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