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1. |
Medical Errors: The Scope of the Problem |
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An Epidemic of Errors |
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Where Errors Occur |
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Costs |
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Not a New Issue |
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Public Fears |
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It’s a Systems Problem |
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Types of Errors |
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Preventing Errors |
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Five Steps to Safer Health Care |
2. |
Tips to Help Prevent Medical Errors |
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What Are Medical Errors |
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What Can You Do? Be Involved in Your Health Care |
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Medicines |
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Hospital Stays |
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Surgery |
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Other Steps You Can Take |
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Ways You Can Help Your Family Prevent Medical
Errors! |
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What Are Medical Errors? |
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What Can You Do? |
3. |
Helpful Hints for Preventing Medical Errors |
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The Problem |
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Prevention Tips |
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Ways to Minimize Errors |
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Thorough and Credible Root Cause Analysis |
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Common Error Types and "High-Alert" Medications |
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Target Drugs |
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Target Procedures |
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Points in the Process Where Errors Can Occur |
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Resources at Glance |
4. |
Improving Medication Safety |
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Background |
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Common Sources of Error |
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Steps for Improving Medication Safety |
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Our Sources |
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Books |
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Patient Information Brochures |
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Information on Safe Medication Practices |
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Successful Practices for Improving Medication
Safety |
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Easily Implemented Changes (Process Design) |
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Longer-Term Changes (Systems Redesign) |
5. |
Reducing Errors in Health Care |
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Patients at Risk |
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How Errors Occur |
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Medication Errors |
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Surgical Errors |
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Diagnostic Inaccuracies |
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System Failures |
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Improving Patient Safety |
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Computerized ADE Monitoring |
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Computer-Generated Reminders for Follow-up Testing |
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Standardized Protocols |
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Promoting Safety |
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References |
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Recommendations for Identifying and Learning
From Errors in Pediatrics |
6. |
Root Cause Analysis |
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Background |
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Practice Description |
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Prevalence and Severity of the Target Safety Problem |
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Opportunities for Impact |
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Study Designs |
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Study Outcomes |
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Evidence for Effectiveness of the
Practice |
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Potential for Harm |
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Costs and Implementation |
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Comment |
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Authors |
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Referances |
7. |
Fatigue, Sleepiness, and Medical Errors |
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Introduction |
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Background |
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Sleep Deprivation |
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Night Shifts and Shift Rotation |
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Prevalence and Severity |
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Practice Descriptions |
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Hours of Service |
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Direction and Speed of Rotation of Shift Work |
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Improving Sleep: Education About Sleep Hygiene |
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Lighting at Work |
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Napping |
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Medical Therapies |
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Comment |
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References |