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&lt;br /&gt; M AY/JUNE 2009&lt;br /&gt; &lt;br /&gt; Patient Safety&lt;br /&gt; &amp; QUALITY HEALTHCARE&lt;br /&gt; &lt;br /&gt; DIGITAL VERSION&lt;br /&gt; AVAILABLE!&lt;br /&gt; Visit: www.psqh.com/digital&lt;br /&gt; &lt;br /&gt; NEWS &bull; SCIENCE &bull; RESEARCH &bull; OPINION&lt;br /&gt; LEADERSHIP FOR&lt;br /&gt; PATIENT SAFETY&lt;br /&gt; &lt;br /&gt; PSOs:&lt;br /&gt; ONE STATE&rsquo;S JOURNEY&lt;br /&gt; THE PATIENT&rsquo;S ROLE IN&lt;br /&gt; MEDICATION SAFETY&lt;br /&gt; INPATIENT MONITORING May/June 2009 ^B % ^/^ &lt;br /&gt; Patient Safety 1 VV^,&lt;br /&gt; &amp; QUALITY HEALTHCARE &lt;br /&gt; NEW&lt;br /&gt; I E N C&lt;br /&gt; SEARC&lt;br /&gt; PINION&lt;br /&gt; \\tve&lt;br /&gt; vised Vo C&lt;br /&gt; &lt;br /&gt; 2.&lt;br /&gt; Ar&lt;br /&gt; &lt;br /&gt; PATIENT SAFETY&lt;br /&gt; P<a title="Patient Safety &amp; Quality Healthcare page 1" href="http://viewer.zmags.com/publication/a0f3bcea?page=1">M AY/JUNE 2009Patient Safety&amp; QUALITY HEALTHC</a> M AY/JUNE 2009Patient Safety&amp; QUALITY HEALTHC<a title="Patient Safety &amp; Quality Healthcare page 2" href="http://viewer.zmags.com/publication/a0f3bcea?page=2">rThe MIDAS+ family of products is proven to incr</a> rThe MIDAS+ family of products is proven to incr<a title="Patient Safety &amp; Quality Healthcare page 3" href="http://viewer.zmags.com/publication/a0f3bcea?page=3">Jyrl_ solutionssoftware for safer healthcare:*</a> Jyrl_ solutionssoftware for safer healthcare:*<a title="Patient Safety &amp; Quality Healthcare page 4" href="http://viewer.zmags.com/publication/a0f3bcea?page=4">ContentsM AY/JUNE 2009 &bull; V OLUME 6 ISSUE 3</a> ContentsM AY/JUNE 2009 &bull; V OLUME 6 ISSUE 3<a title="Patient Safety &amp; Quality Healthcare page 5" href="http://viewer.zmags.com/publication/a0f3bcea?page=5">SeeThomson Reuters gives clinicians immed</a> SeeThomson Reuters gives clinicians immed<a title="Patient Safety &amp; Quality Healthcare page 6" href="http://viewer.zmags.com/publication/a0f3bcea?page=6"> </a> <a title="Patient Safety &amp; Quality Healthcare page 7" href="http://viewer.zmags.com/publication/a0f3bcea?page=7">Patient Safety EDITORIAL ADVISORY BOARD&amp; </a> Patient Safety EDITORIAL ADVISORY BOARD&amp; <a title="Patient Safety &amp; Quality Healthcare page 8" href="http://viewer.zmags.com/publication/a0f3bcea?page=8">By Barry P. Chaiken, MD, FHIMSSHEALTH IT &amp; Q</a> By Barry P. Chaiken, MD, FHIMSSHEALTH IT &amp; Q<a title="Patient Safety &amp; Quality Healthcare page 9" href="http://viewer.zmags.com/publication/a0f3bcea?page=9">It is time for us to applythe scientific method </a> It is time for us to applythe scientific method <a title="Patient Safety &amp; Quality Healthcare page 10" href="http://viewer.zmags.com/publication/a0f3bcea?page=10">By Carolyn M. Clancy, MDAHRQRe-engineered H</a> By Carolyn M. Clancy, MDAHRQRe-engineered H<a title="Patient Safety &amp; Quality Healthcare page 11" href="http://viewer.zmags.com/publication/a0f3bcea?page=11">Fewer Readmissions,Cost SavingsPatients who p</a> Fewer Readmissions,Cost SavingsPatients who p<a title="Patient Safety &amp; Quality Healthcare page 12" href="http://viewer.zmags.com/publication/a0f3bcea?page=12"> QUALITY The EighthNationalO</a> QUALITY The EighthNationalO<a title="Patient Safety &amp; Quality Healthcare page 13" href="http://viewer.zmags.com/publication/a0f3bcea?page=13">COLLOQUIUMThe Leading Forum on Patient Safety, </a> COLLOQUIUMThe Leading Forum on Patient Safety, <a title="Patient Safety &amp; Quality Healthcare page 14" href="http://viewer.zmags.com/publication/a0f3bcea?page=14">By William A. Hyman, ScD, PEHUMAN FACTORSH</a> By William A. Hyman, ScD, PEHUMAN FACTORSH<a title="Patient Safety &amp; Quality Healthcare page 15" href="http://viewer.zmags.com/publication/a0f3bcea?page=15">end user if they are to have access to all ofthe</a> end user if they are to have access to all ofthe<a title="Patient Safety &amp; Quality Healthcare page 16" href="http://viewer.zmags.com/publication/a0f3bcea?page=16">By Barbara B. Loeb, MD, MBA, CPEENGAGING PHYSIC</a> By Barbara B. Loeb, MD, MBA, CPEENGAGING PHYSIC<a title="Patient Safety &amp; Quality Healthcare page 17" href="http://viewer.zmags.com/publication/a0f3bcea?page=17">greater input and impact on practicelife and car</a> greater input and impact on practicelife and car<a title="Patient Safety &amp; Quality Healthcare page 18" href="http://viewer.zmags.com/publication/a0f3bcea?page=18">TransformYourCareIt's about culture.RWD foste</a> TransformYourCareIt's about culture.RWD foste<a title="Patient Safety &amp; Quality Healthcare page 19" href="http://viewer.zmags.com/publication/a0f3bcea?page=19">SUPPLEMENT TO PATIENT SAFETY &amp; QUALITY HEALTHCARE</a> SUPPLEMENT TO PATIENT SAFETY &amp; QUALITY HEALTHCARE<a title="Patient Safety &amp; Quality Healthcare page 20" href="http://viewer.zmags.com/publication/a0f3bcea?page=20">LEADERSHIP PRACTICES TOAdvancePatient SafetyLe</a> LEADERSHIP PRACTICES TOAdvancePatient SafetyLe<a title="Patient Safety &amp; Quality Healthcare page 21" href="http://viewer.zmags.com/publication/a0f3bcea?page=21">system&rsquo;s intranet. Over 2 years, more than 500 le</a> system&rsquo;s intranet. Over 2 years, more than 500 le<a title="Patient Safety &amp; Quality Healthcare page 22" href="http://viewer.zmags.com/publication/a0f3bcea?page=22"> LEADERSHIP PRACTICESThe system safety offic</a> LEADERSHIP PRACTICESThe system safety offic<a title="Patient Safety &amp; Quality Healthcare page 23" href="http://viewer.zmags.com/publication/a0f3bcea?page=23">errors. A nurse who lost her license due to admin</a> errors. A nurse who lost her license due to admin<a title="Patient Safety &amp; Quality Healthcare page 24" href="http://viewer.zmags.com/publication/a0f3bcea?page=24"> LEADERSHIP PRACTICESsented by seemingly ins</a> LEADERSHIP PRACTICESsented by seemingly ins<a title="Patient Safety &amp; Quality Healthcare page 25" href="http://viewer.zmags.com/publication/a0f3bcea?page=25">Stand Up for Patient SafetyIt Begins with a Sing</a> Stand Up for Patient SafetyIt Begins with a Sing<a title="Patient Safety &amp; Quality Healthcare page 26" href="http://viewer.zmags.com/publication/a0f3bcea?page=26">PATIENT SAFETY ORGANIZATIONS:Building a Safer</a> PATIENT SAFETY ORGANIZATIONS:Building a Safer<a title="Patient Safety &amp; Quality Healthcare page 27" href="http://viewer.zmags.com/publication/a0f3bcea?page=27"> So, what has happened in the past 10 year</a> So, what has happened in the past 10 year<a title="Patient Safety &amp; Quality Healthcare page 28" href="http://viewer.zmags.com/publication/a0f3bcea?page=28">SAFER HEALTHCAREIn addition, MPSC has been d</a> SAFER HEALTHCAREIn addition, MPSC has been d<a title="Patient Safety &amp; Quality Healthcare page 29" href="http://viewer.zmags.com/publication/a0f3bcea?page=29">4.2. Engaging and training more than 10,000 hea</a> 4.2. Engaging and training more than 10,000 hea<a title="Patient Safety &amp; Quality Healthcare page 30" href="http://viewer.zmags.com/publication/a0f3bcea?page=30"> alking about the hospit</a> alking about the hospit<a title="Patient Safety &amp; Quality Healthcare page 31" href="http://viewer.zmags.com/publication/a0f3bcea?page=31">ing literature about the patient&rsquo;s role in medica</a> ing literature about the patient&rsquo;s role in medica<a title="Patient Safety &amp; Quality Healthcare page 32" href="http://viewer.zmags.com/publication/a0f3bcea?page=32"> MEDICATION ADMINISTRATIONprotocol for the</a> MEDICATION ADMINISTRATIONprotocol for the<a title="Patient Safety &amp; Quality Healthcare page 33" href="http://viewer.zmags.com/publication/a0f3bcea?page=33">tion on their own, usually from the Internet. Nur</a> tion on their own, usually from the Internet. Nur<a title="Patient Safety &amp; Quality Healthcare page 34" href="http://viewer.zmags.com/publication/a0f3bcea?page=34">ContinuousPulse OximetryMonitoringIN THE INPAT</a> ContinuousPulse OximetryMonitoringIN THE INPAT<a title="Patient Safety &amp; Quality Healthcare page 35" href="http://viewer.zmags.com/publication/a0f3bcea?page=35"> For patients like John Smith, this extra p</a> For patients like John Smith, this extra p<a title="Patient Safety &amp; Quality Healthcare page 36" href="http://viewer.zmags.com/publication/a0f3bcea?page=36"> PULSE OXIMETRY MONITORING A key</a> PULSE OXIMETRY MONITORING A key<a title="Patient Safety &amp; Quality Healthcare page 37" href="http://viewer.zmags.com/publication/a0f3bcea?page=37">the trial, particularly in the importance of unde</a> the trial, particularly in the importance of unde<a title="Patient Safety &amp; Quality Healthcare page 38" href="http://viewer.zmags.com/publication/a0f3bcea?page=38">By Nataly KellyLANGUAGE SERVICESHundreds of</a> By Nataly KellyLANGUAGE SERVICESHundreds of<a title="Patient Safety &amp; Quality Healthcare page 39" href="http://viewer.zmags.com/publication/a0f3bcea?page=39">annual spending on both outsourcedand in-house</a> annual spending on both outsourcedand in-house<a title="Patient Safety &amp; Quality Healthcare page 40" href="http://viewer.zmags.com/publication/a0f3bcea?page=40">However, there is a likely strong correla-tion b</a> However, there is a likely strong correla-tion b<a title="Patient Safety &amp; Quality Healthcare page 41" href="http://viewer.zmags.com/publication/a0f3bcea?page=41">This will beCME accreev Patient Safety </a> This will beCME accreev Patient Safety <a title="Patient Safety &amp; Quality Healthcare page 42" href="http://viewer.zmags.com/publication/a0f3bcea?page=42">By Jamie KellyDECISION SUPPORTSure-Footed </a> By Jamie KellyDECISION SUPPORTSure-Footed <a title="Patient Safety &amp; Quality Healthcare page 43" href="http://viewer.zmags.com/publication/a0f3bcea?page=43">these doses are calculated at the point ofcare b</a> these doses are calculated at the point ofcare b<a title="Patient Safety &amp; Quality Healthcare page 44" href="http://viewer.zmags.com/publication/a0f3bcea?page=44">actively schedule a transfer to skillednursing f</a> actively schedule a transfer to skillednursing f<a title="Patient Safety &amp; Quality Healthcare page 45" href="http://viewer.zmags.com/publication/a0f3bcea?page=45"> Master of Science in Pharmacye University of </a> Master of Science in Pharmacye University of <a title="Patient Safety &amp; Quality Healthcare page 46" href="http://viewer.zmags.com/publication/a0f3bcea?page=46">ABQAURP RECOVERY AUDIT CONTRACTORS (RAC) &ndash; </a> ABQAURP RECOVERY AUDIT CONTRACTORS (RAC) &ndash; <a title="Patient Safety &amp; Quality Healthcare page 47" href="http://viewer.zmags.com/publication/a0f3bcea?page=47">NEWS </a> NEWS <a title="Patient Safety &amp; Quality Healthcare page 48" href="http://viewer.zmags.com/publication/a0f3bcea?page=48">CHANGE WE CAN BELIEVEThe American Recovery and</a> CHANGE WE CAN BELIEVEThe American Recovery and<a title="Patient Safety &amp; Quality Healthcare page 49" href="http://viewer.zmags.com/publication/a0f3bcea?page=49">Message from the Chair,continued from p.46tion </a> Message from the Chair,continued from p.46tion <a title="Patient Safety &amp; Quality Healthcare page 50" href="http://viewer.zmags.com/publication/a0f3bcea?page=50">Patient Safety and Quality Healthcare (PSQH)wel</a> Patient Safety and Quality Healthcare (PSQH)wel<a title="Patient Safety &amp; Quality Healthcare page 51" href="http://viewer.zmags.com/publication/a0f3bcea?page=51">Peer Reuleuu: The Fundamental Background olDuali</a> Peer Reuleuu: The Fundamental Background olDuali<a title="Patient Safety &amp; Quality Healthcare page 52" href="http://viewer.zmags.com/publication/a0f3bcea?page=52">BALANCING PAIN MANAGEMENT AND PATIENT SAFETY?YOU</a> BALANCING PAIN MANAGEMENT AND PATIENT SAFETY?YOU