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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
April 08, 2004 - safety, finance/economics of patient safety, organizations involved in
patient safety, medication use … patient safety practicum, and a patient safety guest lecture seminar. … in patient safety. … safety, they can result in significant harm, the percentage of patients
receiving medication management … safety problems in order
to improve care for all patients.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ludwick.pdf
June 21, 2004 - and increasing
facility patient safety efforts. … The patient safety section also monitors other patient safety goals, such as
avoidance of using inappropriate … to patient care, it also assists in the creation of a
culture of safety, whereby patients can be assured … Advances in Patient Safety: Vol. 3
490
Figure 4a. … Advances in Patient Safety: Vol. 3
492
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/Miranda.pdf
July 01, 2004 - Medications and adverse drug events are a key and often-cited patient safety
topic that patient behavior … Advances in Patient Safety: Vol. 4
148
The fifth step offers questions that the patient can ask the … and other consumers in patient safety
initiatives. … Advances in Patient Safety: Vol. 4
150
11. Knox RA. … National Patient Safety Partnership.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kleinpeter.pdf
January 01, 2004 - JCAHO-MCLNO ambulatory patient safety indicators
JCAHO patient safety indicators
MCLNO ambulatory … clinical practices for patient safety,
dissemination of effective patient safety practices, and maintaining … Identify threats to patient safety. 1. … key focus for patient safety. … This and other patient
safety initiatives will provide a body of evidence for future patient safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Wilson.pdf
December 01, 2004 - Patient Safety Research in Medical Group Practices: Measurement and Data Challenges
51
Patient … Measuring patient safety
Defining and measuring patient safety poses a significant challenge. … We support a definition of patient safety that encompasses care that is not
Advances in Patient Safety … safety; so for the
purposes of this discussion, let us define patient safety as the patient receiving … is to interview patients.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
January 01, 2003 - What Happens After a Patient Safety Event? … Medicare paid
86.8 percent of the 90-day costs for patients with patient safety events, compared
to … Zhan and Miller used the AHRQ Patient Safety Indicators to identify patient
safety events among 7.45 … Medicare paid 86.8 percent of these
costs for patients with patient safety events ($21,110), compared … safety for Medicare patients.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Marken.pdf
January 01, 2004 - safety
issues, as called for by the IOM and more recent findings recognizing threats to
patient safety … area, the policies being evaluated are medical safety practices
aimed at reducing harm to patients … Advances in Patient Safety: Vol. 2
414
Table 1. … Making
health care safer: a critical analysis of patient safety
practices. … What practices will
most improve safety? Evidence-based medicine meets
patient safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
January 01, 2004 - Safety: Vol. 2
312
the number of patients to be transferred, emergencies or other pressing situations … Yoshioka and Herman point out that communities use genres for
Advances in Patient Safety: Vol. 2 … These failures may be due in part to the absence of a
Advances in Patient Safety: Vol. 2
320 … A tale of two stories:
contrasting views of patient safety.
http://www.npsf.org/exec/toc.html. … Handbook
of Human Factors and Ergonomics in Healthcare and
Patient Safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Carayon.pdf
November 01, 2004 - model of work-system and patient safety. … Introduction
In our Systems Engineering Initiative in Patient Safety (SEIPS)* study,
“Patient Safety … Systems Engineering Initiative in Patient Safety (SEIPS) model of work system
and patient safety … Patient Safety: From Research to
Implementation.13
Patients who presented a high clinical acuity for … First, patients’ eligibility for
Advances in Patient Safety: Vol. 3
318
participation was determined
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Pratt.pdf
March 01, 2004 - safety, grew the San Diego Center for Patient Safety (SDCPS). … Patient safety research
We believe research is an essential component of a regional patient safety … Patient safety education
While there is a growing recognition of the importance of patient safety, … The San Diego Patient Safety Consortium
Hospital patient safety leaders are all subject to the same … of
these high-risk patients.
3.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Zhang.pdf
January 01, 2004 - Advances in Patient Safety: Vol. 2
328
11. [Undo] Reversible actions. … Advances in Patient Safety: Vol. 2
330
Figure 2. … Advances in Patient Safety: Vol. 2
333
F
ig
u
re
4
. … Advances in Patient Safety: Vol. 2
336
References
1. … Cognition and measurement in
patient safety research (guest editorial).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
January 01, 2004 - in the patient safety event. … Change that dramatically improves the safety of hospital patients
begins with the frontline managers … of their patients. … Web-based patient safety reporting system readiness assessment
Web-based Patient Safety Reporting System … 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/vol3/Vane.pdf
February 01, 2005 - Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments … 469
Behind the Scenes: Patient Safety in
the Operating Room and Central
Materiel Service During … The lessons learned from
these situations can assist in patient safety in future operations. … Patient Safety During Military Deployments
481
Conclusion
While safe patient care is the number … Patient safety: fatigue among
clinicians and the 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/vol3/Graham.pdf
April 14, 2004 - Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies
453 … Institutional Review Board Approval
of Practice-based Research Network
Patient Safety Studies … The high-risk nature of patient safety work further complicates this
situation. … all patients. … Advances in Patient Safety: Vol. 3
458
Table 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/Akins.pdf
January 01, 2003 - patient
safety. … obtains
information and feedback from
patients on patient safety
issues to improve the delivery … Patient Safety
System
Patient Safety System: How the
institution ensures that patient
safety requirements … • Patient safety education of health care leadership, clinical staff, and
patients is critical for … The nature of
adverse events in hospitalized 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/Meadows.pdf
December 01, 2003 - include:
• Raising awareness of patient safety issues … within the NHS are treated differently following a patient safety incident. … to enhance patient safety. … Patient safety and the “just culture”: a primer
for health care executives. … National Health Service Confederation/National
Patient Safety Agency.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf
January 10, 2005 - FangFei Chen
Abstract
Objective: The Patient Safety Center in the Veterans Health Administration … A detailed
algorithm of the ergonomic assessment may be found on the Web site of the
Patient Safety … Author affiliations
Patient Safety Center of Inquiry, James A. … Address correspondence to: Kris Siddharthan, Ph.D., Patient Safety Center, James A. … Advances in Patient Safety: Vol. 3
358
16. Berk A, Paringer L, Mushkin SJ.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
January 01, 2004 - The burgeoning interest in safety in health care focuses on patients. … However, the safety of patients and airline passengers is different from the safety
of workers in that … the climate of safety that affects patients and airline passengers
is largely outside their control … Patient Safety: Vol. 4
432
medications. … Research agenda: medical errors and patient
safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
January 01, 2003 - On-line Patient Safety Climate Survey: Tool Development and Lessons Learned
415
On-line Patient Safety … safety is defined as actions undertaken by individuals and
organizations to protect patients from being … safety issues.
3.19 .648 Agree
6. are not willing to admit to patients when they
make an error … Profiles in patient safety: organizational
barriers to patient safety. … In: Enhancing patient
safety and reducing errors.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rivard.pdf
May 01, 2004 - Introduction
Patient safety has become a national priority. … Patient Safety Indicators and their development
The Patient Safety Indicators (PSIs), developed by … Advances in Patient Safety: Vol. 2
10
Table 1. … Patient Safety
Indicators: using administrative data to identify
potential patient safety concerns. … Measures of
patient safety based on hospital administrative data—
the Patient Safety Indicators.