Advances in patient safety: from research to implementation, Volume 2
Kerm Henriksen, James B. Battles, Eric S. Marks, David I. Lewin, United States. Agency for Healthcare Research and Quality
Agency for Healthcare Research and Quality, 2005 - Medical
v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.
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Concepts and Methodology
Validation of AHRQs Patient Safety Indicator for Accidental Puncture or Laceration
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admission adverse drug events adverse events Agency for Healthcare AHRQ algorithm ambulatory analysis approach ASIPS assessment associated behavior captured Center clinical inertia clinicians close calls coordinator criteria database diabetes diagnosis codes diagnosis error disease dispensing distributed cognition dose Due to Medical effects evaluation failure handovers harm health literacy Healthcare Research heuristic heuristic evaluation hospital discharge human factors identify impact implementation improve inpatient Institute of Medicine interventions JAMA laceration medical injury medical record medication administration medication errors methods monitoring MPSMS nurses observations occur organizational organizations outcomes outpatient participants patient safety pediatric percent performance pharmacy physician postoperative potential practice prescribing prescription prevent primary probabilistic risk assessment problems pump rates regimen reporting system Research and Quality risk schedule Selected Infections Due setting specific strategies surveillance Table task taxonomy usability usability testing users UTCCRS warfarin