Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 1: Assessment)

Sections

• Preface
• Acknowledgments
• Prologue: Laying the Foundation
• Looking Forward, Benefiting from the Past
  • Envisioning Patient Safety in the Year 2025: Eight Perspectives
  • What Exactly Is Patient Safety?
• 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
• 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
  • Patient Safety Learning Pilot: Narratives from the Frontlines
  • A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care
  • Christiana Care Health System: Safety Mentor Program
  • News Media and Health Care Providers at the Crossroads of Medical Adverse Events
• 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
• 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