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Showing results for "patient safety".

2481. Background -- AHRQ and other funders interest in promoting faster movement from research to practice/science to service/TRIP/T (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carpenter.doc
      January 01, 2004 - These grants and contracts were collectively named the AHRQ Patient Safety Portfolio. … represent patient safety grantees across the portfolio. … Patient safety researchers within the Patient Safety Portfolio also were recruited to complete the draft … From science to service: a framework for the transfer of patient safety research into practice. … In: Advances in patient safety: from research to implementation.

2482. 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.

2483. 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.

2484. 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

2485. 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.

2486. 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.

2487. Reducing the Use of Short-acting Nifedipine by Hypertensives Using a Pharmaceutical Database (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Furmaga.pdf
      January 01, 2005 - The final intervention (75 patients) resulted in one patient prescribed short-acting nifedipine for … Advances in Patient Safety: Vol. 3 280 A follow-up utilization review was completed in March 2001 … present management and monitor the patient (2 patients); the rationale was not provided for 4 patients … Advances in Patient Safety: Vol. 3 284 Fourth and final intervention An intervention was taken … Advances in Patient Safety: Vol. 3 288 References 1.

2488. Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdf
      January 01, 2003 - Advances in Patient Safety: Vol. 2 176 In this study, ADEs were defined as events related to medication … days of ketorolac Misc. duration Advances in Patient Safety: Vol. 2 178 Text rule ADE … encounters and the patients’ medication list. … Advances in Patient Safety: Vol. 2 180 Results On some of the initial data runs there was some divergence … Advances in Patient Safety: Vol. 2 182 While this methodology was able to discover many events, there

2489. 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.

2490. 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.

2491. 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.

2492. 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.

2493. 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

2494. 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

2495. 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.

2496. 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.

2497. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
      January 01, 2003 - Conceptual underpinnings Patient safety encompasses a wide variety of patient care processes and outcomes … Other Advances in Patient Safety: Vol. 4 478 errors, such as patients not receiving medications … Advances in Patient Safety: Vol. 4 480 Figure 1a. MAE survey Figure 1b. … Advances in Patient Safety: Vol. 4 488 13. Gardner C. … Proceedings of enhancing patient safety and reducing errors in health care.

2498. Serious Reportable Adverse Events in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
      December 01, 2000 - Introduction Lapses in patient safety are a major health care quality problem, and the occurrence … Advances in Patient Safety: Vol. 4 340 As part of a comprehensive approach to improving patient safety … The data should be used in every way possible to actually improve patient safety. … Advances in Patient Safety: Vol. 4 352 References 1. … Patient safety in American hospitals. Denver, CO: Health Grades, Inc.; 2004. 3.

2499. Safe Practices for Better Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
      April 01, 2004 - map for improving patient safety. … , substantially improve patient safety. … Advances in Patient Safety: Vol. 4 30 Table 2. … Advances in Patient Safety: Vol. 4 32 Address correspondence to: Kenneth W. … Making health care safer: a critical analysis of patient safety practices.

2500. Prologue -- Blueprints for Action (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield1.pdf
      January 01, 1999 - The lesson of this volume is that those concerned about patient safety are many in number, and they … Safety: Vol. 4 2 initiatives. … Some of the papers describe in detail activities designed to improve patient safety that appear, on … Patient safety is as much about managing the complexity in our contemporary health care environments … Mindful of all these concerns, the intellectual energy and commitment to advancing patient safety is