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RESOURCES: PATIENT SAFETY NEWS TRACKER ARCHIVES 2002
Also see
NPSF
Bibliography 2002
- December Monthly Information
- CDC
Emerging Infectious Diseases: Using
Automated Health Plan Data to Assess Infection Risk from Coronary Artery
Bypass Surgery
- December Daily Information
- JCAHO:
New National Patient Safety Goals Take Effect January 1 For All Joint
Commission-Accredited Organizations December
30, 2002
- AMNews:
Move to collect medical data pits privacy against safety December
23, 2002
-
AMNews:
Quality controlled: Putting practice guidelines to
work December 23, 2002
- Salt
Lake Tribune: Utah's Medical-Error Toll: 18 Deaths
in One Year
December 21, 2002
- FDA
Medwatch: Diathermy Interactions with Implanted Electrical Leads
December 19, 2002
- ISMP:
"Cheers" for medication safety: Celebrating those who made a
difference in 2002
December 18, 2002
- NY
Times: Errors That Kill Medical Patients December 18, 2002
- NY Times: Curing and Killing: The Perils of a Growing Medicine Cabinet
December 17, 2002
- Boston
Globe: Lawmakers tackling medical concerns
December 17, 2002
- British Medical Association: patient safety and clinical risk - a discussion document from the bma
December 16, 2002
- Hospitals Launch Landmark Quality Information
Initiative
December 12, 2002 (Kaiser
Broadcast)
- Kaiser
Family Foundation: Medical Errors: Practicing Physician and Public Views
(article, press release, presentation, audio)
December 11, 2002 recommended reading
- AHA:
Organizations Release New Tools For Reducing Medication Errors
December 10, 2002
- BMJ:
Do short courses in evidence based medicine improve knowledge and
skills? Validation of Berlin questionnaire and before and after study of
courses in evidence based medicine
December 7, 2002
- USP: National Patient Safety Study Documents Medication Errors in Hospitals
December 4, 2002
- USP: USP Releases New Study on Medication Errors at U.S. Hospitals
December 4, 2002
- Washington
Post: No End to Errors Three Years After a Landmark Report Found Pervasive Medical Mistakes in American Hospitals, Little has Been Done to Reduce Death and Injury
December 3, 2002
- ISMP:
Methotrexate overdose due to inadvertent administration daily instead of weekly
December 3, 2002
- November Monthly Information
- FDA
Patient Safety News
- QI
Physician: Clinic Uses Six Sigma to Improve Quality
- Pediatrics:
Reported Adverse Drug Events in Infants and Children Under 2 Years of
Age
- JCAHO
November Newsletter
- Family Practice Management: "Oh, by the Way...": Agenda Setting in Office Visits
- JFP:
Classification of medical errors and preventable adverse events in
primary care: A synthesis of the literature
- Association of American Medical Colleges: Research in Medical Education Proceedings of the Forty-first Annual Conference November 10-13, 2002
- EyeNet:
Medical Errors: Steer Clear of Trouble
- November Daily Information
- JAMA:
Protocols to Improve the Care of Critically Ill Pediatric and Adult
Patients
November 27, 2002
- BMJ:
Systematic review of involving patients in the planning and development of health care
November 27, 2002
- BMJ:
Involving users in the delivery and evaluation of mental health services: systematic review
November 27, 2002
- BMJ:
Attitudes to the public release of comparative information on the quality of general practice care: qualitative study
November 27, 2002
- Archives
of Internal Medicine: Analysis
of Medication-Related Malpractice Claims: Causes, Preventability, and
Costs
November 25, 2002
- HHS:
HHS Moves Forward to Establish New System for Collecting Patient Safety
Data
November 25, 2002
- ISMP:
Watch out for this turkey - Complacency
November
24, 2002
- JAMA Letters to Editor: Counting Deaths Due to Medical Errors
November 20, 2002
- JCAHO: University Of Tennessee Partners With Joint Commission To Study Antibiotic Use To Prevent Post-Surgical Infections
November 20, 2002
- IOM:
Fostering Rapid Advances in Health Care: Learning from System Demonstrations
November 19, 2002
- New
AHRQ Initiative Will Move Research into Practice More Quickly
November 15, 2002
- NEJM:
Patient Safety: Reporting of Adverse Events
(subscription required) November 14, 2002
- ISMP: Face it! Intimidation presents serious safety issues
November 13, 2002
- CHF: Improving Drug Prescribing Practices in the Outpatient Setting: A Market Analysis
November 12, 2002
- National Confidential Enquiry into Perioperative Deaths (UK): Functioning as a team?
November 11, 2002
- IOM: The Future of the Public's Health in the 21st Century
November 11, 2002
- Archives of Internal Medicine: Failure to Vaccinate Medicare Inpatients
November 11, 2002
- Archives
of Internal Medicine: Prevalence,
Expenditures, and Complications of Multiple Chronic Conditions in the
Elderly
November 11, 2002
- Milwaukee
Journal Sentinel:
Quality
control may cure what ails health care November 9, 2002
- JAMA:
Physician Staffing Patterns
and Clinical Outcomes in Critically Ill Patients: A Systematic Review
November
8, 2002
- AHANews:
A national dialogue on hospital care...Working together, we can better
inform the public
November 4, 2002
- HealthLeaders:
Six Sigma Case Study
Series– Medication Safety Project, Part 2
November
1, 2002
- AHRQ:
20 Tips to Help Prevent Medical Errors in Children
November
1, 2002
- October Monthly Information
- IOM:
Leadership by Example: Coordinating Government Roles in Improving Health
Care Quality
recommended reading
- JCAHO
Newsletter for October
- Family
Practice Management: Rethinking Refills
- Family
Practice Management: Good Medicine: E-Prescribing
- Managed Care Magazine: It's Not the Road You Take It's Getting There That Counts
- Healthleaders:
PHYSICIAN LEADERSHIP: More Than Clinical Excellence
- October Daily Information
- ISMP: Tricks
but no treats: Illusions and medication errors October 30, 2002
- NHLBI:
Study Finds Improved Heart Failure Survival
October 30, 2002
- IOM:
Stronger Federal Leadership Needed to Reduce Medical Errors, Improve
Care;
Quality Initiatives in Government Programs Affect Entire Health Care
Sector
October 28, 2002
- AMA
News: Ethics Forum - Honesty is the best policy when discussing medical errors
October 28, 2002
- AMA
News: Drugs approved by FDA not always safe for all
October 28, 2002
- AMA
News: Medicare experiments with quality incentive programs
October 28, 2002
- AHANews:
Hospitals have a powerful story to tell about improving quality
October 28, 2002
- Archives
of Internal Medicine: Physician and Public Opinions on Quality of Health Care and the Problem of Medical Errors
October 28, 2002
- AcademyHealth: Preventing Medical Mistakes is Focus of New Research-based Decision Tools for Purchasers and Providers
October 25, 2002
- AHRQ:
Improving Health Care Quality
October 24, 2002
- JAMA:
Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction
October 23/30, 2002
- National Patient Safety Foundation: Collaborative Leadership for Patient Safety for Ambulatory Surgery in the Office Setting
October 10, 2002
- JCAHO:
Joint Commission Seeking Input on Initial Set of ICU Measures October 22, 2002
- AHANews: Our partnership creates safer patient environment
October 21, 2002
- ASHP:
Patients Can Ask Five Simple Questions To Help Avoid Medication Errors
October 18, 2002
- Healthleaders:
Six Sigma Case Study Series – Medication Safety Project, Part 1
October 18, 2002
- Bridge
Medical: The Effect of Barcode-enabled Point of Care Technology on
Patient Safety
October
17, 2002
- ISMP: It doesn't pay to play the percentages
October 16, 2002
- Annals
of Internal Medicine: Hospital-Onset
Infections: A Patient Safety Issue
October
15, 2002
- Harris
Polling: Quality Ratings Have Almost No Influence on Consumers’ Choices of Hospitals, Health Plans and Physicians, According to Harris Interactive Research
October 11, 2002
- AHRQ:
Appropriate Drug Use and Prescription Drug Programs: Adding Value by Improving Quality: Workshop Brief
October 9, 2002
- NQF: Hospital Care National Performance Measures (Group 1)
October 8, 2002
- JAMA:
Complications: A Surgeon's Notes on an Imperfect Science
October 7, 2002
- AMA:
Bills aim to cut errors by boosting doctor communication
October 7, 2002
- Achievements in patient safety garner honors
October 7, 2002
- Pediatrics:
Variables Associated With Medication Errors in Pediatric Emergency
Medicine
October 4, 2002
- National Review: America’s Medical Enron
October 3, 2002
- ISMP:
Benzocaine-containing topical sprays and methemoglobinemia
October 3, 2002
- The
Commonwealth Fund: Breaking New Ground in Fostering Culturally Competent
Care October 2, 2002
recommended reading
- JAMA:
New Drugs' Dosages Often Too High
October 2, 2002
- IOM:
Responsible Research: A Systems Approach to Protecting Research
Participants
October 3, 2002
- September Monthly Information
- Milbank
Quarterly: Proactive Hazard Analysis and Health Care Policy
recommended reading
- Quality
Progress: Reduce Human Error
recommended reading
- NCHC:
Care in the ICU: teaming up to improve quality
- Seminars in Medical Practice: Using Clinical Reasoning to Improve Skills in Oral Case Presentation
- Seminars in Medical Practice: Defining the Skills Underlying Communication Competence
- JCOM:
Case Studies in Medication Safety Improvement
- JCAHO
Online newsletter
- NPSF: Collaborative Leadership for Patient Safety for Ambulatory Surgery in the Office Setting
- AHRQ:
Your Guide to Choosing Quality Health Care: Summary
- September Daily Information
- The National Steering Committee on Patient Safety (Canada): Building a Safer System: A National Integrated Strategy for Improving Patient Safety in Canadian Health Care
September 28, 2002
recommended reading
- ISMP:
Bad "marks" for order communication
September 28, 2002
- BMJ: Measuring "goodness" in individuals and healthcare systems
September 28, 2002
- National Health Care Purchasing Institute: National Health Care Purchasing Institute Unveils
Quality-Based Incentive Program For Physicians And Hospitals
September
26, 2002
- HHS:
Statement by HHS Secretary Tommy G. Thompson Regarding Passage of the
Energy and Commerce Committee "Patient Safety and Quality
Improvement Act"
September
26, 2002
- EBRI: 2002
Health Confidence Survey: Confidence & Satisfaction in Health Care
System Show Little Change Over Time, But Americans Still Worry About Its
Future
September 25, 2002
-
USP: A
National Database Tool Supporting Application of Performance Improvement
Concepts to Medication Safety
September 22, 2002
- AcademyHealth and the Friends of AHRQ: Saving Lives and Improving Health Care Quality: AHRQ Research at Work
September 20, 2002
- HHS:
Statement by HHS Secretary Tommy G. Thompson Regarding Passage by
the Ways and Means Committee of the Patient Safety Bill
September
18, 2002
- NCQA:
New Report Shows that Despite Health Care System's Ills, Quality of Care Has Improved for Many
September
18, 2002
- The
Role of Medical Librarians in Reducing Medical Errors
September
16, 2002
- WebMD: Medication Errors Rampant in Hospitals But Changes Are Underway to Ensure Accuracy, Safety
September 10, 2002
- Archives
of Internal Medicine: Medication Errors Observed in 36 Health Care
Facilities September 9, 2002
- JCAHO
Sentinel Event Alert: Bed rail-related entrapment deaths
September 6, 2002
- Annals
of Internal Medicine: Are Bad Outcomes from Questionable Clinical Decisions Preventable Medical Errors? A Case of Cascade Iatrogenesis
September 5, 2002
- National
Coalition on Health Care: Improving Quality of Care in Intensive Care
Units Through Best Practices”
September 4, 2002
- Involving
non-clinical departments in patient safety discussions can reduce the
risk of serious errors
September 4, 2002
- Annals
of Internal Medicine: Are bad outcomes from questionable clinical
decisions preventable medical errors?
September
3, 2002
- August Monthly Information
- NPSF
brochure: Preventing Infections in the Hospital – What you as a patient can do
- Family
Practice Management: Prescription Writing to Maximize Patient Safety
- Family
Practice Management: Reducing Risks for Patients Receiving Warfarin
- Mayo Proceedings: Toward Safer Warfarin Therapy: Does Precise Daily Dosing Improve International Normalized Ratio Control?
- HealthLeaders:
Controlling Contagion
- August Daily Information
- CDER:
Compressed Medical Gases Guideline
August
28, 2002
- JCAHO:
Updated Sentinel Event Statistics
August
28, 2002
- Forbes:
Can Information Technology Save Lives?
August
26, 2002
- NY Times: Palmtops in the Operating Room
August 22, 2002
- ISMP:
he road less traveled
August 21, 2002
- August 20, 2002
- Washington
Post: Second Opinion: Less Care for Patients
August 20, 2002
- AHRQ:
National Survey Details Americans' Experiences with Health Care for
Chronic Conditions
August 14, 2002
- NY Times: Decade After Health Care Crisis, Soaring Costs Bring New Strains
August 10, 2002
- JCAHO:
Nursing Shortage Poses Serious Health Care Risk: Joint Commission Expert
Panel Offers Solutions to National Health Care Crisis August
7, 2002
- ISMP:
Accidental childhood acetaminophen overdoses illustrate our
responsibility to educate parents August
7, 2002
- AHA:
HRET medication safety tool pushes hospital-wide effort to reduce errors August
7, 2002
- July Monthly Information
- ASHRM
White Paper: Failure Mode and Effect Analysis strategies for your organization
- JCAHO
July Newsletter
- IHI:
Success Story: Quantum Leaps Graduates Continue to Collaborate for
Patient Safety
- Health Affairs: The
Quality Conundrum
- July Daily Information
- JCAHO:
Joint Commission Announces National Patient Safety Goals
July 24, 2002
- ISMP:
Pain scales don't weigh every risk
July 24, 2002
- Chicago
Tribune investigation: Unhealthy hospitals
July 21-23, 2002
- ASHP:
Survey Reveals Patient Concerns about Medication-Related Issues
July 17, 2002
- FDA
Patient Safety News for July
July 16, 2002
- Annals
of Internal Medicine: Unexpected Hypoglycemia in a Critically Ill
Patient
July 16, 2002
- AHRQ:
20 Tips to Help Prevent Medical Errors in Children
July 16, 2002
- AMA:
Patient-safety programs expected to get more money July
15, 2002
- National
Healthcare Quality Report July
12, 2002
- NCCMERP
: Council Calls on FDA, USP to Establish Bar Code Standards for
Medicines Recommendations Aimed at Reducing Medication Errors and
Improving Care July
10, 2002
- Kaiser
Webcast: The National Leadership Summit on Eliminating Racial and Ethnic
Disparities in Health"
July
10, 2002
- ISMP:
Pharmacy interventions - Part II from ISMP survey July
10, 2002
- NCCMERP:
Council
States Comparing Medication Error Rates Is of No Value July
10, 2002
- AFPN:
Patient safety program educating medical community
July 9, 2002
- AHRQ:
Patient Safety Database: Request for Proposals July 5, 2002
- AHRQ: AHRQ Puts Latest Hospital Care Data on the Web
July 2, 2002
- Modern
Healthcare: Embracing Leapfrog: As first hospital systems to join group,
HCA, Promina hope to influence policy on patient-safety standards
July 1, 2002
- June Monthly Journals
- National Academy for State Health PolicyThe Medical Malpractice Insurance Crisis: Opportunity for State Action
- JCAHOJQI:
Using Health Care Failure Mode and Effect Analysis™: The VA National Center for Patient Safety’s Prospective Risk Analysis System
recommended reading
- RWJF:
Essential
Elements of Self-Management Interventions
- AJHP:
Pittsburgh Hospitals Band Together to Reduce Medication Errors
- FDA:
Patient Safety News Broadcast
- Journal of Nursing Administration: Nurse staffing and healthcare-associated infections: Proceedings from a working group meeting
- Healthleaders:
Turning Patient Safety on Its Ear
- Healthleaders:
PATIENT SAFETY: Eternal Vigilance Required
- AHA/VA:
Strategies for Leadership --- Tools to Enhance your "Culture of
Safety"
recommended reading
- ACP-ASIM
Observor: Strategies to tackle outpatient errors
- AJHP:
Safety Analyses Take on Engineer's Perspective at JCAHO's Urging
- Health Forum Journal:
Feature-- Staffing Crisis
- Health
Forum Journal: Communication, Standards, and Technology
HCA creates a new system to reduce medical errors
- Health Forum Journal:
Safety throughout the Hospital
- H&HN:
Are You the Problem?
- June Daily Information
- NY
Times: Mammogram Team Learns From Its Errors
June 28, 2002
- Academy
for Health Services Research and Health Policy 2002 Annual
Meeting: Focuses on Bridging Research and Policy
| HealthCast
June 27, 2002 (Kaiser)
recommended reading/viewing
- Pharmacy interventions can reduce clinical errors - Part I of findings from ISMP survey
June 26, 2002
- AMA:
Patient
safety bill calls for voluntary error reporting
June 24, 2002
- Cognition,
Technology & Work
June 24, 2002
- NY
Times: Oops, Wrong Patient: Journal Takes on Medical Mistakes
June 18, 2002
- JCAHO
Sentinel Events Alert: Delays
in treatment
June 17, 2002 recommended reading
- Institute
of Medicine Crossing the Quality Chasm: Next Steps for Health
Professions Education
June 17, 2002
recommended reading/viewing
- The
State: Medical errors kill, injure S.C. patients
June 17, 2002
- VA
Pilot: Virtual ICU draws national attention
June 13, 2002
- NCCMERP:
Medication Errors Council Revises and Expands Index for Categorizing
Errors Definitions of Medication Errors Broadened
June 12, 2002
- ISMP: What's in a name? Ways to prevent dispensing errors linked to name confusion
- JAMA:
Patient Complaints and Malpractice Risk June
12, 2002
- Midwest
Group on Health: Reducing the Cost of Poor-Quality Health Care through
Responsible Purchasing Leadership June
10, 2002
- HealthScout:
The Truth About Medical Errors
June 5, 2002
- HHS:
Statement by HHS Secretary Tommy G. Thompson Regarding the Tri-Partisan
House-Senate Patient Safety Bills
- Annals
of Internal Medicine: The Wrong Patient June 4, 2002
recommended reading
- Annals
of Internal Medicine: The Reliability of Medical Record Review for Estimating Adverse Event Rates
June 4, 2002
recommended reading
- NY
Times: Standards: Errors in Tracking Medical Errors
June 4, 2002
- May Monthly Journals
- Health Affairs:
A User's Manual For The IOM's 'Quality Chasm' Report
recommended reading
- Academic Emergency Medicine
Medical
Error articles
- Pharmacy Prescription Filling Errors Reported to a Regional Poison Center
- Medical Error Identification, Disclosure, and Reporting: Are There Differences between Provider Groups?
- Errors in a Busy ED
- Can Medical Errors and Near Misses Reported to an Emergency Department Anonymous Error Reporting System be Identified through Chart Review?
- JHQ: Changing Attitudes Among Nurses and Physicians: A Step Toward Collaboration
- Health
Data Management: I.T. Helps Steer Caregivers from Danger of Medical Errors
- NHCPI:
Ensuring Quality Providers: A Purchaser's Toolkit for Using Incentives
- May Daily Information
- NEJM:
Nurse-Staffing Levels and the Quality of Care in Hospitals May
30, 2002
- WSJ:
Doctor Crusades for Health Reform (subscription)
May 30, 2002 Dr. Donald Berwick wants to re-engineer a health-care system he considers rife with errors by
asking doctors to abandon many standard office visits, and in some cases coach patients to take care of themselves.
- AHRQ:
New Analysis Confirms Direct Link Between Nurse Staffing And Patient Complications And Deaths In Hospitals
May 29, 2002
- ISMP:
More on avoiding opiate toxicity with PCA by proxy
May 29, 2002
- AHA
News: Employees drive culture of quality at Baptist
May
27, 2002
- AHA
News: New toolkit keeps focus on improving patient safety
May 27, 2002
- WebMD:
Hospital Drug-Error Trends Continue
May 24, 2002
- USP:
USP Releases the MedMARxSM 2000 Data Report
May 20, 2002
- NCHC: Curing the System: Stories of Change in Chronic Illness Care
May 16, 2002
recommended reading
- Commonwealth Fund: Quality of Physician Education, Training Questioned in New Study
May 15, 2002
- FDA: Report: "Mammography Facility Adverse Event Report 2001"
May 15, 2002
- ISMP:
Atrocious labeling of plastic ampuls needs action now by FDA and manufacturers
May 15, 2002
- JCAHO:
Joint Commission, National Quality Forum Establish John M. Eisenberg Patient Safety Awards May 13,
2002
May 13, 2002
- House
Energy and Commerce, Subcommittee on Health hearing on innovative
strategies to reduce medical errors | Kaisernetwork.org
webcast May 8, 2002
- Commonwealth
Fund: Quality of Health Care in the United States: A Chartbook
May 8, 2002
recommended reading
- NASHP:
Statewide Patient Safety Coalitions: A Status Report
May 8, 2002
- KFF:
New Survey on Women’s Health in the U.S.
May 7, 2002
- NQF: Core Performance Measures for Adult Diabetes Care
May 6, 2002
- RAND: Improving Childhood Asthma Outcomes in the United States: A Blueprint for Policy Action
May 6, 2002
- AHRQ: New Report Examines Systems That Rate the Strength of Scientific Research Studies and Their Findings
May 6, 2002
- AMA
News: Analysis of states' disciplinary rates raises patient safety concerns
May 6, 2002
- NY
Times Medicine 2002: Did You Hear About Doc Ogden?
May 5, 2002
- PATIENTSAFETY-L
Digest: Whats zat? Near mister? Near misses? Mearly Mrs.? and other
comments on personal and organizational deafness
Richard Cook May 4, 2002
- JAMA:
Timing of New Black Box Warnings and Withdrawals for Prescription Medications
May 1, 2002
- ISMP:
Annenberg Conference sends a patient's message: "Nothing about me without me"
May 1, 2002
- April Monthly Journals
- AHCJ:
Covering the Quality of Health Care — A Resource Guide for Journalists
- Commonwealth Fund: Room for Improvement: Patients Report on the Quality of Their Health Care
- Commonwealth
Fund: Improving Health Care Quality: Can Federal Efforts Lead the Way?
- RWJF:
A Portrait of the Chronically Ill in America, 2001
- RWJF:
Health
Care's Human Crisis: The American Nursing Shortage
- Physician's News Digest:
Patient safety tied to tort reform
- JHQ:
Medication Error Identification Is a Key to Prevention: A Performance
Improvement Approach
- ASHRM Journal: Obtaining leadership support for medical safety programs: a practical approach
- ACP-ASIM
Observor: As the malpractice crisis enters year two, doctors and
insurers flee some markets
- Modern Healthcare: Eyeing the watchdog: AHA president's strong letter warns Joint Commission to keep its nose out of regulating. But JCAHO says it knows its job
- Modern Healthcare: And the winner is...: Patient-safety awards abound, but do they represent real progress in the fight against medical errors, or are they just for show?
- Modern Healthcare: VHA at 25: Making healthcare quality a team effort
- Modern Healthcare: Doctor's orders: Computerized decision-support system directs Vanderbilt physicians to the latest treatment data, helping to eliminate unnecessary costs
- ECP: Pharmaceutical Care and Health Care Utilization in an HMO
- ECP: Will Electronic Order Entry Reduce Health Care Costs?
- Trustee: A New Attitude: Changing Organizational Culture
- Materials Management: Staying Sharp Keeping abreast of needlestick injury rules and regulations
- April Daily Information
- AMA:
Poll shows flawed system needs repair
April
29, 2002
- BMJ:
How the US news media made patient safety a priority April
29, 2002
- HealthLeaders: Balanced Scorecarding in Six Sigma – Part 6
April 26, 2002
- Leapfrog
Group: The Leapfrog Group Expands Patient Safety Improvement Initiative
Into 12 New Regions
April
25, 2002
- The Access Project: What a Difference an Interpreter Can Make: Health Care Experiences of Uninsured with Limited English Proficiency
April 25, 2002
- NPSF:
Hospital Leaders Stand Up for Patient Safety
April 24, 2002
- Washington Post: Being Misread: A Lesson in Vigilance
April 22, 2002
- NPSF: Highlights of the Conference Proceedings
April 22, 2002
- AHA: AHA says NQF guidelines need tweaking
April 22, 2002
- The Lancet: Causes of prescribing errors in hospital inpatients: a prospective study
April 20, 2002
- AHA Letter to JCAHO on Competent Accreditation
April 18, 2002
- JAMA Debate April
17, 2002 (subscription required)
- ISMP:
Remote order entry: Innovative practice to reduce distractions and offer 24-hour pharmacy service
April
17, 2002
- JCAHO: Joint Commission Appoints Sentinel Event Alert Advisory Group
April 15, 2002
- HHS:
HHS Launches New Pediatric Drug Safety Initiative
April 19, 2002
- Atlanta Journal-Constitution: Gingrich wants medical courts to settle suits, Idea part of bid to reduce costs of malpractice
April 18, 2002
- ISMP:
Remote order entry: Innovative practice to reduce distractions and offer
24-hour pharmacy service
April 17, 2002
- BBC: NHS aims to improve patient safety
April 17, 2002
- Reuters: Missed Opportunities, Errors Undermine Health Care
April 16, 2002
- The Commonwealth fund:
New Study Estimates Eight Million American Families Experienced A Serious Medical Or Drug Error
Many Also Fail to Get Recommended Preventive Care or Treatment for Chronic Conditions
April 15, 2002 recommended reading
- NEJM:
NEJM: Hospital Volume and Surgical Mortality in the United States
April
11, 2002
- ACP-ASIM:
Tips and other information related to the College's patient safety
initiative are now available online
April 9, 2002
- JCAHO: Weaving the Fabric: Joint Commission Strategic Initiatives and National Health Care Priorities
April 9, 2002
- LA Times: Hospitals Are Writing Prescriptions for Patient Safety
April 8, 2002
- Washington
Business Journal: When hospitals do harm, employers can suffer too
April 5, 2002
- HealthLeaders: Balanced Scorecarding in Six Sigma: Part 5
April 5, 2002
- AHRQ Seeks Applications To Evaluate Use of Financial and Non-Financial Incentives in Health Care
April 4, 2002
- ISMP:
Beware of erroneous daily oral methotrexate dosing
April 3, 2002
- APSF:
Anesthesia Patient Safety Foundation And Leading Anesthesia Information Systems Manufacturers Launch Coordinated Effort To Improve Patient Safety
April 2, 2002
- Risk & Insurance: Managed Care Medicine Under Scrutiny
April 2, 2002
- AMA: Dr. John Eisenberg remembered for patient safety initiatives
April 1, 2002
- Modern Healthcare: Rx for salvaging a career: Problem physicians get a second chance through controversial remedial education programs
April 1, 2002
- March Monthly Journals
- Quality and Safety in Health Care
entire issue online recommended reading
- PBS
Series: The Open Mind Quality of Healthcare in the United States (Kaiser
Network)
- ACP-ASIM
Observer Ethics Case Study: Do you need to talk to patients about
mistakes?
recommended reading
- AMA
News: Patients encouraged to play bigger role in ensuring safety
- ACP-ASIM
Observer: Patient safety is focus of new Annual Session courses
- Modern
Healthcare: Starting with small steps: While waiting for magic software,
try these methods for reducing medical errors
- HealthLeaders Roundtable: Quality Healthcare: Whose responsibility is it?
recommended reading
- Health
Forum Journal: The Lesson of the Slimemold
- Health
Forum
Journal: Taking a Lesson from Banking
- hcpro:
Briefings on Patient Safety
recommended reading
- JCAHO
Online
- NHCPI: Provider Incentive Models for Improving Health Care Quality
- Materials Management: Big business' push for patient safety
- HealthLeaders:
The Next Nirvana?
- ACPE:
10 Ways to Reduce Medical Malpractice Exposure
- APSF
Winter Newsletter
Winter
2001-2002
- Trustee:
Comparing Patient Safety Measures
- The Demographic Revolution of Healthcare Proceedings of the 14th Annual Managed Healthcare Symposium
- ACC editorial: The Pursuit of Quality Medical Care
- Annals of Emergency Medicine: Effect of vital signs on triage decisions
- Health Data Management: CIOs Double as Change Agents
- Health Data Management:
HIPAA, Patient Safety Are Top Priorities In HIMSS Survey
- FP
Report:
Patient Safety Reporting Systems
- March Daily Information
- BMJ: Obituaries John Meyer Eisenberg
March 30, 2002
- NY
Times: Patients Surge and Hospitals Hunt for Beds
March
28, 2002
- AHRQ:
Quality of Health Care: "Q-Pack"
March
28, 2002
- Washington
Post: The End of an Error? Big Business, Launching a New Era of Reform, Is Pressuring Hospitals to Cut Mistakes -- and Costs
March 26, 2002
- AHRQ:
Secretary Thompson Names Carolyn Clancy, M.D., as Acting Director of AHRQ
March 22, 2002
- Balanced Scorecarding in Six Sigma Part 4
March 22, 2002
- NHCPI:
New Study Highlights The Importance Of Incentives In Improving Health Care Quality
March 21, 2002
- Las Vegas Review-Journal Medical Malpractice Crisis: Trauma center faces new threat
March 21, 2002
- Washington
Post: Medical Privacy Changes Proposed: Bush Plan Would Lessen Patients'
Say on Records March 21, 2002
- NY
Times: Bush Acts to Drop Core Privacy Rule on Medical Data March 21, 2002
- National
Quality Forum: National Quality Forum Draft Report on Evidence-based "Safe Practices: Available for Review
March 20, 2002
recommended reading
- Institute of Medicine: Examining Unequal Treatment in American Health Care
March 20, 2002
recommended reading
- Olympus America Issues Voluntary Recall of Suspect Video Bronchoscopes
March 20, 2002
- ISMP: Practitioner access to the Internet: A necessity in a modern hospital
March 20, 2002
- JCAHO: Speak Up: Help Prevent Errors in Your Care
March 20, 2002
- Healthcare
Without Harm: HCA, Inc., Largest For-Profit Hospital Chain, to Phase out
Mercury-Containing Medical Devices
March 20, 2002
- Making Health Care Safer: A Critical Analysis of Patient Safety Practices: Evidence Report (published to National Library of Medicine)
March 19, 2002 recommended reading
- NY
Times: Facing Off: The Place for Public Documents: On File or Online?
March 19, 2002
- AHRQ:
Online Hospital Statistics Tool Now Features 1998 and 1999 National,
Regional and State Data
March 19, 2002
- JCAHO:
Joint Commission to Establish Six Annual National Patient Safety Goals
March 18, 2002
- LA Times: Hospitals Appeal to the Heart
March 18, 2002
- FDA
Patient Safety News Web Broadcast
March 17, 2002
recommended viewing
- Newsday:
Seeking Remedy for Medical Errors
March 17, 2002
- Milwaukee Journal-Sentinel Health care industry needs good shot of quality data to curb costs
March 16, 2002
- BMJ: Shame: the elephant in the room
March 16, 2002
- Wall
Street Journal: Hospital errors prompt group to search for technological
solutions
March 15, 2002
- How AHRQ Research Helps People, AHRQ Focus on Research-Patient Safety
March 15, 2002
- AP: Surgeon Shortage Possible
March 15, 2002
- Philadelphia Inquirer: Pew to tackle Pa.'s medical-malpractice issue
March 15, 2002
- FDA
Safety Alert: Recall of Ob/Gyn and Surgical Products Manufactured by A
& A Medical/Rocket USA/Lifequest
March 15, 2002
- FDA:
FDA Issues Nationwide / International Alert on Recalled OB/GYN and Surgical Devices Due to Health Risk
March 14, 2002
- JCAHO:
Speak Up: National Campaign Urges Patients to Join Safety Efforts March 14, 2002
- JAMA:
Improving Quality of Care for Acute Myocardial Infarction The Guidelines Applied in Practice (GAP) Initiative
March 13, 2002
recommended reading
- HealthLeaders: The time for change is now: A revolutionary approach to healthcare
March 13, 2002
- National Committee for Quality Health Care Annual Meeting :Quality Healthcare: The Challenges
March 13, 2002
- NCQA: NCQA Puts Dollar Figure on Cost of Poor Quality Health Care
March 12, 2002
- NY
Times: Hospital Faces Fine in Death of Liver Donor March 12, 2002
- Tennessean:
Scanning for patient safety: Medical centers using bar codes to reduce
possibility of medication errors
March
12, 2002
- Washington
Post: John Eisenberg Dies; Directed Agency for Health Care Quality
March 11, 2002
- Washington
Health Beat: John Eisenberg Mourned March 11, 2002
- Modern
Healthcare: AHA to push for stricter recall rules
March 11, 2002
- HealthLeaders:
Balanced Scorecarding in Six Sigma – Part 3
March
8, 2002
- AHRQ-Funded Study Shows Increase in Aspirin Use in Patients With Heart Disease, But Underuse is Still a Concern
March 8, 2002
- ECRI
Reissues FDA’s List of Tracked Medical Devices
March
8, 2002
- Committee
On Ways And Means Subcommittee On Health: Johnson Announces Hearing on
Health Quality and Medical Errors March
7, 2002
- ISMP:
Survey shows drug companies providing fewer unit dose packaged medications
March 6, 2002
- Orlando
Sentinel: Hospital responds to errant incision
March 6, 2002
- Annals
of Internal Medicine: Burnout and Self-Reported Patient Care in an
Internal Medicine Residency Program
March 5, 2002
- NY Times: Hospital Says Faulty Recall May Have Exposed 400 to Infection
March 5, 2002
- Hartford
Courant: Prescription Errors Stir Debate March
4, 2002
- St
Louis Business Journal: Computers to replace docs' scribbles at Barnes-Jewish
March
4, 2002
- NCQA: Releases Draft 2003
MCO, MBHO and PPO STANDARDS; Changes Streamline Process, Emphasize Results
March 1, 2002
- February Monthly Journals
- Milbank Quarterly: Health Care Quality and How to Achieve It- Kenneth I. Shine
recommended reading
February issue
- Family Practice Management: Building a New Health Care System
- OIG:
Oversight of Ambulatory Surgery Centers: A System in Neglect
- Managed Care Magazine: Viewpoint Evidence-Based Medicine Needs To Be Promoted More Vigorously
February 2002
- Medical Informatics: Nine Tech Trends: Patient Safety Drives Refinement of Systems
February 2002
- Health
Leaders: A Quest for Quality: Donald Berwick
February 2002 issue
- Effective
Clinical Practices: Determining Medical Error Three Case Reports
January-February
2002 issue
- Effective
Clinical Practices: Outpatient Diagnostic Errors: Unrecognized
Hyperglycemia
January-February 2002 issue
- Trustee:
Reducing Medication Errors at the Point of Care February issue
- Trustee:
Higher
Mortality On Weekend Admissions
February issue
- HHN:
Measuring
Up
February issue
- HHN:
Safe. Sound?
February issue Hospitals
don't meet Leapfrog standards, survey says. Is the test itself the
problem?
- February Daily Information
- JCAHO
Sentinel Event Alert: Preventing ventilator-related deaths and injuries
recommended reading
February 26, 2002
- AAHP
Conference: Bringing Government Programs to the 21st Century February 26, 2002
- Pittsburgh hospitals collaborating on low-tech ways to reduce patient infection
February 26, 2002
- Orlando
Sentinel: Surgeon slices into wrong side of head
February 26, 2002
- Pittsburgh Post Gazette:
Pittsburgh hospitals collaborating on low-tech ways to reduce patient infection
February 26, 2002
- Orlando
Sentinel: Surgeon slices into wrong side of head
February 26, 2002
- NY Times: In Many Delivery Rooms, a Routine Becomes Less Routine
February 26, 2002
- JCAHO: Joint Commission Seeks To Identify Consensus Set Of Critical Care Measures
February
25, 2002
- AMA:
Controlled chaos: Training with surgical simulators February
25, 2002
- Health
Leaders: Balanced Scorecarding in Six Sigma - Part 2
February 22, 2002
- ISMP:
Eliminating dangerous abbreviations and dose expressions in the print
and electronic world
February 20, 2002
-
USA Today: Hospitals fight for turf in medical arms race
February 20, 2002
- Potassium
Chloride's Reappearance on the Ward: A Signal About Coupling and Failure
(NPSF discussion board)
Richard Cook
Cognitive Technologies Laboratory at the University of Chicago
February 19, 2002
- NIH:
AHRQ/VA Translating Research Into Practice - Joint Program Announcement
February 19, 2002
-
CMAJ: Talking about errors instead of hiding them goal of Vancouver hospital
February 19, 2002
- AHA
News: Thompson's first year: Fighting terrorism, bureaucracy
February
18, 2002
-
BMJ: Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: preliminary study
February 16, 2002
- Health
Affairs: Geography And The Debate Over Medicare Reform
recommended reading February 14, 2002 A
reform proposal that addresses some underlying causes of Medicare
funding woes: geographic variation and lack of incentive for efficient
medical practices.
-
Times Herald: Doctors: Bill won't resolve crisis
February 14, 2002
- Las Vegas Review-Journal: Health groups' officials pan public reporting of errors
February 12, 2002
- White House: President Outlines Agenda for Improving Health Security in the Best Health Care System in the World
February 11, 2002
- Washington
Post: The Coming E-volution in Health Care
February
11, 2002
- AMA: Hospitals eye order entry
February
11, 2002
- Newsday:
Tragic Errors All Too Common Answers sought to medication mistakes
February
9, 2002
- JCAHO:
Joint Commission Posts Disease-Specific Care Standards Online
February
9, 2002
- HealthLeaders: Balanced Scorecarding in Six Sigma Part 1
Febuary 8, 2002
-
Birmingham Business Journal: Strategies for today's health systems, hospitals
February 8, 2002
- ISMP:
"Smart" infusion pumps join CPOE and bar coding as important
ways to prevent medication errors
February 7, 2002
- AMA: The AMA presents the introductory volume of a new series on disease prevention and health promotion
February 7, 2002
- FDA:
FDA Patient Safety News for Health Care Personnel
February
6, 2002
- AHRQ:
Como proteger a usted y a su familia de los errores médicos
February
6, 2002
- ABIM,
ACP-ASIM, EFIM: Medical Professionalism in the New Millennium: A
Physician Charter
February
5, 2002
- HHS:
HHS Creates Council To Review, Respond To Private Sector Innovation
February
5, 2002
- AHRQ:
HHS Agency Gives Consumers
Tips on Preventing Medical Errors
February 1, 2002
- HHS:
HHS to Propose New Funding and Focus on Patient Safety
February
1, 2002
- The CIO Roundtable: Implementing Business and Clinical Systems Being a CIO
February 2002
- HIMSS
newsletter: HIT to the rescue: Technology improves patient safety
February 2002
- Click (American
College of Physician Executives)
February 2002
- The
Maryland Health Care Commission: Maryland Hospital Performance
Evaluation Guide February 2002
- Quality Progress: ISO 9001 and 9004: A Framework for Disaster Preparedness
February 2002
- MedPac:
Report to the Congress: Applying Quality Improvement Standards in Medicare
January 2002
- VA
NCPS: Topics in Patient Safety (TIPS) Newsletter
January February 2002
- Journal
of Pediatric Health Care: Health care delivery errors: Patient safety
falls prey to politics January/February
2002
- US Medicine: AHRQ Partnerships Promote Patient Safety John M. Eisenberg, M.D., M.B.A.
January 2002
- Managed
Care Magazine: Making the Case for a 'Health Care Fed': Should Uncle Sam
Decide What Works?
January 2002
- Managed
Care Magazine: A
Conversation With Peter Lee: Quality Concerns Ensure Consumers Will Gain
Clout January 2002
- Quality Progress: The Essential Six Sigma
January 2002
- Clinical Pharmacology & Therapeutics:
Centers for Education and Research on Therapeutics report: Survey of medication errors education during undergraduate and graduate medical education in the United States
January 2002
- NPSF:
Collaborative Leadership for ESRD Patient Safety
January 31, 2002
- Smart Money: Don't Become a Medical Blunder
January 31, 2002
-
STN2: Patient Errors (video)
January 31, 2002
- HR
Magazine: Finding the Best Medicine
January
issue
- Philadelphia
Inquirer: Pa. House OKs malpractice changes
January 30, 2002
- Health
Affairs: The 2002 National Health Policy Conference Overview (Washington
D.C., 16-17 January 2002) January
30, 2002
- PA
House of Representatives: House Approves Medical Liability Reforms,
Preserves Patient Access to Quality Health Care
January 29, 2002
- HIMSS:
HIPAA, patient safety top IT priorities for healthcare providers, finds new HIMSS survey January 28, 2002
- ECRI:
Misconnected Flowmeter Leads to 2 Deaths January
25, 2002
- ACC:
ACC/AHA Guideline Update for Perioperative Cardiovascular Evaluation for
Noncardiac Surgery January
24, 2002
- ISMP newsletter: Shortsighted JCAHO standard lacks understanding of pharmacist's role in prospective order review
January 23, 2002
- AHRQ:
Patient Safety Research Initiatives: Fiscal Year 2001 January 23, 2002
- Denver
Post: Hospital takes blame in fatal error
January 22, 2002
- LA
Times: Group Promotes Its Health Agenda
January 22, 2002
- Modern
Healthcare: `Wave of the future': Leapfrog's release of hospital
information sets off swell of activity
January 22, 2002
- Modern
Healthcare: Ready
and waiting for future intensivists
January 22, 2002
- AHA News: Health care group, Leapfrog release studies on patient safety measures
January 21, 2002
- AHRQ:
Patient Safety Research Initiatives: Fiscal Year 2001
January 20, 2002
- HealthLeaders: The CIO Roundtable: Implementing Business and Clinical Systems
January 2002
- Tyler Morning Telegraph: Doctors Focus On Patient Safety At Seminar
January 18, 2002
- JCAHO:
Statement from the Joint Commission Regarding the Study
by the University of Michigan
January 17, 2002
- Independent (UK): Mortality rate league tables for surgeons
January 17 2002
- Leapfrog:
New Hospital Patient Safety
Information Gives Consumers the Power to Make More Informed Health Care
Choices
January 17, 2002
- AAFP:
Leapfrog Group's safety standards miss mark, says AAFP January 17, 2002
- AAFP:
Family Physicians Respond to Leapfrog Group Report on Patient Safety Standards in Hospitals
January 17, 2002
- JCAHO
Becomes Formal Partner With The Leapfrog Group
January 16, 2002
- AHA:
The Challenge of Assessing Patient Safety in America's Hospitals
recommended reading
January 15, 2002
- IHA: Pay For Performance Initiative
January 15, 2002
- Hospital
and Health Networks: Special Report: Information Technology Point And
Click. January cover
- VHA: VHA Promotes Surgical Site Verification Program
January 14, 2002
- IHI:
Continuous Improvement newsletter January
issue January 14, 2002
- AHA
News: Prescriptions for Safety Patient safety is about taking that extra
step January 14, 2002
- LA Times: A Shift to Quality by Health Plans
January 14, 2002
- Washington Post: HHS Secretary Says Agencies Must Speak With One Voice
January 14, 2002
- Philadelphia
Inquirer: How
will Pennsylvania treat its medical-malpractice ills?
January 13, 2002
-
British Medical Journal: A medical mishap What came first and what seems worse
January 12, 2002
-
British Medical Journal: Promoting patient safety in primary care
January 12, 2002
- Healthleaders:
Baldrige as a Quantum Improvement assessment tool - Part 3
January 11, 2002
- ABC
Health: Medication Use in Older Individuals
January
11, 2002
- University
of Michigan: Validity of JCAHO hospital accreditation
January 10, 2002
-
JCAHO: JCAHO Is Field Testing Revised Medication Use Standards Designed To Boost Patient Safety
January 10, 2002
-
JCAHO: Joint Commission Resources Issues Call To Action For Hospitals' Good Practice Examples
January 10, 2002
-
Reuters: Systems Corrections May Help Reduce Medical Errors
January 10, 2002
-
NPSF:
Requests for Proposals for Research in Patient Safety
January 10, 2002
-
NCQA
Partners with AMGA and Pharmacia to Develop Patient Safety Program
January 9, 2002
-
The National Health Care Purchasing Institute: The Leapfrog Group Tackles Next Steps in Patient Safety
January 9, 2002
- ASHP:
Medication Safety Requires Team Effort
January 7, 2002
- Journal
for Health Care Quality: The Relationship Between Continuous Quality
Improvement and Research
January/February
2002
- Trustee:
Industrial Strength
January 2002 cover
story Patient Safety Means Leading Pre-industrial Health Care into a
Post-industrial World
- Trustee:
One Leap Forward, Two Leaps Back
January
2002
- Health Data Management: Is the Future in the Palm of Your Hand?
January 2002 cover Hand-held technology is linking clinicians—wherever they may roam—to patient data. This is reducing errors, saving time and increasing revenue.
- NBC
Dateline: A deadly mistake What was to blame for a young boy’s death during surgery?
January 1, 2002
- VCU:
Grand Rounds: Columbia's Kaplan Presents Error Management January 1, 2002
- AMA: Database tracks causes of hospital medication errors
January 1, 2002 U.S. Pharmacopeia is looking to build its voluntary medication errors database into a tool that can be used to stem such mistakes in hospitals.
- CIO: How to Say No to the CEO
January 1, 2002
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