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JULY/AUGUST 2011<br /> Patient Safety and Quality Healthcare<br /> Subscribe to the PSQH eNews Alert at www.psqh.com<br /> BARCODE TECHNOLOGY<br /> PATIENT ID FOR TRANSFUSION<br /> Pharmacy alerts<br /> Prescription Labeling at VA<br /> Global Trigger Tool for PediatricsrL SolutionsVentanaContents<br /> JULY/AUGUST 2011 · VOLUME 8 ISSUE 4<br /> Features<br /> 12 Design for Reliability: Barcoded Medication Administration <br /> By Avis C. Hayden, PhD; Edward T. Lanoue, BSPharm, RPh; and Charles J. Still, MBA<br /> 22 In Pursuit of a Patient-Centered <br /> VA Prescription Label <br /> Erin Y. N. Narus, PharmD, RPh; and Joe D. Youngblood, RPh<br /> 26 Barcode Technology for Positive Patient Identification Prior to Transfusion <br /> Eileen L. Stone, BS, MT(ASCP), MS; and <br /> Patricia Sherwood Keenan, RN, MSN, CPHQ, HACP<br /> 34 Applying the IHI Global Trigger Tool to Pediatric and Special Needs Populations<br /> By Christine Milbrath, RN, <a title="Patient Safety &amp; Quality Healthcare page 1" href="http://viewer.zmags.com/publication/8d77ce6e?page=1">JULY/AUGUST 2011 Patient Safety and Quality Healt</a> <a title="Patient Safety &amp; Quality Healthcare page 2" href="http://viewer.zmags.com/publication/8d77ce6e?page=2">rL Solutions</a> <a title="Patient Safety &amp; Quality Healthcare page 3" href="http://viewer.zmags.com/publication/8d77ce6e?page=3">Ventana</a> <a title="Patient Safety &amp; Quality Healthcare page 4" href="http://viewer.zmags.com/publication/8d77ce6e?page=4">Contents JULY/AUGUST 2011 · VOLUME 8 ISSUE 4 </a> <a title="Patient Safety &amp; Quality Healthcare page 5" href="http://viewer.zmags.com/publication/8d77ce6e?page=5">Standard Register</a> <a title="Patient Safety &amp; Quality Healthcare page 6" href="http://viewer.zmags.com/publication/8d77ce6e?page=6">EDITOR'S NOTEBOOK July/August 2011 Volume 8 Is</a> <a title="Patient Safety &amp; Quality Healthcare page 7" href="http://viewer.zmags.com/publication/8d77ce6e?page=7">Patient Safety and Quality Healthcare Lionheart</a> <a title="Patient Safety &amp; Quality Healthcare page 8" href="http://viewer.zmags.com/publication/8d77ce6e?page=8">Health & IT Quality Say No to Paper By Barry P. </a> <a title="Patient Safety &amp; Quality Healthcare page 9" href="http://viewer.zmags.com/publication/8d77ce6e?page=9">Being Digital Our experience in the emergency dep</a> <a title="Patient Safety &amp; Quality Healthcare page 10" href="http://viewer.zmags.com/publication/8d77ce6e?page=10">ISMP Heed This Warning! Don't Miss Important Comp</a> <a title="Patient Safety &amp; Quality Healthcare page 11" href="http://viewer.zmags.com/publication/8d77ce6e?page=11">macist after viewing and responding to the associa</a> <a title="Patient Safety &amp; Quality Healthcare page 12" href="http://viewer.zmags.com/publication/8d77ce6e?page=12">Human Factors “Can't Rather than Don't” Saves Liv</a> <a title="Patient Safety &amp; Quality Healthcare page 13" href="http://viewer.zmags.com/publication/8d77ce6e?page=13">drew our immediate attention as an application of </a> <a title="Patient Safety &amp; Quality Healthcare page 14" href="http://viewer.zmags.com/publication/8d77ce6e?page=14">Design for Reliability: Barcoded Medication Admini</a> <a title="Patient Safety &amp; Quality Healthcare page 15" href="http://viewer.zmags.com/publication/8d77ce6e?page=15">system for nurses who are responsible for administ</a> <a title="Patient Safety &amp; Quality Healthcare page 16" href="http://viewer.zmags.com/publication/8d77ce6e?page=16">DESIGN FOR RELIABILITY Methods At the outset</a> <a title="Patient Safety &amp; Quality Healthcare page 17" href="http://viewer.zmags.com/publication/8d77ce6e?page=17">of the Task Force did not need to be on the units,</a> <a title="Patient Safety &amp; Quality Healthcare page 18" href="http://viewer.zmags.com/publication/8d77ce6e?page=18">Precision Dynamics Corporation</a> <a title="Patient Safety &amp; Quality Healthcare page 19" href="http://viewer.zmags.com/publication/8d77ce6e?page=19">Precision Dynamics Corporation</a> <a title="Patient Safety &amp; Quality Healthcare page 20" href="http://viewer.zmags.com/publication/8d77ce6e?page=20">DESIGN FOR RELIABILITY Rapid Improvement Cy</a> <a title="Patient Safety &amp; Quality Healthcare page 21" href="http://viewer.zmags.com/publication/8d77ce6e?page=21">Figure 3. Patient Armband Scanning Rates Discus</a> <a title="Patient Safety &amp; Quality Healthcare page 22" href="http://viewer.zmags.com/publication/8d77ce6e?page=22">DESIGN FOR RELIABILITY and just-in-time train</a> <a title="Patient Safety &amp; Quality Healthcare page 23" href="http://viewer.zmags.com/publication/8d77ce6e?page=23">American Health Packaging</a> <a title="Patient Safety &amp; Quality Healthcare page 24" href="http://viewer.zmags.com/publication/8d77ce6e?page=24">In Pursuit of a Patient-Centered VA Prescription L</a> <a title="Patient Safety &amp; Quality Healthcare page 25" href="http://viewer.zmags.com/publication/8d77ce6e?page=25">The patient-centered prescription label movement h</a> <a title="Patient Safety &amp; Quality Healthcare page 26" href="http://viewer.zmags.com/publication/8d77ce6e?page=26">VA PRESCRIPTION LABELS industry leaders to cr</a> <a title="Patient Safety &amp; Quality Healthcare page 27" href="http://viewer.zmags.com/publication/8d77ce6e?page=27">Keith Trettin, R.Ph., developed an advisory panel </a> <a title="Patient Safety &amp; Quality Healthcare page 28" href="http://viewer.zmags.com/publication/8d77ce6e?page=28">Barcode Technology for Positive Patient Identifica</a> <a title="Patient Safety &amp; Quality Healthcare page 29" href="http://viewer.zmags.com/publication/8d77ce6e?page=29">In today’s increasingly complex, highly demanding </a> <a title="Patient Safety &amp; Quality Healthcare page 30" href="http://viewer.zmags.com/publication/8d77ce6e?page=30">PPID FOR TRANSFUSION the clinical end users’ </a> <a title="Patient Safety &amp; Quality Healthcare page 31" href="http://viewer.zmags.com/publication/8d77ce6e?page=31">Hospira</a> <a title="Patient Safety &amp; Quality Healthcare page 32" href="http://viewer.zmags.com/publication/8d77ce6e?page=32">PPID FOR TRANSFUSION Communication between nu</a> <a title="Patient Safety &amp; Quality Healthcare page 33" href="http://viewer.zmags.com/publication/8d77ce6e?page=33">sional pride and peer pressure. If they saw poor r</a> <a title="Patient Safety &amp; Quality Healthcare page 34" href="http://viewer.zmags.com/publication/8d77ce6e?page=34">PPID FOR TRANSFUSION ceptable rates, a coordi</a> <a title="Patient Safety &amp; Quality Healthcare page 35" href="http://viewer.zmags.com/publication/8d77ce6e?page=35">IHI</a> <a title="Patient Safety &amp; Quality Healthcare page 36" href="http://viewer.zmags.com/publication/8d77ce6e?page=36">Applying the IHI Global Trigger Tool to Pediatric </a> <a title="Patient Safety &amp; Quality Healthcare page 37" href="http://viewer.zmags.com/publication/8d77ce6e?page=37">als then report the errors, impacting the effectiv</a> <a title="Patient Safety &amp; Quality Healthcare page 38" href="http://viewer.zmags.com/publication/8d77ce6e?page=38">IHI GLOBAL TRIGGER TOOL harm, or 60.6%, ident</a> <a title="Patient Safety &amp; Quality Healthcare page 39" href="http://viewer.zmags.com/publication/8d77ce6e?page=39">Safer Healthcare</a> <a title="Patient Safety &amp; Quality Healthcare page 40" href="http://viewer.zmags.com/publication/8d77ce6e?page=40">Forever Changed: Shared Learning in Patient Safety</a> <a title="Patient Safety &amp; Quality Healthcare page 41" href="http://viewer.zmags.com/publication/8d77ce6e?page=41">largest faith-based, not-for-profit healthcare org</a> <a title="Patient Safety &amp; Quality Healthcare page 42" href="http://viewer.zmags.com/publication/8d77ce6e?page=42">SHARED LEARNING when asked the HCAHP question</a> <a title="Patient Safety &amp; Quality Healthcare page 43" href="http://viewer.zmags.com/publication/8d77ce6e?page=43">National Patient Safety Foundation</a> <a title="Patient Safety &amp; Quality Healthcare page 44" href="http://viewer.zmags.com/publication/8d77ce6e?page=44">RFID Showcase Fewer Events, Better Reporting By </a> <a title="Patient Safety &amp; Quality Healthcare page 45" href="http://viewer.zmags.com/publication/8d77ce6e?page=45">ClearCount The Patient Safety Group Reprints</a> <a title="Patient Safety &amp; Quality Healthcare page 46" href="http://viewer.zmags.com/publication/8d77ce6e?page=46">Pulse Call for Letters of Intent to Conduct Res</a> <a title="Patient Safety &amp; Quality Healthcare page 47" href="http://viewer.zmags.com/publication/8d77ce6e?page=47">Transforming Nursing Practice through Technology &</a> <a title="Patient Safety &amp; Quality Healthcare page 48" href="http://viewer.zmags.com/publication/8d77ce6e?page=48">Quality Conundrums Lynn Helmer, MD, MBA, CHCQM •</a> <a title="Patient Safety &amp; Quality Healthcare page 49" href="http://viewer.zmags.com/publication/8d77ce6e?page=49">ABQAURP American Board of Quality Assurance and </a> <a title="Patient Safety &amp; Quality Healthcare page 50" href="http://viewer.zmags.com/publication/8d77ce6e?page=50">Author Guidelines Patient Safety and Quality He</a> <a title="Patient Safety &amp; Quality Healthcare page 51" href="http://viewer.zmags.com/publication/8d77ce6e?page=51">ABQAURP</a> <a title="Patient Safety &amp; Quality Healthcare page 52" href="http://viewer.zmags.com/publication/8d77ce6e?page=52">PatientSafe</a>