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Showing results for "patient safety".

2641. 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.

2642. 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

2643. 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.

2644. Standardized Simulated Events for Provocative Testing of Medical Care System Rescue Capabilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blike.pdf
      January 01, 2003 - Safety: Vol. 4 194 typical patient safety challenges. … Advances in Patient Safety: Vol. 4 198 Table 1. … Patient safety: understanding and responding to adverse events. … A tale of two stories: contrasting views of patient safety. … Chicago: National Patient Safety Foundation; 1998. 19.

2645. 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.

2646. 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.

2647. 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.

2648. 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.

2649. 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.

2650. Quality Indicators Sensitive to Nurse Staffing in Acute Care Settings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Savitz.pdf
      March 01, 2004 - Advances in Patient Safety: Vol. 4 380 degree, patient-to-nurse ratios, and/or hours of nursing care … Keeping patients safe: transforming the work environment of nurses. … The role of theory in improving patient safety and quality health care. … Measures of patient safety based on hospital administrative data— the patient safety indicators. … Comparison of relevant AHRQ, ANA, and NQF patient safety measures Figure 1.

2651. 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.

2652. 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.

2653. 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.

2654. 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

2655. 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.

2656. 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.

2657. 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.

2658. 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

2659. 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.

2660. 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.