Review
Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 1: Assessment)
Rockville (MD): Agency for Healthcare Research and Quality; 2008 Aug.
- PMID: 21249859
- Bookshelf ID: NBK43624
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Review
Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 1: Assessment)
Excerpt
The volume starts with papers that look to the future and examine the past with respect to patient safety; however, its overarching theme is assessment. An underlying premise to any volume that focuses on assessment is that the time spent in trying to understand the nature of the problem is well worth the effort. A good understanding of the problem space provides the foundation upon which all subsequent efforts are based. Without adequate assessment, the likelihood that subsequent steps and initiatives will be wide of the mark increases substantially.
Sections
- Preface
- Acknowledgments
- Prologue: Laying the Foundation
- Looking Forward, Benefiting from the Past
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Reporting Systems
- Improving the Value of Patient Safety Reporting Systems
- The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data
- Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration
- Medical Product Safety Network (MedSun) Collaborates with Medical Product Users to Create Specialty Subnetworks
- Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology
- 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System
- Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization
- Voluntary Adverse Event Reporting in Rural Hospitals
- Improving Error Reporting in Ambulatory Pediatrics with a Team Approach
- Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative
- Structure and Features of a Care Enhancement Model Implementing the Patient Safety and Quality Improvement Act
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Taxonomies and Measurement
- Development of a Comprehensive Medical Error Ontology
- Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy
- A System to Describe and Reduce Medical Errors in Primary Care
- Beyond Nursing Quality Measurement: The Nation’s First Regional Nursing Virtual Dashboard
- Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance
- Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium
- Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration
- Challenges and Lessons Learned
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Risk Assessment
- Risk-Based Patient Safety Metrics
- Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety Learning
- A Model of Care Delivery to Reduce Falls in a Major Cancer Center
- Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care
- Home Health Care Patients and Safety Hazards in the Home: Preliminary Findings
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Cause Analysis
- The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures
- Department of Veterans Affairs Emergency Airway Management Initiative
- Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities
- Common Cause Analysis: Focus on Institutional Change
- Peer Reviewers—Volume 1
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