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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/Carpenter.pdf
January 01, 2004 - These grants and contracts were collectively named the
AHRQ Patient Safety Portfolio. … AHRQ’s Patient Safety Research Coordinating
Center (AHRQ-PSRCC) provides assistance and support for … Advances in Patient Safety: Vol. 4
whose members represent patient safety grantees across the … Patient safety researchers within the Patient Safety Portfolio also were
recruited to complete the draft … In: Advances in patient safety:
from research to implementation.
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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
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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
Advances in Patient Safety: Vol. 4
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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/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/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
240
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/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
360
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/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.
-
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/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/vol1/OConnor.pdf
November 29, 2004 - Advances in Patient Safety: Vol. 1
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Automated pharmacy data was used to ascertain names, dates … Advances in Patient Safety: Vol. 1
374
Table 2. … of normal+
0.2% < 0.1%
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Table 4. … Advances in Patient Safety: Vol. 1
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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.
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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
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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
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Figure 1. … Advances in Patient Safety: Vol. 1
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15. Golin CE, Smith SR, Reif S. … Advances in
Patient Safety: From Research to Implementation.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
January 01, 2003 - as important risk factors for patient safety.1–3 Few attempts,
however, have been made to identify … Advances in Patient Safety: Vol. 1
56
Table 1. … Additionally, we restricted our enrollment criteria to
Advances in Patient Safety: Vol. 1
62 … safety. … Advances in Patient Safety: Vol. 1
64
23. Potter P, Barr N, McSweeney M, et al.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Kohl.pdf
April 01, 2004 - The Brighton Collaboration may be a useful model for other realms of patient
safety. … Advances in Patient Safety: Vol. 2
92
F
ig
u
re
1
. … Its success then needs to be supported by
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creation of an … Advances in Patient Safety: Vol. 2
100
Author affiliations
Centers for Disease Control and Prevention … Advances in Patient Safety: Vol. 2
102
46.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
December 23, 2004 - The facility had a problem with preventive maintenance of its
Advances in Patient Safety: Vol. 2 … addressing the patients’ needs). … As in the Eindhoven taxonomy, slips
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Figure 1. … A
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Figure 3. … Advances in Patient Safety: Vol. 2
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Author affiliations
Departments of Medical Physics, Human
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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/vol2/Schillinger.pdf
January 01, 2004 - Advances in Patient Safety: Vol. 2
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Drugs, such as oral anticoagulants, that have a narrow therapeutic … Advances in Patient Safety: Vol. 2
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We obtained patients’ indications for chronic anticoagulation … Among English and Spanish speakers, the visual
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concordance … Advances in Patient Safety: Vol. 2
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Acknowledgments
This research was supported through grants … Advances in Patient Safety: Vol. 2
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46. Smedley BD, Stith AY, Nelson AR.
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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
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Prevalence and cost of clinical inertia
Prevalence
It … visit, with the
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patient setting the clinical agenda for … Advances in Patient Safety: Vol. 2
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The recommended visit interval of 3–6 months for those with … Advances in Patient Safety: Vol. 2
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47. Pellegrini F, Belfiglio M, De Berardis G, et al. … Advances in patient safety: from research to
implementation.