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9841. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-1.html
      August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions Introduction Previous … Page Next Page Table of Contents Pediatric Diagnostic Safety: State of the Science and Future … Directions Introduction Challenges in Approaching Diagnostic Safety Unique to Children Pediatric … Diagnostic Safety Research and Initiatives Across the Care Continuum Diagnostic Safety Research Priorities … and Opportunities The Future of Pediatric Diagnostic Safety Research Conclusion References

9842. Learning From Diagnostic Errors | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-1.html
      September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error … Previous Page Next Page Table of Contents Strategies for Improving Clinician Psychological Safety … and Organizational Safety Culture To Improve Diagnostic Safety Specific Barriers and Challenges to … Safety Culture Related to Diagnosis References Diagnostic errors are both frequent … and organizational safety culture.

9843. Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory Settings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Chan.pdf
      July 01, 2004 - Medication safety research Collectively, the datasets have been referred to as the first Patient Safety … research as well as non-Patient Safety research. … Advances in Patient Safety: Vol. 2 236 Table 5. … Advances in Patient Safety: Vol. 2 238 References 1. … Data elements in the HMO Research Network Patient Safety dataset Table 3.

9844. Methodological Challenges in Describing Medication Dosing Errors in Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/McPhillips.pdf
      January 01, 2004 - Advances in Patient Safety: Vol. 2 216 Barriers to safe pediatric prescribing Off-label use of … MICROMEDEX20 Safety and effectiveness in children not established. … Advances in Patient Safety: Vol. 2 218 Discrepancies in dosing recommendations The problem of … Pediatric drug labeling: improving the safety and efficacy of pediatric therapies. … FDA questions antidepressant safety for children. Lancet 2003 Nov 8;362(9395):1558 20.

9845. 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, … If “all politics is local,” then much of patient safety research is localized as well. … Advances in Patient Safety: Vol. 3 406 Table 2. … Improving safety with information technology. N Engl J Med 2003;348(25): 2526–34. 3. … Safety, effectiveness, and efficiency: a Web-based virtual anticoagulation clinic.

9846. Physician Use of Hand-held Computers for Drug Information and Prescribing (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Galt.pdf
      January 01, 2004 - similar purposes.4 Many respected, credible, electronic information sources Advances in Patient Safety … Advances in Patient Safety: Vol. 4 98 Construction of the instrument The survey instrument covered … Advances in Patient Safety: Vol. 4 100 Path analysis Path analysis was conducted using a stepwise … Advances in Patient Safety: Vol. 4 108 References 1. Overdyk FJ, Haynes GR, Arvanitis PJ. … Communication from Veterans Affairs Patient Safety Center, 2002. 23.

9847. The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization (pdf file)
      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 92 F ig u re 1 . … Advances in Patient Safety: Vol. 2 102 46.

9848. 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 … Ongoing safety reporting systems expand and evolve as new event reports are received. … compendium.18 Advances in Patient Safety: Vol. 2 142 Figure 1. … reporting system to inform the development of patient safety interventions. 1. … Advances in Patient Safety: Vol. 2 144 2.

9849. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
      January 01, 2004 - The impact of diagnostic failure on patient safety does not appear to have been fully recognized. … Advances in Patient Safety: Vol. 2 244 The word “bias” originally was used in the game of bowls to … Advances in Patient Safety: Vol. 2 246 Impact of affective state Physicians and caregivers are … Advances in Patient Safety: Vol. 2 254 38. Poses RM, Cebul RD, Collins M, et al. … Safety errors in emergency medicine. In: Markovchick VJ, Pons PT, editors.

9850. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
      January 01, 2005 - Advances in Patient Safety: Vol. 2 264 Figure 1. … Advances in Patient Safety: Vol. 2 272 T ab le 4 . … How the public perceives patient safety. … Administrative data based patient safety research: a critical review. … Advances in Patient Safety: Vol. 2 278 82. McDonald J.

9851. Reducing the Use of Short-acting Nifedipine by Hypertensives Using a Pharmaceutical Database (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Furmaga.pdf
      January 01, 2005 - established the foundation for subsequent efforts to assess and intervene on potential medication safety … Advances in Patient Safety: Vol. 3 280 A follow-up utilization review was completed in March 2001 … Advances in Patient Safety: Vol. 3 284 Fourth and final intervention An intervention was taken … Advances in Patient Safety: Vol. 3 288 References 1. … New analyses regarding the safety of calcium-channel blockers: a statement for health professional

9852. 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 - three demonstration projects involving hospital networks that were funded under the New York State Safety … These demonstration projects aim to improve the completeness of Advances in Patient Safety: Vol. … 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.

9853. Standardizing Medication Error Event Reporting 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/vol4/Nosek.pdf
      March 01, 2004 - Pharmacopeia, Center for Advancement in Patient Safety. … safety officers and is intended to address patient safety issues identified in event reports or derived … from other reputable patient safety resources. … organizations, and the Patient Safety Center Registry. … In response to the perceived safety threat, the PSC released its first DoD Patient Safety Alert in

9854. Developing a Taxonomy for Coding Ambulatory Medical Errors: 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/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.

9855. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
      January 01, 2003 - A total of 16 Advances in Patient Safety: Vol. 2 398 Figure 1. … Reliab Eng and Syst Safety 1998;59:187–99. 14. Brown A, Haugene B. … Reliability Eng and Syst Safety 1994;45:139–57. 16. Linnerooth-Bayer J, Wahlstrom B. … Comprehensive patient safety programs in health care settings. … Statewide patient safety coalitions: a status report.

9856. “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 - NIH policy for data and safety monitoring. … System changes to improve patient safety. BMJ 2000;320(7237):771–3. 12. … Using aggregate root cause analysis to improve patient safety. … Developing a culture of safety in the Veterans Health Administration. … Making health care safer: a critical analysis of patient safety practices.

9857. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
      January 01, 2004 - Immediate steps towards patient safety. Healthc Finance Manage 2004;February:58(2):56–61. … IT, patient safety, and quality care. J Healthc Inf Manag 2002;16(1):28–33. 16. Matthews P. … Patient safety with information technology. N Engl J Med 2003;348(25): 2526–34. 23. … Safety, effectiveness, and efficiency: a Web-based virtual anticoagulation clinic. … Jt Comm J on Qual and Safety 2003;23 (4):171–80. 34. Dixon JF.

9858. 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 - 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. … Braun Outlook Safety Infusion System. Health Devices. 2003;32(10):382–95. 18. … Veterans Health Administration National Center for Patient Safety (NCPS), homepage.

9859. 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 - King, Beth Kohsin, Mary Salisbury Abstract Advancing to a culture of safety requires a systems change … Teamwork, a powerful patient safety tool, can achieve this goal. Lessons learned within the U.S. … Air Force Patient Safety Program, Bolling Air Force Base (BK). … Innovations in patient safety: multi-disciplinary teamwork training in the operating room. … DoD Patient Safety Award Application, 2003– 04. 8. Kotter JP, Cohen DS.

9860. Background -- AHRQ and other funders interest in promoting faster movement from research to practice/science to service/TRIP/T (pdf file)
      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 - Deborah Carpenter, Veronica Nieva, Tarek Albaghal, Joann Sorra Abstract Investigation in patient safety … These grants and contracts were collectively named the AHRQ Patient Safety Portfolio. … 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.