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121. An Employee Questionnaire for Assessing Patient Safety in Outpatient Surgery (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carayon.pdf
     February 01, 2005 - committed to improving patient safety in the community who have agreed to not use patient safety to … In the SEIPS model of work system and patient safety, we Advances in Patient Safety: Vol. 4 462 … Advances in Patient Safety: Vol. 4 464 Table 1. … Safety culture assessment: a tool for improving patient safety in healthcare organizations. … Advances in Patient Safety: Vol. 4 468 Table 3.

122. Regulation of Health Policy: Patient Safety and the States (pdf file)
     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.

123. Translating Patient Safety Research into Clinical Practice (pdf file)
     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.

124. A Conceptual Framework for Studying the Safety of Transitions in Emergency Care (pdf file)
     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.

125. Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries (pdf file)
     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 .

126. Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology (pdf file)
     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.

127. The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents (pdf file)
     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 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents 387 The Incident … Research shows that systems failures are the root cause of the majority of safety incidents. … include: • Raising awareness of patient safety issues … Patient safety and the “just culture”: a primer for health care executives. … National Health Service Confederation/National Patient Safety Agency.

128. Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency (pdf file)
     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.

129. Safety Climate on Hospital Units: A New Measure (pdf file)
     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 - Safety Climate on Hospital Units: A New Measure 429 Safety Climate on Hospital Units: A New Measure … safety. … Worker safety. … The safety climate and its relationship to safety practices, safety of the work environment and occupational … Safety Climate. J Safety Res 1995;26(4):247–54. 14.

130. On-line Patient Safety Climate Survey: Tool Development and Lessons Learned (pdf file)
     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 … The On-line Patient Safety Climate Survey was developed to evaluate the corporate safety climate of … Advances in Patient Safety: Vol. 4 416 The tool evaluated three safety climate factors: (1) staff … Profiles in patient safety: organizational barriers to patient safety. … Ten leadership qualities for a total safety culture. Prof Safety 2000;45(5):38–41. 19.

131. Usability Testing and the Relation of Clinical Information Systems to Patient Safety (pdf file)
     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.

132. Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis (pdf file)
     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.

133. Financial and Demographic Influences on Medicare Patient Safety Events (pdf file)
     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.

134. Patient Safety Data Sharing and Protection from Legal Discovery (pdf file)
     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.

135. A Clinical Assessment Program to Evaluate the Safety of Patient Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Snow.pdf
     January 01, 2010 - to Evaluate the Safety of Patient Care Richard J. … : Vol. 4 58 set the taxonomy for patient safety. … What practices will most improve safety? Evidence-based medicine meets patient safety. … Making health care safer is a critical analysis of patient safety practices. … Advances in Patient Safety: Vol. 4 70 14.

136. Prescribing Safety in Ambulatory Care: Physician Perspectives (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
     January 01, 2003 - Prescribing Safety in Ambulatory Care: Physician Perspectives 161 Prescribing Safety in Ambulatory … We asked about current safety practices, perceptions of ambulatory prescribing safety, and recommended … Most emphasis has been placed on inpatient safety issues—we want to explore outpatient safety. … Advances in Patient Safety: Vol. 1 166 Medication prescribing safety concerns We also asked respondents … safety in the outpatient setting.

137. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
     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.

138. From Science to Service: A Framework for the Transfer of Patient Safety Research into Practice (pdf file)
     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

139. Expediting Clinician Adoption of Safety Practices: The UCSF Venous Access Patient Safety Interdisciplinary Education Project (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Donaldson.pdf
     January 01, 2003 - Expediting Clinician Adoption of Safety Practices: The UCSF Venous Access Patient Safety Interdisciplinary … Patient Safety Interdisciplinary Education Project Nancy E. … VAD Safety—Overview 2. Venous Access Anatomy and Physiology 3. … Improving VAD Patient Safety through Patient Education 8. … Collaborative education to ensure patient safety.

140. Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
     January 01, 2003 - Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians 15 Implementing … Safety Cultures in Medicine: What We Learn by Watching Physicians Timothy J. … Observing Safety Culture 17 Table 1. … Advances in Patient Safety: Vol. 1 36 Table 4. … Advances in Patient Safety: Vol. 1 38 14. Argyris C.