<br />
NOVEMBER/DECEMBER 2011<br />
Patient Safety<br />
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& Q U A L I T Y H E A LT H C A R E<br />
Q U A L I T Y H E A LT H C A R E<br />
N E W S · S C I E N C E · R E S E A R C H · O P I N I O N<br />
MRI SAFETY 10 YEARS LATER<br />
PATIENT SAFETY IN AFRICA<br />
SIMULATION FOR<br />
INFECTION CONTROL<br />
DRUGS ON THE<br />
GRAY MARKET<br />
FALL PREVENTION<br />
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2<br />
Contents<br />
NOVEMBER/DECEMBER 2011 · VOLUME 8 ISSUE 6<br />
Features<br />
22<br />
30<br />
36<br />
42<br />
48<br />
4<br />
8<br />
10<br />
14<br />
18<br />
52<br />
MRI SAFETY 10 YEARS LATER<br />
WHAT CAN WE LEARN FROM THE ACCIDENT THAT<br />
KILLED MICHAEL COLOMBINI?<br />
By Tobias Gilk, M.Arch., HSDQ, and Robert J. Latino<br />
THE STORIES BEHIND <a title="Patient Safety & Quality Healthcare page 1" href="http://viewer.zmags.com/publication/1fa7c869?page=1"> NOVEMBER/DECEMBER 2011 Patient Safety Subscri</a>
<a title="Patient Safety & Quality Healthcare page 2" href="http://viewer.zmags.com/publication/1fa7c869?page=2"> </a>
<a title="Patient Safety & Quality Healthcare page 3" href="http://viewer.zmags.com/publication/1fa7c869?page=3"> </a>
<a title="Patient Safety & Quality Healthcare page 4" href="http://viewer.zmags.com/publication/1fa7c869?page=4"> 2 Contents NOVEMBER/DECEMBER 2011 · VOLUME 8</a>
<a title="Patient Safety & Quality Healthcare page 5" href="http://viewer.zmags.com/publication/1fa7c869?page=5"> </a>
<a title="Patient Safety & Quality Healthcare page 6" href="http://viewer.zmags.com/publication/1fa7c869?page=6"> EDITOR'S NOTEBOOK November/December 2011 Volum</a>
<a title="Patient Safety & Quality Healthcare page 7" href="http://viewer.zmags.com/publication/1fa7c869?page=7"> </a>
<a title="Patient Safety & Quality Healthcare page 8" href="http://viewer.zmags.com/publication/1fa7c869?page=8"> EDITORIAL ADVISORY BOARD Patient Safety</a>
<a title="Patient Safety & Quality Healthcare page 9" href="http://viewer.zmags.com/publication/1fa7c869?page=9"> </a>
<a title="Patient Safety & Quality Healthcare page 10" href="http://viewer.zmags.com/publication/1fa7c869?page=10"> By Barry P. Chaiken, MD, FHIMSS HEALTH </a>
<a title="Patient Safety & Quality Healthcare page 11" href="http://viewer.zmags.com/publication/1fa7c869?page=11"> problems, devising customized patient treatment </a>
<a title="Patient Safety & Quality Healthcare page 12" href="http://viewer.zmags.com/publication/1fa7c869?page=12"> By Brian Levy, MD MEDICAL TERMINOLOGY </a>
<a title="Patient Safety & Quality Healthcare page 13" href="http://viewer.zmags.com/publication/1fa7c869?page=13"> </a>
<a title="Patient Safety & Quality Healthcare page 14" href="http://viewer.zmags.com/publication/1fa7c869?page=14"> 12 However, there is language engine tech- nolog</a>
<a title="Patient Safety & Quality Healthcare page 15" href="http://viewer.zmags.com/publication/1fa7c869?page=15"> </a>
<a title="Patient Safety & Quality Healthcare page 16" href="http://viewer.zmags.com/publication/1fa7c869?page=16"> By Patricia Daughenbaugh RN, MSN, MBA; Kathy Mart</a>
<a title="Patient Safety & Quality Healthcare page 17" href="http://viewer.zmags.com/publication/1fa7c869?page=17"> the procedure is performed and what happens if it</a>
<a title="Patient Safety & Quality Healthcare page 18" href="http://viewer.zmags.com/publication/1fa7c869?page=18"> </a>
<a title="Patient Safety & Quality Healthcare page 19" href="http://viewer.zmags.com/publication/1fa7c869?page=19"> ly investigated. Say, for example, a pay- roll er</a>
<a title="Patient Safety & Quality Healthcare page 20" href="http://viewer.zmags.com/publication/1fa7c869?page=20"> By the Institute for Safe Medication Practices </a>
<a title="Patient Safety & Quality Healthcare page 21" href="http://viewer.zmags.com/publication/1fa7c869?page=21"> ty, and critical access hospitals. However, pedia</a>
<a title="Patient Safety & Quality Healthcare page 22" href="http://viewer.zmags.com/publication/1fa7c869?page=22"> 20 reported that they do not purchase medic</a>
<a title="Patient Safety & Quality Healthcare page 23" href="http://viewer.zmags.com/publication/1fa7c869?page=23"> gested by many survey respondents, manufacturers </a>
<a title="Patient Safety & Quality Healthcare page 24" href="http://viewer.zmags.com/publication/1fa7c869?page=24"> MRI Safety 10 Years Later What can we learn fr</a>
<a title="Patient Safety & Quality Healthcare page 25" href="http://viewer.zmags.com/publication/1fa7c869?page=25"> N early all practitioners who have some responsib</a>
<a title="Patient Safety & Quality Healthcare page 26" href="http://viewer.zmags.com/publication/1fa7c869?page=26"> </a>
<a title="Patient Safety & Quality Healthcare page 27" href="http://viewer.zmags.com/publication/1fa7c869?page=27"> </a>
<a title="Patient Safety & Quality Healthcare page 28" href="http://viewer.zmags.com/publication/1fa7c869?page=28"> MRI SAFETY 10 YEARS LATER How could? </a>
<a title="Patient Safety & Quality Healthcare page 29" href="http://viewer.zmags.com/publication/1fa7c869?page=29"> therefore true. This degree of confidence will co</a>
<a title="Patient Safety & Quality Healthcare page 30" href="http://viewer.zmags.com/publication/1fa7c869?page=30"> MRI SAFETY 10 YEARS LATER ACR GUIDANCE DOCU</a>
<a title="Patient Safety & Quality Healthcare page 31" href="http://viewer.zmags.com/publication/1fa7c869?page=31"> The value in this RCA lies in exposing the “Russi</a>
<a title="Patient Safety & Quality Healthcare page 32" href="http://viewer.zmags.com/publication/1fa7c869?page=32"> The Stories Behind the Data Narratives in event </a>
<a title="Patient Safety & Quality Healthcare page 33" href="http://viewer.zmags.com/publication/1fa7c869?page=33"> Analysis of Falls in the PSIP Database For this s</a>
<a title="Patient Safety & Quality Healthcare page 34" href="http://viewer.zmags.com/publication/1fa7c869?page=34"> THE STORIES BEHIND THE DATA </a>
<a title="Patient Safety & Quality Healthcare page 35" href="http://viewer.zmags.com/publication/1fa7c869?page=35"> </a>
<a title="Patient Safety & Quality Healthcare page 36" href="http://viewer.zmags.com/publication/1fa7c869?page=36"> THE STORIES BEHIND THE DATA tion, there w</a>
<a title="Patient Safety & Quality Healthcare page 37" href="http://viewer.zmags.com/publication/1fa7c869?page=37"> </a>
<a title="Patient Safety & Quality Healthcare page 38" href="http://viewer.zmags.com/publication/1fa7c869?page=38"> Getting a Feel for Better Infection Control Adva</a>
<a title="Patient Safety & Quality Healthcare page 39" href="http://viewer.zmags.com/publication/1fa7c869?page=39"> learning experience that includes what a procedur</a>
<a title="Patient Safety & Quality Healthcare page 40" href="http://viewer.zmags.com/publication/1fa7c869?page=40"> BETTER INFECTION CONTROL “When simulator</a>
<a title="Patient Safety & Quality Healthcare page 41" href="http://viewer.zmags.com/publication/1fa7c869?page=41"> CEU credit with a passing score—or, if failing, a</a>
<a title="Patient Safety & Quality Healthcare page 42" href="http://viewer.zmags.com/publication/1fa7c869?page=42"> BETTER INFECTION CONTROL TECHNOLOGY OVERVI</a>
<a title="Patient Safety & Quality Healthcare page 43" href="http://viewer.zmags.com/publication/1fa7c869?page=43"> </a>
<a title="Patient Safety & Quality Healthcare page 44" href="http://viewer.zmags.com/publication/1fa7c869?page=44"> TELLURIDE INTERDISCIPLINARY PATIENT SAFETY ROUND</a>
<a title="Patient Safety & Quality Healthcare page 45" href="http://viewer.zmags.com/publication/1fa7c869?page=45"> Telluride Patient Safety Educational Roundtable S</a>
<a title="Patient Safety & Quality Healthcare page 46" href="http://viewer.zmags.com/publication/1fa7c869?page=46"> MEDICAL STUDENTS' REFLECTIONS "The mere </a>
<a title="Patient Safety & Quality Healthcare page 47" href="http://viewer.zmags.com/publication/1fa7c869?page=47"> ◗ Having people in the room directly impacted by </a>
<a title="Patient Safety & Quality Healthcare page 48" href="http://viewer.zmags.com/publication/1fa7c869?page=48"> MEDICAL STUDENTS' REFLECTIONS Discussion</a>
<a title="Patient Safety & Quality Healthcare page 49" href="http://viewer.zmags.com/publication/1fa7c869?page=49"> </a>
<a title="Patient Safety & Quality Healthcare page 50" href="http://viewer.zmags.com/publication/1fa7c869?page=50"> Patient Safety in Africa: A Culture Shift? By Ste</a>
<a title="Patient Safety & Quality Healthcare page 51" href="http://viewer.zmags.com/publication/1fa7c869?page=51"> Attendees worked on prioritizing improvement stra</a>
<a title="Patient Safety & Quality Healthcare page 52" href="http://viewer.zmags.com/publication/1fa7c869?page=52"> PATIENT SAFETY IN AFRICA `Patient safety</a>
<a title="Patient Safety & Quality Healthcare page 53" href="http://viewer.zmags.com/publication/1fa7c869?page=53"> The most commonly reported actions of pati</a>
<a title="Patient Safety & Quality Healthcare page 54" href="http://viewer.zmags.com/publication/1fa7c869?page=54"> By Tom Inglesby FALL PREVENTION SH</a>
<a title="Patient Safety & Quality Healthcare page 55" href="http://viewer.zmags.com/publication/1fa7c869?page=55"> P U L S E IOM Calls for Better Oversight, Accou</a>
<a title="Patient Safety & Quality Healthcare page 56" href="http://viewer.zmags.com/publication/1fa7c869?page=56"> A B Q A U R P QUALITY CONUNDRUMS Lyn</a>
<a title="Patient Safety & Quality Healthcare page 57" href="http://viewer.zmags.com/publication/1fa7c869?page=57"> N E W S ABQAURP American Board of Quality Assuran</a>
<a title="Patient Safety & Quality Healthcare page 58" href="http://viewer.zmags.com/publication/1fa7c869?page=58"> Patient Safety and Quality Healthcare (PSQH) welc</a>
<a title="Patient Safety & Quality Healthcare page 59" href="http://viewer.zmags.com/publication/1fa7c869?page=59"> </a>
<a title="Patient Safety & Quality Healthcare page 60" href="http://viewer.zmags.com/publication/1fa7c869?page=60"> </a>