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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/TableofContents_Vol4.pdf
January 01, 2025 - Technology and Medication Safety
Prologue: Technology and Medication Safety
Mary L. … Mapping a Large Patient Safety Database to the 2005 Patient Safety Event
Taxonomy
John R. … Patient Safety Learning
Donna M. … Battles
Safety Culture and Organizational Issues
The AHRQ Hospital Survey on Patient Safety Culture … Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety
Brenda K.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Loux.pdf
January 01, 2004 - Comparing Patient Safety in Rural Hospitals by Bed Count
391
Comparing Patient Safety in
Rural … • How do patient safety rates, measured using the AHRQ Patient Safety
Indicators (PSIs), vary among … To calculate the incidence of potential safety-related events, we used the
Patient Safety Indicators … safety events (Number of hospitals)
Hospital bed count
Patient safety indicator <50 Beds 50–99 … Measures of
patient safety based on hospital administrative data–the
patient safety indicators.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Magid.pdf
January 01, 2004 - Translating Patient Safety Research into Clinical Practice
163
Translating Patient Safety Research … Making Health Care
Safer: A Critical Analysis of Patient Safety Practices. … Making Health Care Safer: A Critical
Analysis of Patient Safety Practices. … Making Health Care Safer:
A Critical Analysis of Patient Safety Practices. … Making
Health Care Safer: A Critical Analysis of Patient
Safety Practices.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rogers.pdf
January 01, 2003 - Usability Testing and the Relation of Clinical Information Systems to Patient Safety
365
Usability … Testing and the Relation of Clinical
Information Systems to Patient Safety
Michelle L. … Human factors knowledge of HCI design and its impact on human performance
can advance safety in health … : Vol. 2
366
technology, achieve this new level of “safety” through reduced reliance on
memory, … Advances in Patient Safety: Vol. 2
378
3. Anderson JG, Aydin CE.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nieva.pdf
January 07, 2005 - From Science to Service: A Framework for the Transfer of Patient Safety Research into Practice
441 … Advances in Patient Safety: Vol. 2
448
2b and 2c. … Presentation to AHRQ patient safety
grantees, 2004 Jan. … Presentation made to patient safety research grantees,
2004 Jan. … Knowledge transfer framework for AHRQ patient safety portfolio and patient safety grantees
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Suydam.pdf
January 01, 2001 - Patient Safety Data Sharing and Protection from Legal Discovery
361
Patient Safety Data Sharing … The most promising
source of existing protection for all members of patient safety collaboratives is … Regional safety consortia are one such type of collaborative effort,
formed between member health care … Advances in Patient Safety: Vol. 3
362
One potential problem with such consortia, also recognized … consortium for non-AHRQ-sponsored safety activities.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
January 01, 2004 - to all major
surgeries: surgery-related patient safety events, nursing-related patient safety
events … Patient safety indicators
We considered four patient safety events measures: surgery-related patient … safety events, nursing-related patient safety events, death, and failure to rescue
(death following … surgery-related patient safety events, nursing-related patient
safety events, and failure to rescue … Measures of
patient safety based on hospital administrative data—
the patient safety indicators.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
January 01, 2001 - The Impact of a Patient Safety Program on Medical Error Reporting
307
The Impact of a Patient Safety … safety and prevent medical mistakes have
emerged as a result. … safety
measures are difficult to establish. … Advances in Patient Safety: Vol. 1
316
References
1. … Patient safety curriculum. Acad Med
2000;75(5):551–2.
8. Jay G, Risser DT.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
January 01, 2004 - Joseph to design a new hospital around patient safety, and
identify and discuss safety design principles … would be used to build a safety-oriented facility
and to achieve the safety culture goals outlined … Safety culture goals
1. Shared values and beliefs about safety within the organization
2. … Making patient safety the
guiding principle serves to enhance the culture of patient safety. … Facility safety design principles
Table 3. Safety culture goals
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/vol2/Marken.pdf
January 01, 2004 - Medical Safety Practices
Richard S. … practices
as a resource for health care safety professionals. … Advances in Patient Safety: Vol. 2
414
Table 1. … Prioritizing Medical Safety Practices
419
Table 2. … 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/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 … Advances in Patient Safety: Vol. 3
306
Figure 1. … Systems Engineering Initiative in Patient Safety (SEIPS) model of work system
and patient safety … Advances in Patient Safety: Vol. 3
316
T
ab
le
2
.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harder.pdf
May 19, 2003 - Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis
323 … Improving the Safety of Heparin
Administration by Implementing a
Human Factors Process Analysis … York State in 1984, have led
to many efforts aimed at reducing medical error and improving patient safety … Improving Heparin Administration Safety
325
Despite these improvements, an unacceptable number of … National Highway Traffic Safety Administration,
National Center for Statistics and Analysis, U.S.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
July 01, 2004 - Medicare Patient Safety Surveillance
109
2. … safety and computer network reliability. … : Vol. 2
112
Safety Practices.6 Chapter 57 of that compendium provides a list of patient safety … Advances in Patient Safety: Vol. 2
116
Conclusion
The Medicare Patient Safety Monitoring System … Safety culture assessment: a tool for
improving patient safety in health care organizations.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Charles.pdf
January 24, 2004 - Improving Patient Safety with the Military Electronic Health Record
23
Improving Patient Safety with … Advances in Patient Safety: Vol. 3
26
Figure 2. … Enhancing patient safety
was a primary goal of the military CPOE. … The phases with a focus on patient safety improvements are:
1. … AHRQ’s Patient Safety Initiative: Building
foundations, reducing risk.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Galt.pdf
January 01, 2005 - Advances in Patient Safety: Vol. 3
250
2. … Advances in Patient Safety: Vol. 3
252
Table 1. … Advances in Patient Safety: Vol. 3
262
8. Vitillo JA, Lesar TS. … National Patient Safety
Foundation at the AMA.
21. Elson B. … Impact of PDAs on Medication Safety
263
39. Whiting R.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
March 01, 2004 - Patient Safety and the States
Joanna Weinberg, Lee H. … To be complete, the
concept of patient safety should address whether “safety” means more than the
absence … National Patient Safety Foundation. … Patient safety
resources, patient safety definition citations
http://www.npsf.org/html/
defcit.html … 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/vol1/Johnson.pdf
January 01, 2004 - The Role of Patient Safety in the Device Purchasing Process
341
The Role of Patient Safety in the … knowledge that
participants in the process had toward patient safety. … Safety evaluation and its use in the purchasing process
Although technical safety was an obvious consideration … design of the device
Advances in Patient Safety: Vol. 1
350
interface. … Instead, much of the safety evaluation focused on the technical safety
specifications of the pumps and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
January 01, 2002 - Making Information Technology a Team Player in Safety: The Case of Infusion Devices
319
Making … Information Technology a Team
Player in Safety: The Case of Infusion Devices
Christopher Nemeth, … The pharmacology
Advances in Patient Safety: Vol. 1
320
of these agents, as well as different … Some subjects began their task with a pump state that
Advances in Patient Safety: Vol. 1
328 … Safety and
efficacy of target controlled infusion (diprifusor) vs.
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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 - A Conceptual Framework for Studying the Safety of Transitions in Emergency Care
309
A Conceptual … Framework for Studying the
Safety of Transitions in Emergency Care
Ravi Behara, Robert L. … in care.1 This may affect safety in unexpected ways. … Handbook
of Human Factors and Ergonomics in Healthcare and
Patient Safety. … Wrong level disc surgery, site marks, work
details, and 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/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. … Curricula for Enhancing
Safety Awareness.