Advances in patient safety: from research to implementation / Kerm Henriksen, James B. Battles, Eric S. Marks, David I. Lewin
Kerm Henriksen, James B. Battles, Eric S. Marks, United States. Agency for Healthcare Research and Quality, David I. Lewin
Agency for Healthcare Research and Quality, 2005 - Medical
Vol. 1: research findings -- vol. 2: concepts and methodology -- vol 3: implementation issues -- vol. 4: programs, tools and products.
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A Report from the ASIPS
What We Learn by Watching Physicians
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activities administration admission adverse drug events adverse events adverse occurrence AE Classes Agency for Healthcare AHRQ ambulatory analysis anticoagulation assessment associated atorvastatin benzodiazepines Center clinicians cognitive stacking communication costs Crew Resource Management culture database developed device diagnosis dose environment error reporting error shift evaluation health care providers Healthcare Research identified improve incident reports included Indicators infusion infusion pump inpatient Institute of Medicine interactions interventions interview involved JAMA Magellan Health Services measure medical errors Medicare medication safety MICU misses nursing process NYPORTS offi0 Omission organizational outpatient patient outcomes patient safety patient safety events percent pharmacists PHRED practices prescribing prescription preventable adverse drug primary problems procedures pump purchasing process rates readmission regimen reporting systems Research and Quality resident risk factors RMEES rsident sample significant simvastatin staff surgery surgical survey Table therapy warfarin