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Total Results: over 10,000 records

Showing results for "patient safety".

441. Mixed Methods Analysis of Medical Error Event Reports: 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/Harris.pdf
     June 30, 2004 - Main Abstract Objective: The Applied Strategies for Improving Patient Safety (ASIPS) collaborative … ‡ Fixed choice (Yes/No) + optional brief narrative Number of patients involved Fixed choice (1 or more … Safety compendium.18 Advances in Patient Safety: Vol. 2 142 Figure 1. … safety reporting system to inform the development of patient safety interventions. 1. … Advances in Patient Safety: Vol. 2 144 2.

442. A Conceptual Model for Disclosure of Medical Errors (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
     January 01, 2004 - safety is fundamental to high-quality patient care. … safety is fundamental to high-quality patient care. … Advances in Patient Safety: Vol. 2 484 system is aware of its errors. … Advances in Patient Safety: Vol. 2 488 Table 1. … UCLA Healthcare Center for Patient Safety (LH) and Ethics Center (NW).

443. Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdf
     January 01, 2004 - of the intensive care Advances in Patient Safety: Vol. 3 296 environment.21 The perioperative … Advances in Patient Safety: Vol. 3 298 Surgical delay Surgeons voiced other concerns in relation … Advances in Patient Safety: Vol. 3 300 Engagement of department leaders A critical factor that … Advances in Patient Safety: Vol. 3 302 Author affiliations Weill Medical College of Cornell University … Making health care safer: a critical analysis of patient safety practices.

444. Observing Nurse Interaction with Infusion Pump Technologies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
     January 01, 2004 - Advances in Patient Safety: Vol. 2 360 F ig u re 1 . … Human factors in healthcare: benefiting worker/patient safety and quality. … Making health care safer: a critical analysis of patient safety practices. … Technology and patient safety: a two-edged sword. … Reducing workload and increasing patient safety through work and workspace design.

445. Work System Analysis: The Key to Understanding Health Care Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
     April 22, 2004 - safety problems—as well as patient safety problems that are yet unknown. … System changes to improve patient safety. Br Med J 2000 Mar 18;320(7237):771–3. 16. … Advances in Patient Safety: Vol. 2 348 26. Kaushal R, Bates DW, Landrigan C, et al. … VA National Center for Patient Safety. … Patient safety standards—hospitals.

446. Implementation of a Data-based Medical Event Reporting System 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/vol3/Davis.pdf
     February 12, 2004 - The system has helped to identify patterns of patient safety errors and areas where patient safety events … patient safety newsletters (available on the DoD patient safety Web site), patient safety hot topic … Safety Center MHSPSR: Military Health System Patient Safety Registry Advances in Patient Safety … Safety Center PSO/M: Patient Safety Officer /Manager PSR: Patient Safety Registry PSWG: Department … safety database Patient safety data collection Patient safety data analysis Conclusion Acknowledgments

447. From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
     February 09, 2005 - White Abstract Clinical decision support (CDS) systems show promise for enhancing patient safety, … Unfortunately, the most relevant appeal (that such a system would markedly improve patient safety) could … If “all politics is local,” then much of patient safety research is localized as well. … safety.2 However, despite the consensus opinion Advances in Patient Safety: Vol. 3 396 that … Advances in Patient Safety: Vol. 3 406 Table 2.

448. Development and Implementation of The University of Texas Close Call Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
     March 01, 2004 - After examining the specifications needed to get all three modalities Advances in Patient Safety: … • Patient Safety Reporting System (PSRS). … Advances in Patient Safety: Vol. 2 154 Table 1. Primary information categories a. … While drop-down menus made the screen much less cluttered, the approach Advances in Patient Safety … Developing a culture of patient safety at the VA. Ambulatory Outreach, 2000 Spring; 25–9. 4.

449. Looking for Trouble in All the Right Places: The Legal Implications Associated with “Electronic Signatures” and High-risk Clinical Situations (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Escobar.pdf
     February 01, 2005 - Advances in Patient Safety: Vol. 3 56 T a b le 2 . … safety research and societal attention to patient safety. … session at the National Patient Safety Foundation’s Annenberg Conference on Patient Safety, in Indianapolis … Promoting patient safety through reducing medical error: a paradigm of cooperation between patient, … In: Peer review and mediation to promote patient safety. Houston J.

450. Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
     July 01, 2003 - These demonstration projects aim to improve the completeness of Advances in Patient Safety: Vol. … A 40 percent random sampling of Advances in Patient Safety: Vol. 3 272 eligible cases was used … Infection control—a problem for patient safety. N Engl J Med 2003;348:651–6. 2. … Making health care safer: a critical analysis of patient safety practices. … Making health care safer: a critical analysis of patient safety practices.

451. Systemwide Deployment of Medical Team Training: Lessons Learned in the Department of Defense (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/King.pdf
     January 01, 2002 - Teamwork, a powerful patient safety tool, can achieve this goal. Lessons learned within the U.S. … Advances in Patient Safety: Vol. 3 428 Figure 2. … or population of patients. … Air Force Patient Safety Program, Bolling Air Force Base (BK). … DoD Patient Safety Award Application, 2003– 04. 8. Kotter JP, Cohen DS.

452. “Near-miss” Reporting System Development and Implications for Human Subjects Protection (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
     January 01, 2004 - System changes to improve patient safety. BMJ 2000;320(7237):771–3. 12. … Using aggregate root cause analysis to improve patient safety. … Infection control—a problem for patient safety. N Engl J Med 2003;348(7):651–6. 32. … Making health care safer: a critical analysis of patient safety practices. … Making health care safer: a critical analysis of patient safety practices.

453. Identifying Barriers to the Success of a Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
     March 01, 2004 - information for developing Advances in Patient Safety: Vol. 3 168 a proactive approach to managing … A team of researchers at the University of Texas Center of Excellence for Patient Safety Research and … Advances in Patient Safety: Vol. 3 172 Behaviors and attitudes toward the mandatory reporting system … (See Table 2 for a list Advances in Patient Safety: Vol. 3 174 Table 2. … The Patient Safety Reporting System.

454. Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
     January 01, 2004 - patient safety; and (6) patient safety research dissemination Advances in Patient Safety: Vol. 3 … coming out of AHRQ’s patient safety portfolio of research. … in hospitals, and patient safety reporting. … The field staff include hospital patient safety officers and those responsible for patient safety reporting … of patient safety in hospital settings.

455. Barriers Associated with Medication Information Handoffs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
     January 01, 2004 - care settings to improve patient safety. … Advances in Patient Safety: Vol. 3 92 Important generalized process variations Patient complexity … Advances in Patient Safety: Vol. 3 94 Patient focus group findings corroborate other risks identified … AHRQ’s patient safety initiative. Building foundations, reducing risk. … Proposed patient safety standards for 2005. http://www.jcaho.org/accredited+organizations/ patient+

456. 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.

457. Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
     April 20, 2004 - ICU patients. … Advances in Patient Safety: Vol. 3 440 Figure 1. … by the VHA National Center for Patient Safety (NCPS). … Advances in Patient Safety: Vol. 3 450 Author affiliations Harry S. … Veterans Health Administration National Center for Patient Safety (NCPS), homepage.

458. A Nonpunitive, Computerized System for Improved Reporting of Medical Occurrences (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Arroyo.pdf
     June 11, 2003 - If needed, changes in policy or procedure are made to improve patient safety. … Ongoing training is provided to all staff on patient safety programs and requirements. … Advances in Patient Safety: Vol. 4 80 References 1. … Patient safety: achieving a new standard for care. … Patient safety: instilling hospitals with a culture of continuous improvement.

459. 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.

460. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)
     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.