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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
February 01, 2004 - Three members of the research team
(one pediatrician and two patient safety researchers) independently … Prior patient safety
studies in ambulatory and in-patient adult populations have demonstrated that … (Problem type: Communication)
Advances in Patient Safety: Vol. 1
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Table 5. … Pediatric patient
safety in the ambulatory setting. Ambul Pediatr
2004;4:47–54.
8. … Patient safety
problems in children’s medical care: a Critical
Incident Analysis.
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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 - related to drug-drug
interactions, use of contraindicated drugs, or failure to obtain recommended safety … Advances in Patient Safety: Vol. 1
372
Automated pharmacy data was used to ascertain names, dates … Advances in Patient Safety: Vol. 1
374
Table 2. … Jt Comm J
Qual Safety. 2004;30(1):15–24.
10. Dovey SM, Meyers DS, Phillips RL, Jr., et al. … 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/Duthie.pdf
January 01, 2004 - Advances in Patient Safety: Vol. 1
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The methodology used to assess these occurrences utilized … The findings raised the issue about whether these facilities are more
Advances in Patient Safety: … appeared as
significant safety threats. … Sharing information among
hospitals will facilitate learning about patient safety initiatives. … 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/vol1/Desikan.pdf
March 01, 2002 - : Vol. 1
146
safety and the quality of hospital care. … Advances in Patient Safety: Vol. 1
154
T
ab
le
4
. … In: Beyond State reporting: Medical errors and patient
safety issues. … Advances in Patient Safety: Vol. 1
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51. Billings C. … A tale of
two stories: contrasting views of 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/French.pdf
April 27, 2004 - uses of information technology to improve medication safety
in the outpatient setting. … Advances in Patient Safety: Vol. 1
196
Future studies will refine the episodes of care associated … VISN 8 Patient Safety Center (AMS, RRC, PP, DCW). VISN 8 Measurement
Evaluation Team (DDF). … Advances in Patient Safety: Vol. 1
198
28. … Pharmacoepidemiology
and Drug Safety 2004; In press. (Published online:
April 27, 2004.)
49.
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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
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obtained the clinicians’ regimen reports by recording … Advances in Patient Safety: Vol. 1
210
15. Golin CE, Smith SR, Reif S. … Medication safety: moving from illusion to
reality. JAMA 2003 289(9):1154–6.
41. … 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/Masheter.pdf
March 01, 2004 - AHRQ patient safety indicators
AHRQ and Stanford University have developed 20 Patient Safety (PS) … Utah Patient Safety
Updates. Vol. I, No. 1–5. … Utah/Missouri Patient Safety Project. … Patient safety sentinel event reporting. State of Utah. … Advances in Patient Safety: Vol. 1
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21. 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/vol1/Campbell.pdf
January 01, 2003 - Center for
Patient Safety is a leader in this movement. … The VHA emphasizes a culture of safety and focuses its patient safety
initiatives and reporting on systems … The VHA is a leader in patient safety research and intervention
Advances in Patient Safety: Vol. … A national
profile of patient safety in U.S. hospitals. … Patient Safety
Committee. Patient safety efforts should focus on
errors.
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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 - They are intended to flag patient safety problems and
point to areas for investigation and intervention … Records were sampled using the following criteria: First, only
Advances in Patient Safety: Vol. 1 … 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.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Evanoff.pdf
January 01, 2003 - Efforts to improve health care safety and
quality are dependent on teamwork and are jeopardized by the … Advances in Patient Safety: Vol. 1
8
Results
Reported communication between health care providers … There was
Advances in Patient Safety: Vol. 1
10
Table 3. … Advances in Patient Safety: Vol. 1
14
19. Fuss MA, Bryan YE, Hitchings KS, et al. … Anaesthetists’
attitudes to teamwork and safety. Anaesthesia
2003;58(3):233–42.
22.
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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.
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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
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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. … Proceedings of the Second Annenberg Conference on
Safety; Rancho Mirage, CA. … National Patient Safety
Foundation at the AMA; 1998. p.151–54.
20.
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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 - nurse education, and hospital procedures
have been identified as important risk factors for patient safety … The study of proximate causes of errors and other sudden-onset events may be
Advances in Patient Safety … Advances in Patient Safety: Vol. 1
56
Table 1. … Additionally, we restricted our enrollment criteria to
Advances in Patient Safety: Vol. 1
62 … 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/vol1/Rojas.pdf
March 15, 2004 - Advances in Patient Safety: Vol. 1
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The few studies that have used comparison groups have focused … Initial Cases
Advances in Patient Safety: Vol. 1
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surgical occurrences for an elderly population … Advances in Patient Safety: Vol. 1
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Table 3. … It may be
valuable to target peripheral vascular bypass and colorectal resection in patient
safety … Advances in Patient Safety: Vol. 1
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Funding for this project came from the Centers for Medicare
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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 - Healthcare Research and Quality has
made the effects of health care working conditions on patient safety … date, human factors
research aimed at understanding the effects of working conditions on patient
safety … 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.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
April 18, 2004 - Advances in Patient Safety: Vol. 1
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Table 1. … VISN 8 Patient
Safety Center, Tampa, FL (AMS, RRC, CC, PP). … Suncoast Center for Patient Safety, Tampa, FL (AMS,
RRC, JW). … Florida Patient Safety Center,
Inc. (AMS, RRC). … Advances in Patient Safety: Vol. 1
98
48.
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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 … From a second view, promoting primary care safety is all
about improving communication. … 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.
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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 - Introduction
Why is immunization safety research important? … How are immunization safety data collected? … How do case definitions assist the safety
assessment of medical interventions? … Advances in Patient Safety: Vol. 2
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F
ig
u
re
1
. … Advances in Patient Safety: Vol. 2
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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 - Conclusion: This
system could assist when addressing safety problems. … The facility had a problem with preventive maintenance of its
Advances in Patient Safety: Vol. 2 … As in the Eindhoven taxonomy, slips
Advances in Patient Safety: Vol. 2
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Figure 1. … A
Advances in Patient Safety: Vol. 2
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Figure 3. … Medication Safety Alert, June 2,
1999.
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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. … Patient safety
efforts should focus on medical injuries. JAMA
2002;287(15):1,993–7.
3. … Patient safety
indicators: using administrative data to identify
potential patient safety concerns. … Advances in Patient Safety: Vol. 2
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23.