Reducing medical errors: a review of innovative strategies to improve patient safety : hearing before the Subcommittee on Health of the Committee on Energy and Commerce, House of Representatives, One Hundred Seventh Congress, second session, May 8, 2002, Volume 4 |
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Accreditation administration Adverse Drug Events adverse events AHRQ American Society assessment bar code barcode bedside BILIRAKIS CAPPS Cardinal Health Chairman clinicians Committee compliance packaging Congress cost database developed dose efforts federal guidelines health care errors health care organizations health care quality health care system health services health system healthcare healthcare professionals Hethcox hospitals identify implement improve patient safety infection control Institute of Medicine IOM report issue JCAHO Joint Commission Joint Commission's Medicare medication error reporting MedMARX ment nurses O'LEARY opportunity outcomes packaging and labeling patient safety reporting performance pharmacists pharmacy physicians potential practice PREPARED STATEMENT prescription prevent problems procedures programs Pyxis quality improvement Quest Diagnostics radiologic radiologic technologists reduce medical errors require result root cause analysis sector Sentinel Event settings Six Sigma staff standards Thank tient tion USP's Westra
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Page 24 - Hospitals, which is sponsored by the American Medical Association, the American Hospital Association, the American College of Physicians, and the American College of Surgeons, was also considering the establishment of an accreditation program for inpatient care institutions other than hospitals.
Page 35 - Concentrate: Must be Diluted Before Use;" and (3) the cap must be black in color (the use of black caps is restricted to this drug product only), and (4) the cap must be imprinted in a contrasting color with the words, "Must be Diluted." • Deaths reported due to the confusion and resultant injection of the anticancer drug, Vincristine Sulfate for Injection, directly into the spine instead of into the vein, resulted in changes in the requirements for packaging by pharmacies and manufacturers preparing...
Page 59 - Health screening programs are popular, the Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC...
Page 88 - Department of Health and Human Services' Agency for Health Care Research and Quality...
Page 32 - USP, founded in 1820, is a private not-for-profit organization whose sole mission is to promote the public health by establishing and disseminating officially recognized standards of quality and authoritative information for the use of medicines and related articles for professionals, patients, and consumers.
Page 62 - Organizations iJCAHO) all function to maintain accountability and standards. However, the very fear of existing legal liability or its misapplication are the greatest hurdles to pioneering patient safety efforts. For example, when the Anesthesia Patient Safety Foundation was founded, legal liability was a major concern. The creative approach employed by the anesthesiologists was to start by looking at claims that have already been settled or closed. Unfortunately, waiting for a case to settle or...
Page 65 - Pathology is a nonprofit medical specialty society representing 151 ,000 board certified pathologists, other physicians, clinical scientists (PhDs), medical technologists and technicians. It is the world's largest organization representing pathology and laboratory medicine. As the leading provider of continuing education for medical laboratory personnel, the ASCP enhances the quality of the profession through comprehensive educational programs and materials. The...
Page 36 - VA, included the American Medical Association, the American Hospital Association, the American Nurses Association, the Joint Commission on Accreditation of Healthcare Organizations...
Page 59 - ... provide information that contributed to the report. Thus, the AMA welcomes the IOM recommendation for a system-wide approach to reducing medical errors in which punitive efforts are rejected and instead, efforts to create a culture of safety are recommended. Health Services Research for Patient Safety The AMA has been a pioneer in the effort to reduce health care system errors and ensure that our patients receive safe, quality health care. For example, in 1996, the American Association for the...
Page 62 - ... for successful reform. Non-punitive approaches have yielded useful results in related contexts. For example, Congress should consider the experience of the past several decades in preventing hospital-acquired infections. With the scientific support of the Centers for Disease Control and Prevention and AHRQ, hospital epidemiologists and physicians specializing in hospital-based infectious diseases have systematically undertaken thousands of investigations of endemic and epidemic infections. These...