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Search results for "Error Reporting"
Journal Article > Commentary
Power M, Stewart K, Brotherton A. Clin Risk. 2012;18:163-169.
This commentary describes the design and initial test of a large-scale initiative to track incidents involving pressure ulcers, falls, urinary infections in patients with catheters, and venous thromboembolism in the National Health Service.
Journal Article > Study
Thorson CM, Ryan ML, Van Haren RM, et al. Crit Care Med. 2012;40:2967-2973.
A subset of trauma patients had a relatively high risk of postoperative venous thromboembolism despite use of appropriate prophylactic measures, calling into question the "wisdom and justice" of classifying this complication as entirely preventable.
Wetzel TG. Health Data Manage. 2011 Feb;19:86, 88, 90 passim.
This article discusses how several health care organizations used health information technology to improve organizational transparency.
ASQ Quarterly Quality Report. Milwaukee, WI: American Society of Quality; October 2008.
This report describes strategies for health care institutions to prevent never events, based on results of a 2008 survey of quality professionals.