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Total Results: over 10,000 records

Showing results for "patient safety".

421. Surveillance of Surgery-related Adverse Events in Missouri Using ICD-9-CM Codes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
     March 01, 2004 - Records were sampled using the following criteria: First, only Advances in Patient Safety: Vol. 1 … These patients were considered to have incurred a patient injury event (score of 1 or more on the Harm … Patient Safety Indicators, Version 2.1, Revision 1. … Hougland P, Masheter C, Xu W, Utah/Missouri Patient Safety Consortium. … Patient safety efforts should focus on medical injuries. JAMA 2002;287(15):1993–7. 23.

422. Prologue—Volume 1—Five Years Later—Are We Any Safer? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/James.pdf
     January 01, 2004 - on the execution of patient safety efforts, and catalogued four major barriers at that level: 1. … Advances in Patient Safety: Vol. 1 2 4. … Patient safety represents a difficult and complex problem. Dr. … We all hold the future of patient safety in our hands. … Patient safety proves elusive. Mod Healthc 2004 Nov 1;pp. 6–7, 24–5, 30, 32. 4. Blendon RJ.

423. Organizational Climate, Stress, and Error in Primary Care: The MEMO Study (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Linzer.pdf
     January 01, 2002 - Advances in Patient Safety: Vol. 1 66 Introduction While much research has focused on stress among … Advances in Patient Safety: Vol. 1 68 The clinician survey was derived in part from our Physician … Advances in Patient Safety: Vol. 1 72 Table 3. … outcomes on quality of care or patient safety. … National Patient Safety Foundation at the AMA; 1998. p.151–54. 20.

424. A Study of Adverse Occurrences and Major Functional Impairment Following Surgery (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
     March 15, 2004 - Advances in Patient Safety: Vol. 1 276 The few studies that have used comparison groups have focused … Advances in Patient Safety: Vol. 1 284 Table 3. … , were able to demonstrate increased LOS for various AHRQ patient safety categories. … It may be valuable to target peripheral vascular bypass and colorectal resection in patient safety … Advances in Patient Safety: Vol. 1 288 Funding for this project came from the Centers for Medicare

425. An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
     January 01, 2003 - conditions on patient safety a major research initiative.2 Understanding the nature of medical errors … Safety: Vol. 1 40 multiple patients within environments that are fast-paced and unpredictable, and … Advances in Patient Safety: Vol. 1 46 Table 1. … Certainly understaffing is a threat to patient safety. … The effect of health care working conditions on patient safety.

426. 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.

427. Medical Injury Identification Using Hospital Discharge Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Layde.pdf
     January 01, 2003 - on in-hospital patient safety problems. … It provides a more accurate estimate of the full scope of patient safety problems. … Safety: Vol. 2 130 Limitations of this approach to patient safety monitoring should be considered … Patient safety indicators: using administrative data to identify potential patient safety concerns. … Advances in Patient Safety: Vol. 2 132 23.

428. 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

429. 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.

430. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
     January 01, 2004 - The impact of diagnostic failure on patient safety does not appear to have been fully recognized. … Advances in Patient Safety: Vol. 2 244 The word “bias” originally was used in the game of bowls to … Advances in Patient Safety: Vol. 2 246 Impact of affective state Physicians and caregivers are … Advances in Patient Safety: Vol. 2 252 The cognitive and affective autopsy also has the potential … Advances in Patient Safety: Vol. 2 254 38. Poses RM, Cebul RD, Collins M, et al.

431. 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.

432. Using Specialized Information Technology to Reduce Errors in Emergency Cardiac Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Daudelin.pdf
     January 01, 2000 - Selker Abstract Information Technology (IT) solutions to patient safety/medical error problems are … Many current IT applications for patient safety are focused on hospital processes, such as physician … was sent home who met criteria for patient safety alerts. … Advances in Patient Safety: Vol. 3 14 Figure 5. … for quickly compiling data into one system for use in a patient safety system.

433. 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.

434. 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.

435. Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
     January 01, 2005 - Advances in Patient Safety: Vol. 2 384 6 months. … Advances in Patient Safety: Vol. 2 386 Figure 4. … Advances in Patient Safety: Vol. 2 392 • Patients at high risk of rehospitalization should have the … http://www.jcaho.org/accredited+organizations/patient +safety/npsg.htm. 7. … Advances in Patient Safety: Vol. 2 394 36. Frankel RM, Devers K.

436. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
     January 01, 2003 - A total of 16 Advances in Patient Safety: Vol. 2 398 Figure 1. … The research Advances in Patient Safety: Vol. 2 400 team analyzed data from random, stratified … Comprehensive patient safety programs in health care settings. … In: Patient safety: achieving a new standard of care. A report of the Institute of Medicine. … Statewide patient safety coalitions: a status report.

437. Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
     January 01, 2005 - From this frame large, medium, Advances in Patient Safety: Vol. 3 226 and small facilities as … Some facilities also ask to include quality managers or patient safety managers. … sites, and for MedSun authorized reporters.5 FDA Patient Safety News. … recalls, and ways to protect patients when using medical products. … It also is vital to provide useful feedback so patient safety may be improved.

438. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
     January 01, 2005 - Advances in Patient Safety: Vol. 2 264 Figure 1. … Advances in Patient Safety: Vol. 2 272 T ab le 4 . … How the public perceives patient safety. … Administrative data based patient safety research: a critical review. … Advances in Patient Safety: Vol. 2 278 82. McDonald J.

439. 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.

440. 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.