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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
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recommends the creation of an … Advances in Patient Safety: Vol. 4
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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.
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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
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Expert rating. … Advances in Patient Safety: Vol. 4
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Table 2. … Safety: Vol. 4
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wheelchair. … Haley VA Medical Center, Patient Safety Center of Inquiry, Tampa (DG, AN, SL). … Haley VA Hospital, Patient
Safety Center of Inquiry, 11605 N.
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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
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programs are being developed … Advances in Patient Safety: Vol. 4
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Assessment can be made at both the element and category levels … Advances in Patient Safety: Vol. 4
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• Refresher training with further practice, similar to the … National
Patient Safety Agency, London, U.K. (GF). … Advances in Patient Safety: Vol. 4
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7. Maran N, Glavin R, Fletcher G.
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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
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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
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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
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References
1. Dawson SL.
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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—
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• Selecting … Physician interaction with SimCare
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displayed in formats … Structured walk-throughs were performed
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with an expert … Advances in Patient Safety: Vol. 4
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stimulating hormone was made 327 seconds into the case. … Advances in
patient safety: from research to implementation. Vol.
1, Research findings.
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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.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keller.pdf
January 01, 2004 - Many of the
criteria from the evaluations are based on critical patient safety factors. … Additional technology-related patient safety perspectives
JCAHO published its infusion pump patient … Similarly, JCAHO has announced patient
safety goals for 2005. … Joint Commission Perspectives
on Patient Safety 2003 Jan;3(1):9–10.
4. ECRI. … Joint
Commission Perspectives on Patient Safety 2004
Sept;3(9):13.
6. ECRI.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Baker.pdf
February 01, 2005 - Safety Practices, Pizzi
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et al., focused specifically … In:
Making health care safer: A critical analysis of patient
safety practices. … Medical
teamwork and patient safety: the evidence-based
relation. … Patient Safety Initiative 2000—Spotlighting
Strategies, Sharing Solutions. … In: enhancing patient safety and
reducing errors in health care.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mitchell.pdf
March 31, 2004 - curriculum focused on patient safety. … Eisenberg Patient Safety Award for systems innovation. … patient safety
Groups of health care personnel often come together to care for patients. … curriculum focused on patient safety. … Eisenberg
Patient Safety Awards.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meurer.pdf
January 01, 2004 - safety as a
standard of care.”7 Efficient and representative patient safety reporting systems
Advances … , and
evaluation of effective practices in patient safety. … Advances in Patient Safety: Vol. 4
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Figure 1. … Advances in Patient Safety: Vol. 4
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T
ab
le
1
. … Patient safety: achieving a new
standard of care.
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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
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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.
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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
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typical patient safety challenges. … Advances in Patient Safety: Vol. 4
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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.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
March 11, 2005 - Similar response rates were
tallied for questions regarding practical value, patient safety content, … Cases are selected carefully to illustrate a compelling array of patient safety
issues and clinical … Balance between patient
safety lessons and desire to
recruit a nonexpert readership. … Recruit a broad audience
interested, but not expert, in
patient safety. … of patients.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
March 09, 2005 - Despite this, medication-related problems that jeopardize patient safety
are common in nursing homes … Table 1 highlights the RAPs targeted as part of the current
patient safety research project, as well … We did so because we believed that falls and delirium
pose the largest threats to patient safety in … The Falls Medication Monitoring Care Plan
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Figure 3. … GRAM™
software focus of patient safety study in nursing
facilities.
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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
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In this study, ADEs were defined as events related to medication … days of
ketorolac
Misc. duration
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Text rule ADE … encounters and the patients’ medication list. … Advances in Patient Safety: Vol. 2
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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
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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
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Fourth and final intervention
An intervention was taken … Advances in Patient Safety: Vol. 3
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References
1.
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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
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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
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errors, such as patients not receiving medications … Advances in Patient Safety: Vol. 4
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Figure 1a. MAE survey
Figure 1b. … Advances in Patient Safety: Vol. 4
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13. Gardner C. … Proceedings of enhancing patient safety and reducing
errors in health care.
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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.
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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.