian Patient Safety Foundation (APSF). … Organizing patient safety research to identify risks and hazards. … Advances in patient safety: From research to implementation. Vol 2, Concepts and methodology.

369. Cognitive Artifacts’ Implications for Health Care Information Technology: Revealing How Practitioners Create and Share Their Understanding of Daily Work (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nemeth.pdf
     July 07, 2002 - Advances in Patient Safety: Vol. 2 280 Figure 1. … Advances in Patient Safety: Vol. 2 292 References 1. Patel VL, Kaufman DR, Arocha JF. … A tale of two stories: contrasting views of patient safety. … Chicago, IL: National Healthcare Safety Council of the National Patient Safety Foundation, American … Going solid: a model of systems dynamics and consequences for patient safety.

370. “Near-miss” Reporting System Development and Implications for Human Subjects Protection (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
     January 01, 2004 - System changes to improve patient safety. BMJ 2000;320(7237):771–3. 12. … Using aggregate root cause analysis to improve patient safety. … Infection control—a problem for patient safety. N Engl J Med 2003;348(7):651–6. 32. … Making health care safer: a critical analysis of patient safety practices. … Making health care safer: a critical analysis of patient safety practices.

371. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
     January 01, 2004 - Advances in Patient Safety: Vol. 3 200 This represents an average annual increase of 545 occurrence … by the patient safety center and hospital leadership, there are three plausible explanations for the … Immediate steps towards patient safety. Healthc Finance Manage 2004;February:58(2):56–61. … IT, patient safety, and quality care. J Healthc Inf Manag 2002;16(1):28–33. 16. Matthews P. … Patient safety with information technology. N Engl J Med 2003;348(25): 2526–34. 23.

372. Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
     April 20, 2004 - ICU patients. … Advances in Patient Safety: Vol. 3 440 Figure 1. … by the VHA National Center for Patient Safety (NCPS). … Advances in Patient Safety: Vol. 3 450 Author affiliations Harry S. … Veterans Health Administration National Center for Patient Safety (NCPS), homepage.

373. A Nonpunitive, Computerized System for Improved Reporting of Medical Occurrences (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Arroyo.pdf
     June 11, 2003 - If needed, changes in policy or procedure are made to improve patient safety. … Ongoing training is provided to all staff on patient safety programs and requirements. … Advances in Patient Safety: Vol. 4 80 References 1. … Patient safety: achieving a new standard for care. … Patient safety: instilling hospitals with a culture of continuous improvement.

374. Background -- AHRQ and other funders interest in promoting faster movement from research to practice/science to service/TRIP/T (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carpenter.pdf
     January 01, 2004 - These grants and contracts were collectively named the AHRQ Patient Safety Portfolio. … AHRQ’s Patient Safety Research Coordinating Center (AHRQ-PSRCC) provides assistance and support for … Advances in Patient Safety: Vol. 4 whose members represent patient safety grantees across the … Patient safety researchers within the Patient Safety Portfolio also were recruited to complete the draft … In: Advances in patient safety: from research to implementation.

375. Physician Event Reporting: Training the Next Generation of Physicians (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
     May 01, 2003 - There have been several calls for medical schools and academic medical centers to improve patient safety … safety issues, the IOM Advances in Patient Safety: Vol. 4 354 recommends the creation of an … Advances in Patient Safety: Vol. 4 360 Author affiliations UCLA Center for Patient Safety and Quality … Innovative training for enhancing patient safety. Safety culture and integrated concepts. … Understanding medical error and improving patient safety in the inpatient setting.

376. Development of a Screening Tool for Safe Wheelchair Seating (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Gavin.pdf
     January 01, 2001 - Advances in Patient Safety: Vol. 4 130 Expert rating. … Advances in Patient Safety: Vol. 4 132 Table 2. … Safety: Vol. 4 134 wheelchair. … Haley VA Medical Center, Patient Safety Center of Inquiry, Tampa (DG, AN, SL). … Haley VA Hospital, Patient Safety Center of Inquiry, 11605 N.

377. Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
     January 01, 2004 - simulators, several CRM-type Advances in Patient Safety: Vol. 4 326 programs are being developed … Advances in Patient Safety: Vol. 4 328 Assessment can be made at both the element and category levels … Advances in Patient Safety: Vol. 4 330 • Refresher training with further practice, similar to the … National Patient Safety Agency, London, U.K. (GF). … Advances in Patient Safety: Vol. 4 336 7. Maran N, Glavin R, Fletcher G.

378. The Use of Surgical Simulators to Reduce Errors (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
     January 01, 2003 - Advances in Patient Safety: Vol. 4 166 Introduction The emphasis on patient safety in the operating … Simulation has the potential to improve patient safety and reduce surgical errors by screening would-be … Students are Advances in Patient Safety: Vol. 4 170 taught in a uniform and comprehensive manner … Successful performance of this task requires complex ambidextrous Advances in Patient Safety: Vol … Advances in Patient Safety: Vol. 4 176 References 1. Dawson SL.

379. SimCare: A Model for Studying Physician Decisionmaking Activity (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Dutta.pdf
     January 01, 2003 - Some of the major cognitive tasks include— Advances in Patient Safety: Vol. 4 180 • Selecting … Physician interaction with SimCare Advances in Patient Safety: Vol. 4 182 displayed in formats … Structured walk-throughs were performed Advances in Patient Safety: Vol. 4 188 with an expert … Advances in Patient Safety: Vol. 4 190 stimulating hormone was made 327 seconds into the case. … Advances in patient safety: from research to implementation. Vol. 1, Research findings.

380. Standardizing Medication Error Event Reporting 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/vol4/Nosek.pdf
     March 01, 2004 - Pharmacopeia, Center for Advancement in Patient Safety. … Pharmacopeia, Center for Advancement in Patient Safety. … Pharmacopeia, Center for Advancement in Patient Safety. … from other reputable patient safety resources. … safety organizations, and the Patient Safety Center Registry.