<br />
J ANUARY/FEBRUARY 2009<br />
Patient Safety<br />
& QUALITY HEALTHCARE<br />
DIGITAL VERSION<br />
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NEWS • SCIENCE • RESEARCH • OPINION<br />
IMPROVING<br />
HEPARIN SAFETY<br />
EMRs: THE HOLY GRAIL<br />
EMPLOYEE SAFETY<br />
POPULATION<br />
DECISION SUPPORT<br />
SIX SIGMAAL<br />
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EMPLOYEE SAFETY<br />
POPULATION<br />
SUPPORT<br />
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<a title="Patient Safety & Quality Healthcare page 2" href="http://viewer.zmags.com/publication/746d3922?page=2"> The MIDAS+ family of products is proven to increa</a>
<a title="Patient Safety & Quality Healthcare page 3" href="http://viewer.zmags.com/publication/746d3922?page=3"> STA^EE Patient Safety date! AUDIOCONFERENCE Disc</a>
<a title="Patient Safety & Quality Healthcare page 4" href="http://viewer.zmags.com/publication/746d3922?page=4"> Contents J ANUARY/FEBRUARY 2009 • V OLUME 6</a>
<a title="Patient Safety & Quality Healthcare page 5" href="http://viewer.zmags.com/publication/746d3922?page=5"> Lean Six Sigma Black Belt for Healthcare???Blende</a>
<a title="Patient Safety & Quality Healthcare page 6" href="http://viewer.zmags.com/publication/746d3922?page=6"> </a>
<a title="Patient Safety & Quality Healthcare page 7" href="http://viewer.zmags.com/publication/746d3922?page=7"> Patient Safety EDITORIAL ADVISORY BOARD & </a>
<a title="Patient Safety & Quality Healthcare page 8" href="http://viewer.zmags.com/publication/746d3922?page=8"> By Barry P. Chaiken, MD, FHIMSS HEALTH IT & Q</a>
<a title="Patient Safety & Quality Healthcare page 9" href="http://viewer.zmags.com/publication/746d3922?page=9"> als at all levels to expand the breadth of their </a>
<a title="Patient Safety & Quality Healthcare page 10" href="http://viewer.zmags.com/publication/746d3922?page=10"> By Carolyn M. Clancy, MD AHRQ New Patient Saf</a>
<a title="Patient Safety & Quality Healthcare page 11" href="http://viewer.zmags.com/publication/746d3922?page=11"> of patient safety events about which they will su</a>
<a title="Patient Safety & Quality Healthcare page 12" href="http://viewer.zmags.com/publication/746d3922?page=12"> by civil penalties of up to $10,000 per violation</a>
<a title="Patient Safety & Quality Healthcare page 13" href="http://viewer.zmags.com/publication/746d3922?page=13"> on ioth Annual International Summit Redesigning t</a>
<a title="Patient Safety & Quality Healthcare page 14" href="http://viewer.zmags.com/publication/746d3922?page=14"> By Susan F. Whitehead and Julian M. Goldman, MD </a>
<a title="Patient Safety & Quality Healthcare page 15" href="http://viewer.zmags.com/publication/746d3922?page=15"> R EFERENCES Whitehead, S. F., & Goldman, J. M. </a>
<a title="Patient Safety & Quality Healthcare page 16" href="http://viewer.zmags.com/publication/746d3922?page=16"> By Lawrence M. Pawola, PharmD, MBA MEDICATION S</a>
<a title="Patient Safety & Quality Healthcare page 17" href="http://viewer.zmags.com/publication/746d3922?page=17"> National Patient Safety Foundation Patient Safety</a>
<a title="Patient Safety & Quality Healthcare page 18" href="http://viewer.zmags.com/publication/746d3922?page=18"> By Theresa Tavernero, RN, CEN, MBA, MHA EMPLOYEE</a>
<a title="Patient Safety & Quality Healthcare page 19" href="http://viewer.zmags.com/publication/746d3922?page=19"> hospital risk analysis and trend experi- ences. T</a>
<a title="Patient Safety & Quality Healthcare page 20" href="http://viewer.zmags.com/publication/746d3922?page=20"> Not every hospital can say they use the #1 ranke</a>
<a title="Patient Safety & Quality Healthcare page 21" href="http://viewer.zmags.com/publication/746d3922?page=21"> B. Braun: Safety, reliability and ease of use are</a>
<a title="Patient Safety & Quality Healthcare page 22" href="http://viewer.zmags.com/publication/746d3922?page=22"> HEPARIN:IMPROVING TREATMENT AND Reducing Risk </a>
<a title="Patient Safety & Quality Healthcare page 23" href="http://viewer.zmags.com/publication/746d3922?page=23"> Medication errors involving unfractionated</a>
<a title="Patient Safety & Quality Healthcare page 24" href="http://viewer.zmags.com/publication/746d3922?page=24"> HEPARIN SAFETY changes its thromboplastin </a>
<a title="Patient Safety & Quality Healthcare page 25" href="http://viewer.zmags.com/publication/746d3922?page=25"> errors, NPSG 3E requires hospitals to standardize</a>
<a title="Patient Safety & Quality Healthcare page 26" href="http://viewer.zmags.com/publication/746d3922?page=26"> HEPARIN SAFETY dren can be more difficult </a>
<a title="Patient Safety & Quality Healthcare page 27" href="http://viewer.zmags.com/publication/746d3922?page=27"> Summary While newer parenteral agents now provide</a>
<a title="Patient Safety & Quality Healthcare page 28" href="http://viewer.zmags.com/publication/746d3922?page=28"> POPULATION DECISION SUPPORT Quality Reporting Th</a>
<a title="Patient Safety & Quality Healthcare page 29" href="http://viewer.zmags.com/publication/746d3922?page=29"> A proactive outreach program increases pa</a>
<a title="Patient Safety & Quality Healthcare page 30" href="http://viewer.zmags.com/publication/746d3922?page=30"> POPULATION DECISION SUPPORT reports can al</a>
<a title="Patient Safety & Quality Healthcare page 31" href="http://viewer.zmags.com/publication/746d3922?page=31"> Outreach reporting can also support proactive</a>
<a title="Patient Safety & Quality Healthcare page 32" href="http://viewer.zmags.com/publication/746d3922?page=32"> POPULATION DECISION SUPPORT </a>
<a title="Patient Safety & Quality Healthcare page 33" href="http://viewer.zmags.com/publication/746d3922?page=33"> Quality is a problem distributed among all member</a>
<a title="Patient Safety & Quality Healthcare page 34" href="http://viewer.zmags.com/publication/746d3922?page=34"> EMRS:REACHING THE Holy Grail Broken or non-perfor</a>
<a title="Patient Safety & Quality Healthcare page 35" href="http://viewer.zmags.com/publication/746d3922?page=35"> pitals overlook this simple fact: Poorly designed</a>
<a title="Patient Safety & Quality Healthcare page 36" href="http://viewer.zmags.com/publication/746d3922?page=36"> THE HOLY GRAIL directly to the care </a>
<a title="Patient Safety & Quality Healthcare page 37" href="http://viewer.zmags.com/publication/746d3922?page=37"> Rules of the Road To improve your chance of a suc</a>
<a title="Patient Safety & Quality Healthcare page 38" href="http://viewer.zmags.com/publication/746d3922?page=38"> SMALL PATIENTS,SMALL ERRORS, Big Impact </a>
<a title="Patient Safety & Quality Healthcare page 39" href="http://viewer.zmags.com/publication/746d3922?page=39"> issued new and appropriate orders. Although the c</a>
<a title="Patient Safety & Quality Healthcare page 40" href="http://viewer.zmags.com/publication/746d3922?page=40"> SMALL PATIENTS, SMALL ERRORS agreed that t</a>
<a title="Patient Safety & Quality Healthcare page 41" href="http://viewer.zmags.com/publication/746d3922?page=41"> Are those meds Nearly one in five medications is </a>
<a title="Patient Safety & Quality Healthcare page 42" href="http://viewer.zmags.com/publication/746d3922?page=42"> Before Six After Initial Pilot Tes</a>
<a title="Patient Safety & Quality Healthcare page 43" href="http://viewer.zmags.com/publication/746d3922?page=43"> SAVE THE DATE THE QUALITY COLLOQUIUM AT THE CAMPU</a>
<a title="Patient Safety & Quality Healthcare page 44" href="http://viewer.zmags.com/publication/746d3922?page=44"> Transform Your Care It's about culture. RWD foste</a>
<a title="Patient Safety & Quality Healthcare page 45" href="http://viewer.zmags.com/publication/746d3922?page=45"> SUPPLEMENT TO PATIENT SAFETY & QUALITY HEALTHCARE</a>
<a title="Patient Safety & Quality Healthcare page 46" href="http://viewer.zmags.com/publication/746d3922?page=46"> ABQAURP ABQAURP TO CO-SPONSOR COLLABORATIVE PRA</a>
<a title="Patient Safety & Quality Healthcare page 47" href="http://viewer.zmags.com/publication/746d3922?page=47"> NEWS </a>
<a title="Patient Safety & Quality Healthcare page 48" href="http://viewer.zmags.com/publication/746d3922?page=48"> 3. How can the DAC and the divisions affect or in</a>
<a title="Patient Safety & Quality Healthcare page 49" href="http://viewer.zmags.com/publication/746d3922?page=49"> Specific strategies that were dis- cussed i</a>
<a title="Patient Safety & Quality Healthcare page 50" href="http://viewer.zmags.com/publication/746d3922?page=50"> Patient Safety and Quality Healthcare (PSQH) welc</a>
<a title="Patient Safety & Quality Healthcare page 51" href="http://viewer.zmags.com/publication/746d3922?page=51"> POSITION YOURSELF FOR THE FOTORE Board Certificat</a>
<a title="Patient Safety & Quality Healthcare page 52" href="http://viewer.zmags.com/publication/746d3922?page=52"> HEMOGLOBIN Noninvasive > Continuous > Immediate I</a>