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Search results for "Quality and Safety Professionals"
Tools/Toolkit > Government Resource
Jacobson KL, Gazmararian JA, Kripalani S, McMorris KJ, Blake SC, Brach C. Rockville, MD: Agency for Healthcare Research and Quality; 2007. AHRQ Publication No. 07-0051.
This AHRQ-funded publication provides a tool to help organizations identify health literacy issues, as well as methods for implementing an action plan drawn from assessment results.
PA-PSRS Patient Saf Advis. May 2007;4(suppl 2):1-8.
This article shares findings from a workgroup that assessed the efficacy of pharmacy computer systems in detecting unsafe medication orders. The 30 Pennsylvania hospitals that participated in the workgroup found that their systems were not catching all unsafe orders.
Food and Drug Administration (FDA) Patient Safety News. Show #58. December 2006.
This video story reviews a high-profile medication error and suggests actions to prevent similar incidents from occurring.
Journal Article > Government Resource
Assessing the National Electronic Injury Surveillance System—Cooperative Adverse Drug Event Surveillance Project—six sites, United States, January 1–June 15, 2004.
Centers for Disease and Control Prevention. MMWR Morb Mortal Wkly Rep. 2005;54:380-383.
The Centers for Disease Control (CDC), the Consumer Product Safety Commission (CPSC), and the Food and Drug Administration (FDA) collaboratively created this surveillance project to estimate incidence of adverse drug events. The summary describes the evaluation of the system, based on studying reports from a convenience sample of participating hospitals. While the sensitivity of capturing events was low, the positive predictive value that reported events represented in actual cases was high. An editorial note suggests that this reporting system may represent an important, ongoing resource for recording and preventing future adverse drug events.