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<br /> J ULY/AUGUST 2009<br /> Patient Safety<br /> & QUALITY HEALTHCARE<br /> DIGITAL VERSION<br /> AVAILABLE!<br /> Visit: www.psqh.com/digital<br /> NEWS • SCIENCE • RESEARCH • OPINION<br /> MEDICATION SAFETY<br /> TECHNOLOGIES<br /> BIOMEDICAL DEVICE<br /> INTEGRATION<br /> PATIENT SAFETY COUNCILS<br /> HIGH-ALERT MEDICATIONS<br /> <br /> <br /> Contents<br /> JULY/AUGUST 2009 • VOLUME 6 ISSUE 4<br /> Features<br /> 22 MEDICATION SAFETY TECHNOLOGIES:<br /> WHAT IS AND IS NOT WORKING<br /> David W. Bates, MD, MSc; Robert M. Wachter, MD;<br /> Tim Vanderveen, PharmD, MS<br /> 28 BIOMEDICAL DEVICE INTEGRATION:<br /> THE IMPACT ON CLINICIANS AT THE<br /> POINT OF CARE<br /> Brian McAlpine<br /> 34 TESTS OF CHANGE: SIMULATED<br /> DESIGN OF EXPERIMENTS IN<br /> HEALTHCARE DELIVERY<br /> Brian A. Stockhoff, PhD<br /> 40 EHR SUP<a title="Patient Safety &amp; Quality Healthcare page 1" href="http://viewer.zmags.com/publication/bc60bbb8?page=1"> J ULY/AUGUST 2009 Patient Safety & QUALITY HEAL</a> <a title="Patient Safety &amp; Quality Healthcare page 2" href="http://viewer.zmags.com/publication/bc60bbb8?page=2"> </a> <a title="Patient Safety &amp; Quality Healthcare page 3" href="http://viewer.zmags.com/publication/bc60bbb8?page=3"> </a> <a title="Patient Safety &amp; Quality Healthcare page 4" href="http://viewer.zmags.com/publication/bc60bbb8?page=4"> Contents JULY/AUGUST 2009 • VOLUME 6 ISSUE </a> <a title="Patient Safety &amp; Quality Healthcare page 5" href="http://viewer.zmags.com/publication/bc60bbb8?page=5"> </a> <a title="Patient Safety &amp; Quality Healthcare page 6" href="http://viewer.zmags.com/publication/bc60bbb8?page=6"> </a> <a title="Patient Safety &amp; Quality Healthcare page 7" href="http://viewer.zmags.com/publication/bc60bbb8?page=7"> Patient Safety EDITORIAL ADVISORY BOARD & </a> <a title="Patient Safety &amp; Quality Healthcare page 8" href="http://viewer.zmags.com/publication/bc60bbb8?page=8"> LETTERS Is Heparin Therapy Outmoded? To t</a> <a title="Patient Safety &amp; Quality Healthcare page 9" href="http://viewer.zmags.com/publication/bc60bbb8?page=9"> in others, unfractionated heparin. Despite all</a> <a title="Patient Safety &amp; Quality Healthcare page 10" href="http://viewer.zmags.com/publication/bc60bbb8?page=10"> By Carolyn M. Clancy, MD AHRQ Patient Safety C</a> <a title="Patient Safety &amp; Quality Healthcare page 11" href="http://viewer.zmags.com/publication/bc60bbb8?page=11"> Community-based Patient Safety Advisory Council (</a> <a title="Patient Safety &amp; Quality Healthcare page 12" href="http://viewer.zmags.com/publication/bc60bbb8?page=12"> agreeing to address all council members</a> <a title="Patient Safety &amp; Quality Healthcare page 13" href="http://viewer.zmags.com/publication/bc60bbb8?page=13"> BALANCING PAIN MANAGEMENT AND PATIENT SAFETY? YOU</a> <a title="Patient Safety &amp; Quality Healthcare page 14" href="http://viewer.zmags.com/publication/bc60bbb8?page=14"> By Barry P. Chaiken, MD, FHIMSS Q&A State of t</a> <a title="Patient Safety &amp; Quality Healthcare page 15" href="http://viewer.zmags.com/publication/bc60bbb8?page=15"> Clinical problem solvers are a heterogeneous grou</a> <a title="Patient Safety &amp; Quality Healthcare page 16" href="http://viewer.zmags.com/publication/bc60bbb8?page=16"> The other report that I hope Congress and </a> <a title="Patient Safety &amp; Quality Healthcare page 17" href="http://viewer.zmags.com/publication/bc60bbb8?page=17"> $ efficiency retention innovation % lead</a> <a title="Patient Safety &amp; Quality Healthcare page 18" href="http://viewer.zmags.com/publication/bc60bbb8?page=18"> By Ali Rashidee, MD, MS; Juliana Hart, BSN, MPH, </a> <a title="Patient Safety &amp; Quality Healthcare page 19" href="http://viewer.zmags.com/publication/bc60bbb8?page=19"> tion errors were reported from approxi- mately 53</a> <a title="Patient Safety &amp; Quality Healthcare page 20" href="http://viewer.zmags.com/publication/bc60bbb8?page=20"> Figure 2. High-Alert Medication Errors for Drugs </a> <a title="Patient Safety &amp; Quality Healthcare page 21" href="http://viewer.zmags.com/publication/bc60bbb8?page=21"> Figure 3. High-Alert Medication Errors by Admini</a> <a title="Patient Safety &amp; Quality Healthcare page 22" href="http://viewer.zmags.com/publication/bc60bbb8?page=22"> </a> <a title="Patient Safety &amp; Quality Healthcare page 23" href="http://viewer.zmags.com/publication/bc60bbb8?page=23"> </a> <a title="Patient Safety &amp; Quality Healthcare page 24" href="http://viewer.zmags.com/publication/bc60bbb8?page=24"> MEDICATION SAFETY TECHNOLOGIES: What Is and Is </a> <a title="Patient Safety &amp; Quality Healthcare page 25" href="http://viewer.zmags.com/publication/bc60bbb8?page=25"> little by little, but it’s harder than I think pe</a> <a title="Patient Safety &amp; Quality Healthcare page 26" href="http://viewer.zmags.com/publication/bc60bbb8?page=26"> MEDICATION SAFETY TECHNOLOGIES because they</a> <a title="Patient Safety &amp; Quality Healthcare page 27" href="http://viewer.zmags.com/publication/bc60bbb8?page=27"> adverse drug events were preventable. Especially </a> <a title="Patient Safety &amp; Quality Healthcare page 28" href="http://viewer.zmags.com/publication/bc60bbb8?page=28"> MEDICATION SAFETY TECHNOLOGIES I do t</a> <a title="Patient Safety &amp; Quality Healthcare page 29" href="http://viewer.zmags.com/publication/bc60bbb8?page=29"> dictable. There is recognition now that there is </a> <a title="Patient Safety &amp; Quality Healthcare page 30" href="http://viewer.zmags.com/publication/bc60bbb8?page=30"> Biomedical Device Integration The Impact o</a> <a title="Patient Safety &amp; Quality Healthcare page 31" href="http://viewer.zmags.com/publication/bc60bbb8?page=31"> H Image © Sabrih | Dreamstime.com </a> <a title="Patient Safety &amp; Quality Healthcare page 32" href="http://viewer.zmags.com/publication/bc60bbb8?page=32"> BIOMEDICAL DEVICE INTEGRATION wireless devi</a> <a title="Patient Safety &amp; Quality Healthcare page 33" href="http://viewer.zmags.com/publication/bc60bbb8?page=33"> it is essential that hospitals carefully consider</a> <a title="Patient Safety &amp; Quality Healthcare page 34" href="http://viewer.zmags.com/publication/bc60bbb8?page=34"> BIOMEDICAL DEVICE INTEGRATION clinician fir</a> <a title="Patient Safety &amp; Quality Healthcare page 35" href="http://viewer.zmags.com/publication/bc60bbb8?page=35"> QUALITY The Eig</a> <a title="Patient Safety &amp; Quality Healthcare page 36" href="http://viewer.zmags.com/publication/bc60bbb8?page=36"> TESTS OF CHANGE: Simulated Design of Experiment</a> <a title="Patient Safety &amp; Quality Healthcare page 37" href="http://viewer.zmags.com/publication/bc60bbb8?page=37"> typically involves factors that are less easily q</a> <a title="Patient Safety &amp; Quality Healthcare page 38" href="http://viewer.zmags.com/publication/bc60bbb8?page=38"> SIMULATED DESIGN 3. Inputs. Number of RNs </a> <a title="Patient Safety &amp; Quality Healthcare page 39" href="http://viewer.zmags.com/publication/bc60bbb8?page=39"> (2a) Interaction Plot for LOS (2</a> <a title="Patient Safety &amp; Quality Healthcare page 40" href="http://viewer.zmags.com/publication/bc60bbb8?page=40"> SIMULATED DESIGN model is created, scenari</a> <a title="Patient Safety &amp; Quality Healthcare page 41" href="http://viewer.zmags.com/publication/bc60bbb8?page=41"> A Comprehensive Guide to Managing Never Ev</a> <a title="Patient Safety &amp; Quality Healthcare page 42" href="http://viewer.zmags.com/publication/bc60bbb8?page=42"> EHR Supports Healthier Patients and a Healthier B</a> <a title="Patient Safety &amp; Quality Healthcare page 43" href="http://viewer.zmags.com/publication/bc60bbb8?page=43"> maximize the value of the technology and to </a> <a title="Patient Safety &amp; Quality Healthcare page 44" href="http://viewer.zmags.com/publication/bc60bbb8?page=44"> EHR SUPPORTS </a> <a title="Patient Safety &amp; Quality Healthcare page 45" href="http://viewer.zmags.com/publication/bc60bbb8?page=45"> </a> <a title="Patient Safety &amp; Quality Healthcare page 46" href="http://viewer.zmags.com/publication/bc60bbb8?page=46"> ABQAURP ABQAURP is the only Health Care Qualit</a> <a title="Patient Safety &amp; Quality Healthcare page 47" href="http://viewer.zmags.com/publication/bc60bbb8?page=47"> NEWS </a> <a title="Patient Safety &amp; Quality Healthcare page 48" href="http://viewer.zmags.com/publication/bc60bbb8?page=48"> Joint Healthcare Division and Society for Health </a> <a title="Patient Safety &amp; Quality Healthcare page 49" href="http://viewer.zmags.com/publication/bc60bbb8?page=49"> ASQ, HCD, HEALTH REFORM, AND YOU! The Summer of</a> <a title="Patient Safety &amp; Quality Healthcare page 50" href="http://viewer.zmags.com/publication/bc60bbb8?page=50"> Patient Safety and Quality Healthcare (PSQH) wel</a> <a title="Patient Safety &amp; Quality Healthcare page 51" href="http://viewer.zmags.com/publication/bc60bbb8?page=51"> </a> <a title="Patient Safety &amp; Quality Healthcare page 52" href="http://viewer.zmags.com/publication/bc60bbb8?page=52"> </a>