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Zmags
J ULY/AUGUST 2009
Patient Safety
& QUALITY HEALTHCARE
DIGITAL VERSION
AVAILABLE!
Visit: www.psqh.com/digital
NEWS • SCIENCE • RESEARCH • OPINION
MEDICATION SAFETY
TECHNOLOGIES
BIOMEDICAL DEVICE
INTEGRATION
PATIENT SAFETY COUNCILS
HIGH-ALERT MEDICATIONS
Contents
JULY/AUGUST 2009 • VOLUME 6 ISSUE 4
Features
22 MEDICATION SAFETY TECHNOLOGIES:
WHAT IS AND IS NOT WORKING
David W. Bates, MD, MSc; Robert M. Wachter, MD;
Tim Vanderveen, PharmD, MS
28 BIOMEDICAL DEVICE INTEGRATION:
THE IMPACT ON CLINICIANS AT THE
POINT OF CARE
Brian McAlpine
34 TESTS OF CHANGE: SIMULATED
DESIGN OF EXPERIMENTS IN
HEALTHCARE DELIVERY
Brian A. Stockhoff, PhD
40 EHR SUP
J ULY/AUGUST 2009 Patient Safety & QUALITY HEAL
Contents JULY/AUGUST 2009 • VOLUME 6 ISSUE
Patient Safety EDITORIAL ADVISORY BOARD &
LETTERS Is Heparin Therapy Outmoded? To t
in others, unfractionated heparin. Despite all
By Carolyn M. Clancy, MD AHRQ Patient Safety C
Community-based Patient Safety Advisory Council (
agreeing to address all council members
BALANCING PAIN MANAGEMENT AND PATIENT SAFETY? YOU
By Barry P. Chaiken, MD, FHIMSS Q&A State of t
Clinical problem solvers are a heterogeneous grou
The other report that I hope Congress and
$ efficiency retention innovation % lead
By Ali Rashidee, MD, MS; Juliana Hart, BSN, MPH,
tion errors were reported from approxi- mately 53
Figure 2. High-Alert Medication Errors for Drugs
Figure 3. High-Alert Medication Errors by Admini
MEDICATION SAFETY TECHNOLOGIES: What Is and Is
little by little, but it’s harder than I think pe
MEDICATION SAFETY TECHNOLOGIES because they
adverse drug events were preventable. Especially
MEDICATION SAFETY TECHNOLOGIES I do t
dictable. There is recognition now that there is
Biomedical Device Integration The Impact o
H Image © Sabrih | Dreamstime.com
BIOMEDICAL DEVICE INTEGRATION wireless devi
it is essential that hospitals carefully consider
BIOMEDICAL DEVICE INTEGRATION clinician fir
QUALITY The Eig
TESTS OF CHANGE: Simulated Design of Experiment
typically involves factors that are less easily q
SIMULATED DESIGN 3. Inputs. Number of RNs
(2a) Interaction Plot for LOS (2
SIMULATED DESIGN model is created, scenari
A Comprehensive Guide to Managing Never Ev
EHR Supports Healthier Patients and a Healthier B
maximize the value of the technology and to
EHR SUPPORTS
ABQAURP ABQAURP is the only Health Care Qualit
NEWS
Joint Healthcare Division and Society for Health
ASQ, HCD, HEALTH REFORM, AND YOU! The Summer of
Patient Safety and Quality Healthcare (PSQH) wel