Knowledge (XXG)

Patient safety organization

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of 34 evidence-based best practice documents which can help hospitals get closer to zero preventable in-hospital deaths when implemented in their facilities. PSMF also encourages healthcare technology companies to sign their Open Data Pledge, which 90 companies have signed to date. The Open Data Pledge asks any healthcare technology company to share the data their devices and systems generate without knowingly interfering, blocking or charging for that data. This data is critical to the industry's ability to develop accurate algorithms and processes to keep patients from harm. PSMF also has more than 60 partnerships with professional societies, associations, other global non-profits and advocacy groups to help get to zero deaths more quickly. PSMF also works closely with patients and their families. They're well known for producing short "patient story" videos that use patient voices to tell stories about preventable deaths and harm - all which are disseminated freely online for anyone to use. PSMF annually hosts its World Safety, Science & Technology Summit, which brings together all stakeholder groups to discuss solutions to the leading challenges hospitals face. At the Summit each year, PSMF recognizes influential patient safety advocates with its Humanitarian Awards, given in memory of Beau Biden and Steven Moreau.
1175:(USP) sets official standards for all prescription and over-the-counter medicines, dietary supplements, and other healthcare products manufactured and sold in the United States, but USP standards are also recognized and used in more than 130 other countries. USP operates two programs to promote patient safety. The Medication Errors Reporting Program enables healthcare professionals to report medication errors directly to USP. MEDMARX, an internet-based error and drug reaction reporting program, is designed for use in hospitals. The USP analyzes the data it receives through its reporting programs, develops professional education programs and disseminates alerts related to medication errors. The MEDMARX report released in 2007 analyzed 11,000 medication errors during surgery in 500 hospitals between 1998 and 2005. The analysis showed that medication errors that happen in the operating room or recovery areas are three times more likely to harm a patient than errors occurring in other types of hospital care. As of 2007, this was the largest known analysis of medical errors related to surgery. 475:(NHS) by encouraging voluntary reporting of medical errors, conducting analysis and initiating preventative measures. Since 2005, the NPSA has also been responsible for: safety aspects of hospital design, cleanliness and food; safe research practices through the National Research Ethics Service (NRES); and the performance of individual doctors and dentists, through the National Clinical Assessment Service (NCAS). The NPSA identifies patient safety deficiencies with the input of clinical experts and patients, develops solutions and monitors results of corrections within the NHS. Initiatives and alerts include hand hygiene, information for doctors and patients on steps to reduce the risk of error, vaccine safety and disclosure of errors to injured patients. In addition, the National Reporting and Learning System (NRLS) allows NHS employees to provide the NPSA with reports anonymously. 712:
sentinel events (patient death and injury) and near misses (medical errors with potential harm), are reported and analyzed through its subsidiary, Patient Safety International (PSI), using a software tool, the Advanced Incident Management System (AIMS). AIMS is used in over half of Australia's hospitals, and was adopted in 2005 by the New Zealand Accident Compensation Corporation and the University of Miami Medical Group in Florida. Data remains confidential is protected from legal discovery under Australian Commonwealth Quality Assurance legislation. Patient safety information is provided by electronic newsletters.
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adverse events and errors, reducing infections associated with intensive care units or surgery and improving organizational culture, leadership and expertise in measuring improvement. The goal of the initiative is a 50 per cent reduction in adverse events per 1,000 patient days for each site. In 2004, The Health Foundation selected four hospitals from across the UK to work on a ÂŁ4.3 million patient safety improvement program. These four hospitals continue to show measurable improvements in their patient safety performance, and 16 more hospitals are being selected in 2006 to join the second phase.
961:(TJC, previously abbreviated as JCAHO) is an independent, not-for-profit organization that evaluates and accredits nearly 15,000 healthcare organizations and programs in the United States. An organization must undergo an on-site survey by a Joint Commission survey team at least every three years. The scope of reviews by TJC is broad, including hospitals, home care agencies, medical equipment providers, nursing homes, rehabilitation facilities, surgical centers and medical laboratories. Passing a survey is crucial for most organizations, since accreditation by TJC is required for participation in 1010:
officially launched in November 2000 with the initial focus provided by the 1999 Institute of Medicine report – reducing preventable medical mistakes (the report recommended that large employers leverage their purchasing power for the quality and safety of health care). The "leapfrog" concept involves encouraging rapid advances in the quality and safety of health care delivered in hospitals, by public reporting of health care quality and outcomes (hospital quality ratings) to influence consumers' choices. In 2001, the initial set of quality measures were
989:, make improvements to the underlying processes, and monitor the effectiveness of the changes. Although the cause of most sentinel events is human error, changes in organizational systems will reduce the likelihood of human error in the future and protect patients from harm when human error does occur. Specific causes of sentinel events and the solutions that hospitals then used successfully to reduce risks are publicized by TJC annually. Alerts have included issues as varied as wrong site surgery, restraint deaths, 312:(WHO) launched the World Alliance for Patient Safety in October 2004. The goal was to develop standards for patient safety and assist UN member states to improve the safety of health care. The Alliance raises awareness and political commitment to improve the safety of care and facilitates the development of patient safety policy and practice in all WHO Member States. Each year, the Alliance delivers a number of programs covering systemic and technical aspects to improve patient safety around the world. 1014:(CPOE), evidence-based hospital referral, intensive care unit (ICU) staffing by physicians experienced in critical care medicine, and a "Leapfrog Safe Practices Score", based on the National Quality Forum endorsed Safe Practices. In 2023, Leapfrog now publicly reports nearly 50 measures in a variety of domains, including safe administration of medications, maternity care (including C-Section rates), pediatric CT dosage, responses to patient harm, and health equity. 642:(HCUP). The HCUP is a Federal-State-Industry partnership providing all discharge data from 994 hospitals—approximately 8 million hospital stays each year. The Nationwide Inpatient Sample is the largest all-payer inpatient care database in the United States from which national estimates of inpatient care can be derived. Using safety data from the NIS, the AHRQ has been able to provide complication rates and risk data, even for rare surgical procedures, such as 3699: 1062:, and other processes to improve teamwork and communication, participants may join clinical collaboratives, including the national CUSP/Stop BSI and CUSP/CAUTI projects focused on prevention of bloodstream infections and catheter-associated bloodstream infections. Additional initiatives include the Hand Hygiene Project, Prevention of Injury from Falls, and Hospital and Medical Offices Surveys on Patient Safety. 1089: 77: 496:(NPSA) cooperate in risk assessment of new technology, monitoring safety incidents associated with procedures, and providing solutions if adverse outcomes are reported. In addition, NICE and NPSA share reporting in areas known as "Confidential Enquiries": maternal or infant deaths, childhood deaths to age 16, deaths in persons with mental illness, and perioperative and unexpected medical deaths. 927:, IHI works to accelerate improvement by building the will for change, cultivating promising concepts for improving patient care, and helping health care systems put those ideas into action. An important heuristic of IHI is the Triple Aim. IHI advocates for organizations and communities to aim to improve population health and the experience of care while reducing per capita cost. Founder 875:
for Federally Listed Patient Safety Organizations and their member providers. AQIPS and its members are committed to implementing innovative improvement programs using the protections of the Patient Safety Act to improve patient safety, quality, clinical performance and patient outcomes with the goal of encouraging a safety culture and minimizing patient risk. (See www.AQIPS.org)
949:(USP) in cooperation with ISMP. In addition, ISMP's corporate subsidiary, Med-E.R.R.S. (Medical Error Recognition and Revision Strategies), works directly and confidentially with the pharmaceutical industry to prevent errors that stem from confusing or misleading naming, labeling, packaging, and device design. The ISMP list of error-prone abbreviations is distributed nationally. 735:. An independent non-profit corporation, the CPSI promotes solutions and collaboration among governments and stakeholders to improve patient safety, and has a five-year mandate. Areas of improvement are education, system innovation, communication, regulatory affairs and research. Together with the Institute For Safe Medication Practices Canada and Saskatchewan Health, a Canadian 134: 36: 3723: 3711: 857:(NIHR). The unit has two aims. The first is to conduct research in patient safety. The second is to make sure that the unit's findings are used in practice, to improve the welfare of people in North Lancashire and South Cumbria and throughout the National Health Service. In June 2010 the Unit's director, Professor Andrew Smith, helped launch 773:
care workers dealing with infants (neonatologists, pediatricians, nurses, medical students, and others), and promote a culture of patient safety. More detailed goals included formulating protocols and guidelines to enhance continuity of care in NICUs, conducting research on specific aspects of patient safety, and reporting adverse events.
689:(FDAAA), expanded the authority of the FDA over drug safety monitoring after approval and introduction for use by the public. In 2008, the FDA established a single website for both the public and the healthcare profession with access to drug safety information, including warnings, recalls, and reporting of adverse reactions, using 1026:(ASMSO) is a not-for-profit association established in 2006 with a mission to advance and encourage excellence in the profession of pharmacy by providing leadership, direction, education and communication among its members, to represent pharmacy in organized healthcare settings and promote the advancement of safe medication use. 4093: 1149:
and is based in Irvine, California. Over the last 7 years, PSMF has gathered 4,710 hospitals in 46 countries. These hospitals have reported saving more than 90,146 lives through their commitments. Most of these commitments align with the PSMF's Actionable Patient Safety Solutions (APSS), a collection
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Initiatives that are currently the focus of MOCPS include the People, Priorities and Learning Together (PPLT) initiative, which brings together evidence-based practices that have been part of the work of the MOCPS and Missouri Hospital Association. This approach offers options for hospitals to select
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or "best practices". By 2006, the National Guideline Clearinghouse (NGC) contained more than 1,700 disease-specific diagnosis, management and treatment recommendations, developed from current medical literature. The goal of the NGC is to provide health professionals and institutions, health plans and
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On 16 July 2007, the New Zealand State Services Minister Annette King announced that "The Government is not proceeding at this stage with legislation that would have enabled the establishment of a joint agency with Australia to regulate therapeutic products." She further advised that "The Government
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organizations are data collection, analysis, reporting, education, funding, and advocacy. A PSO differs from a Federally designed Patient Safety Organization (PSO), which provides health care providers in the U.S. privilege and confidentiality protections for efforts to improve patient safety and the
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Staggered by increasing health insurance costs, several large US companies met in 1998 to influence quality and affordability. The resulting Leapfrog Group agreed to base their purchase of health care on principles that "encourage provider quality improvement and consumer involvement". The group was
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The Alliance for Quality Improvement and Patient Safety fosters the efforts of Federally-listed Patient Safety Organizations under the Patient Safety and Quality Improvement Act of 2005 to improve patient safety and the quality of patient care delivery. AQIPS is a nonprofit professional association
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Patients for Patient Safety is part of the World Alliance for Patient Safety launched in 2004 by the WHO. The project emphasizes the central role patients and consumers can play in efforts to improve the quality and safety of healthcare around the world. PFPS works with a global network of patients,
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to inform healthcare professionals and others about medication error prevention. ISMP operates a voluntary practitioner error-reporting program to tabulate errors nationally, understand their causes, and share “lessons learned” with the healthcare community, known as the Medication Errors Reporting
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is a German non-profit association of organizations and individuals interested and involved in promotion of patient safety. APS' multidisciplinary working groups develop recommendations for patient safety activities in in- and outpatient healthcare institutions. The recommendations are available as
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The APSF is a non-profit independent organization founded in 1989 for anesthesia error monitoring, and expanded to patient incident reporting and monitoring after results from the Quality in Australian Health Care Study (QAHCS) in 1995 prompted reaction from the public. Adverse medical events, both
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The Australian Commission on Safety and Quality in Health Care (the commission) was established by the Australian, State and Territory Governments to lead and coordinate national improvements in safety and quality. The Commission replaced the Australian Council for Safety and Quality in Health Care
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In 1997, TJC began including outcomes and other performance data into the accreditation process (the "ORYX initiative"). Information gained allowed the Joint Commission to develop National Patient Safety Goals to promote specific improvements in patient safety. The Goals highlight problem areas in
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The Commission engages in collaborative work in patient safety and healthcare quality that benefits from national coordination. This includes the development of the Australian Charter of Healthcare Rights and the National Safety and Quality Health Service Standards, improving areas such as patient
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At the Fifty-Ninth World Health Assembly in May 2006, the Secretariat reported that the Alliance held patient safety meetings in five of the six WHO regions and 40 technical workshops in 18 countries. Since the launch of the Alliance in October 2004, significant progress was achieved in six areas:
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is a not-for-profit corporation created to help eradicate hospital-acquired infections. Its goal is to instigate a national change in ideology and practices within the healthcare environment in regard to hand hygiene, by emphasizing well-established methods proven to result in safer patient care.
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The Egyptian Neonatal Safety Training Network (ENSTN) originated from a 2013 project funded by Tempus. The main objective was to develop and support an organization that would establish high standards of practice in neonatal intensive care units (NICUs), inform and train the whole range of health
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is an independent organization that produces guidance on public health, health technologies and clinical practice in England and Wales. NICE has three centers of excellence. The Centre for Public Health Excellence develops public health guidance, with information for patients on the diagnosis and
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The Council on Surgical & Perioperative Safety (CSPS) was founded in August 2007 and is incorporated in the State of Illinois. The CSPS is a unique coalition of seven professional organizations representing the entire spectrum of the surgical team. Its voting member organizations include the
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Based in London, England, the Health Foundation is an independent charity that aims to improve the quality of health care for the people of the United Kingdom. The Safer Patients Initiative, one of the Foundation's quality and performance improvement programs, targets reducing medication-related
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The Institute for Safe Medication Practices Canada (ISMP) is an independent national non-profit agency that reviews and analyzes medication incident and near-miss reports. In collaboration with the Canadian Institute for Health Information (CIHI), and Health Canada, ISMP established the Canadian
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On July 29, 2005, the United States Congress established guidelines for Patient Safety Organizations under the Patient Safety Quality Act of 2005. The focus of the legislation is to provide incentives for clinicians to participate in voluntary initiatives to improve the outcomes of patient care,
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Other key areas of work for the Commission include National Health Service accreditation, recognizing and responding to clinical deterioration, patient centered care, safety and quality in mental health and primary care and the development of national safety and quality indicators as part of the
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In December 2003, the Australian and New Zealand Governments signed an agreement to establish a joint regulatory organization for therapeutic products. The Australia New Zealand Therapeutic Products Authority (ANZTPA) will replace the Australian Therapeutic Goods Administration (TGA) and the New
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The Therapeutic Goods Administration (TGA) is a unit of the Australian Government Department of Health and Ageing. The TGA approves and monitors prescription and non-prescription drugs (including herbal products), medical supplies and devices and blood and biological products. Risks to users are
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site that contains profiles of hundreds of patient safety programs that have been implemented in hospitals and other health care settings across the United States. The goal of the site is to document and share these innovations with other organizations that can adapt them in different settings,
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It was designed for medication safety officers with the goal to provide an open forum for information sharing and collaboration. ASMSO was acquired by the Institute for Safe Medication Practices (ISMP) in 2013 and was renamed the Medication Safety Officers Society (MSOS). Membership in MSOS is
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In 2005, TJC established an International Center for Patient Safety to collaborate with international patient safety organizations to identify, develop and share safety solutions, conduct joint research, and advocate public policy changes. Educational materials to help patients prevent medical
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The Food and Drug Administration is an agency of the United States government that regulates food, drugs, medical devices and biological products for human use. The FDA receives medication error reports on marketed human drugs from direct contacts and manufacturer's reports, and in 1992, began
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called for a broad national effort to prevent these events, including the establishment of patient safety centers, expanded reporting of adverse events, and development of safety programs in healthcare organizations. Although many PSOs are funded and run by governments, others have sprung from
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In its role primarily as a coordination and facilitation body, the Commission utilizes evidence and data and the experience, enthusiasm and commitment of consumers, clinicians, managers and other stakeholders to influence the system to make changes for the safety and quality of health care in
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does not have the numbers in Parliament to put in place a sensible, acceptable compromise that would satisfy all parties at this time. The Australian Government has been informed of the situation and agrees that suspending negotiations on the joint authority is a sensible course of action."
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and analyzing the root causes has been a focus of TJC since 1996; the first eight alerts were published in 1998. The Commission defines a sentinel event as "any unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof." The health care facility
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and the Institute for Healthcare Improvement (IHI) began working together as one organization. The merged entity is committed to using its combined knowledge and resources to focus and energize the patient safety agenda in order to build systems of safety across the continuum of care.
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Advisory Commission on Consumer Protection and Quality in the Health Care Industry completed its work on March 12, 1998. Its final report. entitled "Quality First: Better Health Care for All Americans," recommends the following characteristics of a patient safety organization:
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components of the initiative to fit their own unique needs for quality and safety efforts, providing options to select components of most value to the individual hospital. In addition to opportunities to learn the Comprehensive Unit-based Safety Program (CUSP), TeamSTEPPS,
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The Patient Safety Movement Foundation (PSMF) is a commitments-based global non-profit that has a bold goal to achieve ZERO preventable deaths in hospitals. PSMF works with partners in more than 50 countries worldwide. The organization was founded in 2012 by
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treatment of specific illnesses and conditions. The Centre for Health Technology Evaluation recommends medicines and evaluates the safety and efficacy of procedures within the National Health Service. The Centre for Clinical Practice develops evidence-based
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The Institute for Safe Medication Practices (ISMP), based in suburban Philadelphia, is a nonprofit organization devoted to preventing medication errors and the safe use of medications. Its medication error prevention efforts began in 1975 with a column in
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health care purchasers an accessible mechanism for obtaining objective clinical practice guidelines. Adoption of guidelines has been slowed by physician and hospital concerns that practice guidelines threaten physician autonomy and authority, fuel
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Zealand Medicines and Medical Devices Safety Authority (Medsafe), and be accountable to the Australian and New Zealand Governments. Implementing legislation is scheduled for introduction into both countries' parliaments in July 2006.
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Rohe, Julia; Heinrich, Andrea Sanguino; Fishman, Liat; Renner, Daniela; Thomeczek, Christian (2010). "15 Jahre ÄZQ – 10 Jahre Patientensicherheit am ÄZQ" [After 15 years of ÄZQ: 10 years of safety for patients].
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and open disclosure, and reducing healthcare associated infection. The commission has also developed the National Safety and Quality Framework to improve the safety and quality of the Australian health system.
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report commissioned by the FDA found that its drug safety system is limited by inadequate funding, insufficient regulatory authority, and a lack of oversight by experts free of pharmaceutical industry ties.
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Medication Incident Prevention and Reporting System (CMIRPS) in 2003. ISMP takes the lead role in collecting reports from health practitioners, analyzing incidents, and disseminating preventative methods.
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of 2005. ECRI Institute Patient Safety Organization serves nationwide as a PSO directly for providers, hospitals, and health systems as well as provide support services to state and regional PSOs.
1042:(MOCPS) is a Federally designated Patient Safety Organization (PSO)fostering change throughout Missouri's health care delivery systems and across the continuum of care. It was established by the 977:, and improving hospital staff communication. In addition, the Joint Commission created a "do not use" list of abbreviations in 2004 to avoid acronyms and symbols that lead to misinterpretation. 379:(ADRAC) of the TGA; reporting by medical professionals and consumers is voluntary. ADRAC notifies medical professionals and the public through recalls and alerts on its website and publications. 436:
The Commission aims to reduce avoidable deaths and harm, reduce wastage, and make the best use of the health dollar. It works towards the New Zealand Triple Aim for quality improvement:
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The effectiveness of the FDA's drug safety monitoring procedures was called into question after several approved drugs were shown to have serious side effects. In September 2006, an
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documents and distributed in healthcare institutions for free. APS acting together with the German Agency for Quality in Medicine is a Lead Technical Agency of the High 5 Project.
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In 2001, the US Congress responded to the IOM recommendation to create a National Center for Patient Safety by allocating $ 50 million annually for patient safety research to the
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In 2005, AHRQ provided links to a compendium of 140 research articles, implementation programs and tools and products used to improve patient safety, sponsored jointly with the
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Commission programs include medication safety, infection prevention and control, reportable events, consumer engagement and participation, and mortality review committees.
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The FDA launched a new program in 2005 to provide drug risk information directly to the public through internet-accessible drug sheets and bulletins. The enactment of the
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and some state and private health care programs. Since the accreditation rate is over 90%, there have been questions raised regarding the effectiveness of these surveys.
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provide information about the underlying causes of errors in the delivery of health care, and to disseminate this information in order to speed the pace of improvement.
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Be located in an entity that does not have public or private regulatory responsibilities (i.e., it should not be a licensing, accrediting, or compliance entity).
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in several countries revealed a staggering number of patient injuries and deaths each year due to avoidable errors and deficiencies in health care, among them
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assessed prior to product introduction, and manufacturers are regularly audited for efficacy, quality and safety. Manufacturers are required to report
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under the New Zealand Public Health and Disability Act 2000 to lead and co-ordinate work across the health and disability sector for the purposes of:
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to support patient involvement in patient safety programs, both within countries and in the global programs of the World Alliance for Patient Safety.
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A patient involvement group, Patients for Patient Safety, built networks of patients’ organizations from around the world, through regional workshops.
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campaign, aimed at reducing error-related injuries by focusing on six evidence-based measures and through over 200 local organizations, based on the
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Fixing Drug Safety System Will Require 'New Drug' Symbol on Labels, Major Boost in FDA Staff and Funding, and Increased Public Access to Information
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Framework is offered to healthcare organizations to analyze the contributing factors that led to a critical incident or close call.
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Be linked with initiatives for conducting interdisciplinary research and demonstrations addressing healthcare quality improvement.
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AQUMED was one of the first German organizations calling for effective patient safety programs. The agency was co-founder of the
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The AHRQ, in partnership with data organizations in 37 states, sponsors the Nationwide Inpatient Sample (NIS), a database of the
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The First Global Patient Safety Challenge, which for 2005–2006 (addressing health care-associated infection) developed the
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WHO guidelines on hand hygiene in health care : first global patient safety challenge : clean care is safer care
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health care and describe evidence-based solutions. Examples include prevention of falls, patient identification, reducing
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The Patient Safety Commissioner (PSC) was appointed on 13 July 2022 and took up her post officially on 12 September 2022
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On November 5, 2008, ECRI Institute PSO was officially listed as a federal Patient Safety Organization under the
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Ollenschläger, G. (2001), "Medizinische Risiken, Fehler und Patientensicherheit. Zur Situation in Deutschland",
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Agency for Healthcare Research and Quality: The Patient Safety and Quality Improvement Act of 2005 (June 2006):
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Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2008
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Have mechanisms for communicating with a variety of healthcare entities, facilities, providers, and plans.
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monitoring medication error reports that are forwarded from the United States Pharmacopeia (USP) and the
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Raise awareness and inform the public, health professionals, providers, purchasers, and employers.
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Design and conduct pilot projects to study safety initiatives, including monitoring of results.
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The New Zealand Health Quality & Safety Commission was established in November 2010 as a
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allowing the adopters to base their quality improvement plans on previously tested methods.
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for clinicians on the appropriate treatment of people with specific diseases. NICE and the
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Advances in Patient Safety: From Research to Implementation (Current as of February 2005)
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monitoring and improving the quality and safety of health and disability support services
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Guidelines for Clinical Practice: From Development to Use (Institute of Medicine, 1992)
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Guidelines for Clinical Practice: From Development to Use (Institute of Medicine, 1992)
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helping providers across the whole sector to improve the quality and safety of services.
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A WHO Collaborating Centre was established to develop and disseminate safety solutions.
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It may require cleanup to comply with Knowledge (XXG)'s content policies, particularly
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World Health Organization - Europe. Health Evidence Network (HEN). Technical Members:
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continues to serve on the Board of Directors, Kedar Mate serves as president and CEO.
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Advisory Commission on Consumer Protection and Quality in the Health Care Industry:
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Obesity Surgery Complication Rates Higher Over Time. Press Release, July 24, 2006.
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in response to recommendations from the Governor's Commission for Patient Safety.
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The German Coalition for Patient Safety (APS), established in 2005 and located in
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arising from poor infection control. In the United States, a 1999 report from the
2376:"Hospital Survey Measures | Hospital and Surgery Center Ratings | Leapfrog Group" 222:) is a group, institution, or association that improves medical care by reducing 4370: 4325: 3784: 3665: 3362: 3060: 2969: 2932: 2320:
http://www.jcipatientsafety.org/show.asp?durki=9751&site=165&return=9368
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errors, sentinel event alerts and other resources are provided on the internet.
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The Unit was founded in January 2008 and is a collaborative venture between the
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Therapeutic Goods Administration and Adverse Drug Reactions Advisory Committee
17: 1607: 1579: 534:
As implementation of the Patient Safety Commissioner for Scotland Act 2023 a
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Tommy G. Thompson, Secretary, U.S. Department of Health and Human Services:
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Agency for Healthcare Research and Quality: PSO Overview (February 2008):
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The WHO Draft Guidelines on Adverse Event Reporting and Learning Systems.
337:
Prevalence studies conducted on patient harm in ten developing countries.
286:
Conduct fundraising and provide funding for research and safety projects.
2248:"ISMP list of error-prone abbreviations, symbols, and dose designations" 1763: 1336:. Geneva, Switzerland: World Health Organization, Patient Safety. 2009. 2927: 2479:(Press release). Centers for Disease Control and Prevention. 2005-04-21 1937: 1906: 1566: 1544: 1297: 2198: 2181: 4221: 3222: 2066:
Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen
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private entities such as industry, professional and consumer groups.
2497: 1918: 1379:"Draft Guidelines for Adverse Event Reporting and Learning Systems" 985:
experiencing the sentinel event is expected to complete a thorough
623:(CDC) and its National Electronic Disease Surveillance System, the 3384: 2399: 2332: 1444: 1254: 504:
As implementation of the Medicines and Medical Devices Act 2021 a
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The National Institute for Health and Clinical Excellence (NICE)
888:, the American Association of Surgical Physician Assistants, the 4124:
Biodefense and Pandemic Vaccine and Drug Development Act of 2005
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Collect data on the prevalence and individual details of errors.
3875: 3743: 2571: 2477:"Infection Control: Frequently Asked Questions on Hand Hygiene" 2412:"Missouri Center for Patient Safety - Your Health Matters Most" 2180:
Merry, Alan F.; Shuker, Carl; Hamblin, Richard (October 2017).
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The Helsinki Declaration for Patient Safety in Anaesthesiology
493: 127: 70: 29: 1783:
The Institute of Medicine (News Release, September 22, 2006)
1022:
The Medication Safety Officers Society formerly known as The
853:. It is funded by the UK National Health Service through the 1949: 1474:
Australian Commission on Safety and Quality in Health Care:
671: 308:
In response to a 2002 World Health Assembly Resolution, the
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Committee on the Environment, Public Health and Food Safety
2537:"Medication Errors During Surgeries Particularly Dangerous" 1837:"The safety of Australian healthcare: 10 years after QAHCS" 27:
Group that improves medical care by reducing medical errors
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created in July 2001 to improve patient safety within the
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Australian Commission on Safety and Quality in Health Care
334:
was developed to classify data on patient safety problems.
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To achieve their goals, patient safety organizations may
2447: 1766:. Agency for Healthcare Research and Quality. 2013-05-01 2562: 1030:
currently free to all interested parties who register.
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Be located in an entity that is credible and respected.
511:"Medicines and Medical Devices Act 2021: Section 1" 151: 1443:
Australia New Zealand Therapeutic Products Authority:
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To Err Is Human: Building a Safer Health System (1999)
235:(see 42 U.S.C. 299b-21 et seq. and www.PSO.AHRQ.gov.) 85:
A major contributor to this article appears to have a
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National Institute for Health and Clinical Excellence
479:
National Institute for Health and Clinical Excellence
277:
Propose and disseminate methods for error prevention.
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Ross McL Wilson and Martin B Van Der Weyden (2005).
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Reducing Medical Errors and Improving Patient Safety
1513:"Patient Safety Commissioner: Annual Report 2022-23" 1500:
Providing national guidance on promoting good health
162:, and by adding encyclopedic content written from a 4699: 4657: 4430: 4384: 4313: 4260: 4231: 4173: 4137: 4079: 3971: 3940: 3909: 3823: 3775: 3628: 3587: 3474: 3463: 3400: 3325: 3241: 3169: 3074: 2879: 2605: 1810:
Food and Drug Administration Amendments Act of 2007
1723:Agency for Healthcare Research and Quality (AHRQ): 1594:
Quality First: Better Health Care for All Americans
870:
Alliance for Quality Improvement and Patient Safety
687:
Food and Drug Administration Amendments Act of 2007
4104:Countermeasures Injury Compensation Program (CICP) 2364:Hospital Care National Performance Measures (2002) 1659:Medical Review Criteria and Managing Benefit Costs 417:New Zealand Health Quality & Safety Commission 4762:Shoulder injury related to vaccine administration 4088:Cedillo v. Secretary of Health and Human Services 1764:"About the AHRQ Health Care Innovations Exchange" 1692:Overview of the Nationwide Inpatient Sample (NIS) 1545:Patient Safety Commissioner for Scotland Act 2023 2398:American Society of Medication Safety Officers: 1580:Highlights of the Notice of Proposed Rule-making 1464:Therapeutics Products and Medicines Bill on hold 790:is a not-profit organization, which coordinates 289:Advocate for regulatory and legislative changes. 4474:Association of American Physicians and Surgeons 4278:Joint Committee on Vaccination and Immunisation 1936:Institute for Safe Medication Practices Canada 855:National Institute for Health and Care Research 847:University Hospitals of Morecambe Bay NHS Trust 728:Institut canadien pour la sĂ©curitĂ© des patients 612:insurers to curtail patient care expenditures. 440:improved quality, safety and experience of care 4268:National Immunization Technical Advisory Group 1902:Institut canadien sur la sĂ©curitĂ© des patients 1627:Practice guidelines and liability implications 1424:Therapeutic Goods Administration (Australia): 1024:American Society of Medication Safety Officers 894:Association of periOperative Registered Nurses 754:Institute for Safe Medication Practices Canada 446:best value for public health system resources. 443:improved health and equity for all populations 3887: 3755: 2583: 2271:"Accreditors Blamed for Overlooking Problems" 1597:(March 12, 1998), Retrieved on July 11, 2006. 725:The Canadian Patient Safety Institute (CPSI, 576:Have the ability to collect and analyze data. 322:WHO Guidelines on Hand Hygiene in Health Care 8: 4484:Children's Medical Safety Research Institute 4454:Children's Medical Safety Research Institute 4273:Advisory Committee on Immunization Practices 4099:National Vaccine Injury Compensation Program 1900: 1703:Agency for Healthcare Research and Quality: 1690:Agency for Healthcare Research and Quality: 1606:Agency for Healthcare Research and Quality: 879:Council on Surgical and Perioperative Safety 726: 4494:New Jersey Coalition for Vaccination Choice 4459:New Jersey Coalition for Vaccination Choice 2448:"Missouri State Medical Association - Home" 64:Learn how and when to remove these messages 4645:Warnings About Vaccination Expectations NZ 4620: 4611:National League for Liberty in Vaccination 4596: 4562: 4523: 4434: 4052: 3894: 3880: 3872: 3861: 3827: 3762: 3748: 3740: 3545:Centers for Disease Control and Prevention 3471: 2590: 2576: 2568: 1950:"Egyptian Neontal Safety Training NetWork" 1112:. Please do not remove this message until 910:Patient Safety and Quality Improvement Act 904:ECRI Institute Patient Safety Organization 886:American Association of Nurse Anesthetists 625:Centers for Medicare and Medicaid Services 621:Centers for Disease Control and Prevention 593:Agency for Healthcare Research and Quality 587:Agency for Healthcare Research and Quality 508:for England was appointed on 12 July 2022. 3505:Centre for Disease Prevention and Control 3495:Center for Disease Control and Prevention 2245:Institute for Safe Medication Practices: 2197: 2039: 1999: 1132:Learn how and when to remove this message 768:Egyptian Neonatal Safety Training Network 377:Adverse Drug Reactions Advisory Committee 200:Learn how and when to remove this message 182:Learn how and when to remove this message 116:Learn how and when to remove this message 2117:Lancaster Patient Safety Research Unit: 1954:Egyptian Neontal Safety Training NetWork 1408:"WHO | Patients for patient safety" 1108:Relevant discussion may be found on the 921:The Institute for Healthcare Improvement 536:Patient Safety Commissioner for Scotland 4041:Measles resurgence in the United States 3842:1990–1991 Philadelphia measles outbreak 3550:Health departments in the United States 2333:International Center For Patient Safety 2226:Institute for Safe Medication Practices 2014:Hoffmann, Barbara; Rohe, Julia (2010). 1625:American College of Surgeons Bulletin: 1235: 935:Institute for Safe Medication Practices 672:Institute for Safe Medication Practices 640:Healthcare Cost and Utilization Project 4671:Vaccine Adverse Event Reporting System 4305:Northern Rivers Vaccination Supporters 3555:Council on Education for Public Health 2119:Lancaster Patient Safety Research Unit 1887:Australian Patient Safety Foundation: 841:Lancaster Patient Safety Research Unit 143:contains content that is written like 4119:National Childhood Vaccine Injury Act 3613:Professional degrees of public health 3520:Ministry of Health and Family Welfare 1968:German Agency for Quality in Medicine 898:American Society of Anesthesiologists 788:German Agency for Quality in Medicine 782:German Agency for Quality in Medicine 658:AHRQ Health Care Innovations Exchange 7: 4577:Australian Vaccination-risks Network 3710: 3603:Bachelor of Science in Public Health 2563:Improvement Science Research Network 1608:The National Guideline Clearinghouse 1210:Improvement Science Research Network 916:Institute for Healthcare Improvement 707:Australian Patient Safety Foundation 4752:Anti-vaccinationism in chiropractic 4489:National Vaccine Information Center 4469:Anti-Vaccination Society of America 4295:Strategic Advisory Group of Experts 4067:Mumps outbreaks in the 21st century 3722: 2871:Workers' right to access the toilet 2712:Human right to water and sanitation 2182:"Patient safety and the Triple Aim" 1899:Canadian Patient Safety Institute ( 1279:from the original on 26 August 2015 810:German Coalition for Patient Safety 800:German Coalition for Patient Safety 523:, 2021-02-11, 2021 c. 3 (s. 1) 400:identification, medication safety, 3800:Oral polio vaccine AIDS hypothesis 3790:Blood-injection-injury type phobia 2416:Missouri Center for Patient Safety 2020:Deutsches Ă„rzteblatt International 1853:10.5694/j.1326-5377.2005.tb06694.x 1823:Postmarket Drug Safety Information 1821:[US Food and Drug Administration: 1410:. January 21, 2005. Archived from 1079:Patient Safety Movement Foundation 1072:National Patient Safety Foundation 1066:National Patient Safety Foundation 1048:Missouri State Medical Association 1040:Missouri Center for Patient Safety 1034:Missouri Center for Patient Safety 1018:Medication Safety Officers Society 1012:computerized physician order entry 794:quality programs. In the field of 348:Patients for Patient Safety (PFPS) 25: 3144:Commercial determinants of health 1796:US Food and Drug Administration: 1365:Patient Safety Information Centre 742:In April 2005, CPSI launched the 721:Canadian Patient Safety Institute 629:Quality improvement organizations 409:information strategies activity. 304:World Alliance for Patient Safety 45:This article has multiple issues. 4788:Medical and health organizations 4747:Alternative vaccination schedule 4538:National Anti-Vaccination League 3917:Democratic Republic of the Congo 3852:2018 Madagascar measles outbreak 3721: 3709: 3698: 3697: 2727:National public health institute 2535:Gardner, Amanda (6 March 2007). 1808:US Government Printing Office: 1511:Hughes, Henrietta (2023-07-13). 1249:. The National Academies Press. 1087: 945:Program (MERP), operated by the 233:quality of patient care delivery 132: 96:. Please discuss further on the 75: 34: 4732:2000 Simpsonwood CDC conference 4464:Informed Consent Action Network 3941:1,000 to 10,000 confirmed cases 3124:Open-source healthcare software 2866:Sociology of health and illness 2269:Gaul, Gilbert M. (2005-07-25). 1737:Ireland, Belinda (2013-04-02). 1397:(2005), retrieved July 15, 2006 53:or discuss these issues on the 4727:Vaccine-induced seropositivity 4587:Informed Medical Options Party 4504:The Autism Community in Action 3485:Caribbean Public Health Agency 3297:Sexually transmitted infection 3194:Statistical hypothesis testing 2955:Occupational safety and health 2856:Sexual and reproductive health 2769:Occupational safety and health 1488:National Patient Safety Agency 1243:Institute of Medicine (1999). 494:National Patient Safety Agency 465:National Patient Safety Agency 459:National Patient Safety Agency 1: 4165:Vaccine Information Statement 3847:2013 Swansea measles epidemic 3139:Social determinants of health 2517:Practitioners' Reporting News 2295:National Patient Safety Goals 1787:. Retrieved 26 September 2006 1646:Concerns about Tort Liability 1522:. Patient Safety Commissioner 1462:NZ Government Media Release: 1044:Missouri Hospital Association 3199:Analysis of variance (ANOVA) 2960:Human factors and ergonomics 2515:United States Pharmacopeia: 2496:United States Pharmacopeia: 1841:Medical Journal of Australia 890:American College of Surgeons 665:Food and Drug Administration 633:Food and Drug Administration 469:NHS special health authority 270:Analyze sources of error by 4553:Pioneer Club (women's club) 4514:World Chiropractic Alliance 4285:Patient safety organization 4203:Melanie's Marvelous Measles 3903:2019–2020 measles outbreaks 3380:Good manufacturing practice 3184:Randomized controlled trial 1988:Schweizerische Ă„rztezeitung 1825:. Retrieved 21 October 2008 1812:. Retrieved 21 October 2008 1520:Patient Safety Commissioner 1445:Introduction to the project 1376:World Health Organization: 1363:World Health Organization: 1296:World Health Organization: 1114:conditions to do so are met 656:In 2008, AHRQ launched the 506:Patient Safety Commissioner 500:Patient Safety Commissioner 353:consumers, caregivers, and 216:patient safety organization 4809: 4742:Vaccine-associated sarcoma 4676:Number needed to vaccinate 4635:Stop Mandatory Vaccination 4582:Church of Conscious Living 3910:>10,000 confirmed cases 3450:Theory of planned behavior 3375:Good agricultural practice 3280:Public health surveillance 3172:epidemiological statistics 2816:Public health intervention 2138:"About ECRI Institute PSO" 2078:10.1016/j.zefq.2010.08.002 1173:United States Pharmacopeia 1167:United States Pharmacopeia 947:United States Pharmacopeia 294:Governmental organizations 4630: 4623: 4606: 4599: 4572: 4565: 4533: 4526: 4509:Texans for Vaccine Choice 4479:Children's Health Defense 4444: 4437: 4431:Anti-vaxxer organizations 4385:Anti-vaxxer personalities 4138:Vaccine safety procedures 4062: 4055: 4037: 3972:<1,000 confirmed cases 3871: 3864: 3837: 3830: 3693: 3572:World Toilet Organization 3567:World Health Organization 3134:Public health informatics 2841:Right to rest and leisure 2670:Globalization and disease 2380:ratings.leapfroggroup.org 2186:Internal Medicine Journal 2100:Safer Patients Initiative 2032:10.3238/arztebl.2010.0092 1486:National Health Service: 1367:, retrieved July 15, 2006 1300:, retrieved July 15, 2006 697:Independent organizations 617:Health and Human Services 538:will be appointed by the 361:Australia and New Zealand 310:World Health Organization 299:World Health Organization 4717:Vaccination and religion 4439:United States of America 3618:Schools of public health 3410:Diffusion of innovations 3109:Health impact assessment 2821:Public health laboratory 2717:Management of depression 2362:National Quality Forum: 2259:Retrieved 12 August 2006 1727:Retrieved 12 August 2006 997:and patient abductions. 4499:Palmetto Family Council 4160:Vaccine Safety Datalink 3805:Thiomersal and vaccines 3681:Social hygiene movement 3608:Doctor of Public Health 3440:Social cognitive theory 3242:Infectious and epidemic 3024:Fecal–oral transmission 2498:Patient Safety Programs 2001:10.4414/saez.2001.08273 1714:Retrieved July 24, 2006 1694:Retrieved July 24, 2006 615:Under the Secretary of 473:National Health Service 4290:Brighton Collaboration 4109:Vaccine Damage Payment 3795:MMR vaccine and autism 3676:Germ theory of disease 3455:Transtheoretical model 2098:The Health Foundation 1917:Safer Healthcare Now! 1901: 1798:Drug Safety Initiative 1426:Drug recall and alerts 748:100,000 lives campaign 727: 653:(DoD)-Health Affairs. 355:consumer organizations 226:. Common functions of 4737:Vaccine adverse event 4691:Immunization registry 4640:Vaccine Choice Canada 4402:Robert F. Kennedy Jr. 4300:Immunization Alliance 4244:Dengvaxia controversy 3560:Public Health Service 3445:Social norms approach 3435:PRECEDE–PROCEED model 2881:Preventive healthcare 2774:Pharmaceutical policy 2623:Chief Medical Officer 1569:. Accessed 2008-04-08 1548:as amended (see also 1542:Scottish Parliament. 957:Founded in 1951, the 925:Boston, Massachusetts 832:The Health Foundation 786:Based in Berlin, the 744:Safer Healthcare Now! 679:Institute of Medicine 651:Department of Defense 608:liability, and allow 521:The National Archives 252:Institute of Medicine 164:neutral point of view 94:neutral point of view 4145:Vaccine vial monitor 4129:Operation Warp Speed 3636:Sara Josephine Baker 3535:Public Health Agency 3420:Health communication 3285:Disease surveillance 3251:Asymptomatic carrier 3233:Statistical software 2921:Preventive nutrition 2749:Medical anthropology 2638:Environmental health 2343:The Leapfrog Group: 1220:Pharmacy informatics 953:The Joint Commission 851:Lancaster University 373:adverse drug effects 4548:Humanitarian League 3810:Vaccines and autism 3646:Carl Rogers Darnall 3641:Samuel Jay Crumbine 3415:Health belief model 3268:Notifiable diseases 3204:Regression analysis 3039:Waterborne diseases 2628:Cultural competence 2541:The Washington Post 2275:The Washington Post 1582:Accessed 2008-06-08 1205:Iatrogenic disorder 1101:of this section is 987:root cause analysis 971:hospital infections 737:Root Cause Analysis 563:President Clinton's 540:Scottish Government 490:clinical guidelines 272:root cause analysis 156:promotional content 4686:Yellow Card Scheme 4422:Ethan Lindenberger 4392:Taylor Winterstein 4376:Michael Pichichero 4361:H. Vasken Aposhian 4114:Vaccination policy 3824:Disease resurgence 3244:disease prevention 3179:Case–control study 2851:Security of person 2700:Health care reform 2522:2006-07-12 at the 2503:2006-07-10 at the 2350:2006-07-09 at the 2318:Joint Commission { 2305:Joint Commission 2124:2018-03-18 at the 2105:2006-07-03 at the 1973:2011-05-31 at the 1924:2009-01-26 at the 1710:2006-08-13 at the 1677:2016-11-04 at the 1632:2006-09-26 at the 1613:2006-07-15 at the 1554:legislation.gov.uk 1450:2006-07-17 at the 1431:2009-05-13 at the 1190:Health informatics 1160:Safe Care Campaign 1154:Safe Care Campaign 1005:The Leapfrog Group 516:legislation.gov.uk 158:and inappropriate 4775: 4774: 4653: 4652: 4619: 4618: 4595: 4594: 4561: 4560: 4522: 4521: 4174:Anti-vaxxer media 4075: 4074: 4051: 4050: 4047: 4046: 3999:Pacific Northwest 3860: 3859: 3815:Vaccines and SIDS 3777:Vaccine hesitancy 3737: 3736: 3689: 3688: 3599:Higher education 3430:Positive deviance 3425:Health psychology 3401:Health behavioral 3328:safety management 3302:Social distancing 3076:Population health 3056:Smoking cessation 3004:Pharmacovigilance 2975:Injury prevention 2943:Infection control 2861:Social psychology 2811:Prisoners' rights 2754:Medical sociology 2722:Public health law 2618:Biological hazard 2331:Joint Commission 2307:"do not use" list 2293:Joint Commission 2253:. 2 October 2017. 2199:10.1111/imj.13563 2192:(10): 1103–1106. 1343:978-92-4-159790-6 1264:978-0-309-26174-6 1142: 1141: 1134: 995:medication errors 942:Hospital Pharmacy 644:bariatric surgery 402:clinical handover 330:A patient safety 210: 209: 202: 192: 191: 184: 126: 125: 118: 89:with its subject. 68: 16:(Redirected from 4800: 4712:Vaccine shedding 4707:Vaccine efficacy 4621: 4597: 4563: 4543:Homeopathy Plus! 4524: 4435: 4412:Andrew Wakefield 4252:MMR autism fraud 4196:Hear the Silence 4189:The Greater Good 4053: 3896: 3889: 3882: 3873: 3862: 3828: 3764: 3757: 3750: 3741: 3725: 3724: 3713: 3712: 3701: 3700: 3595:Health education 3472: 3326:Food hygiene and 3307:Tropical disease 3119:Infant mortality 3094:Community health 2970:Controlled Drugs 2906:Health promotion 2836:Right to housing 2680:Health economics 2592: 2585: 2578: 2569: 2551: 2550: 2548: 2547: 2532: 2526: 2513: 2507: 2494: 2488: 2487: 2485: 2484: 2473: 2467: 2462: 2456: 2455: 2444: 2438: 2437: 2426: 2420: 2419: 2408: 2402: 2396: 2390: 2389: 2387: 2386: 2372: 2366: 2360: 2354: 2341: 2335: 2329: 2323: 2322:Sentinel Events} 2316: 2310: 2309:of abbreviations 2303: 2297: 2291: 2285: 2284: 2282: 2281: 2266: 2260: 2258: 2254: 2252: 2243: 2237: 2236: 2234: 2232: 2218: 2212: 2211: 2201: 2177: 2171: 2170: 2159: 2153: 2152: 2150: 2148: 2134: 2128: 2115: 2109: 2096: 2090: 2089: 2060: 2054: 2053: 2043: 2011: 2005: 2004: 2003: 1983: 1977: 1964: 1958: 1957: 1946: 1940: 1934: 1928: 1915: 1909: 1904: 1897: 1891: 1885: 1879: 1878: 1876: 1875: 1832: 1826: 1819: 1813: 1806: 1800: 1794: 1788: 1781: 1775: 1774: 1772: 1771: 1760: 1754: 1753: 1751: 1750: 1741:. 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296: 261: 206: 195: 194: 193: 188: 177: 171: 168: 149: 137: 133: 122: 111: 105: 102: 91: 80: 76: 39: 35: 28: 23: 22: 15: 12: 11: 5: 4806: 4804: 4796: 4795: 4793:Patient safety 4790: 4780: 4779: 4773: 4772: 4770: 4769: 4764: 4759: 4754: 4749: 4744: 4739: 4734: 4729: 4724: 4722:Marker vaccine 4719: 4714: 4709: 4703: 4701: 4697: 4696: 4694: 4693: 4688: 4683: 4678: 4673: 4667: 4665: 4655: 4654: 4651: 4650: 4648: 4647: 4642: 4637: 4631: 4628: 4627: 4624: 4617: 4616: 4614: 4613: 4607: 4604: 4603: 4600: 4593: 4592: 4590: 4589: 4584: 4579: 4573: 4570: 4569: 4566: 4559: 4558: 4556: 4555: 4550: 4545: 4540: 4534: 4531: 4530: 4528:United Kingdom 4527: 4520: 4519: 4517: 4516: 4511: 4506: 4501: 4496: 4491: 4486: 4481: 4476: 4471: 4466: 4461: 4456: 4451: 4449:Learn The Risk 4445: 4442: 4441: 4438: 4432: 4428: 4427: 4425: 4424: 4419: 4417:Jenny McCarthy 4414: 4409: 4407:Joseph Mercola 4404: 4399: 4394: 4388: 4386: 4382: 4381: 4379: 4378: 4373: 4368: 4363: 4358: 4353: 4348: 4343: 4338: 4333: 4328: 4323: 4317: 4315: 4311: 4310: 4308: 4307: 4302: 4297: 4292: 4287: 4282: 4281: 4280: 4275: 4264: 4262: 4258: 4257: 4255: 4254: 4246: 4241: 4235: 4233: 4229: 4228: 4226: 4225: 4218: 4211: 4206: 4199: 4192: 4185: 4177: 4175: 4171: 4170: 4168: 4167: 4162: 4157: 4152: 4147: 4141: 4139: 4135: 4134: 4132: 4131: 4126: 4121: 4116: 4111: 4106: 4101: 4096: 4091: 4083: 4081: 4077: 4076: 4073: 4072: 4070: 4069: 4063: 4060: 4059: 4056: 4049: 4048: 4045: 4044: 4038: 4035: 4034: 4032: 4031: 4019: 4006: 3996: 3986: 3975: 3973: 3969: 3968: 3966: 3965: 3955: 3944: 3942: 3938: 3937: 3935: 3934: 3924: 3913: 3911: 3907: 3906: 3901: 3899: 3898: 3891: 3884: 3876: 3869: 3868: 3865: 3858: 3857: 3855: 3854: 3849: 3844: 3838: 3835: 3834: 3831: 3825: 3821: 3820: 3818: 3817: 3812: 3807: 3802: 3797: 3792: 3787: 3781: 3779: 3773: 3772: 3770:Vaccine safety 3769: 3767: 3766: 3759: 3752: 3744: 3735: 3734: 3732: 3731: 3719: 3707: 3694: 3691: 3690: 3687: 3686: 3684: 3683: 3678: 3673: 3668: 3663: 3658: 3653: 3648: 3643: 3638: 3632: 3630: 3626: 3625: 3623: 3622: 3621: 3620: 3615: 3610: 3605: 3597: 3591: 3589: 3585: 3584: 3582: 3581: 3574: 3569: 3564: 3563: 3562: 3557: 3552: 3547: 3539: 3538: 3537: 3532: 3524: 3523: 3522: 3514: 3513: 3512: 3507: 3499: 3498: 3497: 3489: 3488: 3487: 3478: 3476: 3469: 3464:Organizations, 3461: 3460: 3458: 3457: 3452: 3447: 3442: 3437: 3432: 3427: 3422: 3417: 3412: 3406: 3404: 3398: 3397: 3395: 3394: 3393: 3392: 3387: 3377: 3372: 3371: 3370: 3365: 3360: 3355: 3350: 3345: 3340: 3331: 3329: 3323: 3322: 3320: 3319: 3314: 3309: 3304: 3299: 3294: 3289: 3288: 3287: 3277: 3276: 3275: 3265: 3264: 3263: 3253: 3247: 3245: 3239: 3238: 3236: 3235: 3230: 3229: 3228: 3220: 3211: 3206: 3201: 3191: 3186: 3181: 3175: 3173: 3170:Biological and 3167: 3166: 3164: 3163: 3158: 3157: 3156: 3151: 3146: 3136: 3131: 3129:Multimorbidity 3126: 3121: 3116: 3111: 3106: 3101: 3096: 3091: 3086: 3080: 3078: 3072: 3071: 3069: 3068: 3066:Vector control 3063: 3058: 3053: 3051:School hygiene 3048: 3047: 3046: 3041: 3036: 3034:Sanitary sewer 3031: 3026: 3021: 3011: 3006: 3001: 3000: 2999: 2992:Patient safety 2989: 2988: 2987: 2982: 2977: 2972: 2967: 2962: 2952: 2951: 2950: 2945: 2940: 2935: 2925: 2924: 2923: 2918: 2908: 2903: 2898: 2897: 2896: 2885: 2883: 2877: 2876: 2874: 2873: 2868: 2863: 2858: 2853: 2848: 2843: 2838: 2833: 2828: 2823: 2818: 2813: 2808: 2807: 2806: 2801: 2796: 2791: 2786: 2776: 2771: 2766: 2756: 2751: 2746: 2741: 2736: 2731: 2730: 2729: 2724: 2714: 2709: 2704: 2703: 2702: 2697: 2687: 2682: 2677: 2675:Harm reduction 2672: 2667: 2662: 2657: 2656: 2655: 2650: 2640: 2635: 2630: 2625: 2620: 2615: 2609: 2607: 2603: 2602: 2597: 2595: 2594: 2587: 2580: 2572: 2566: 2565: 2558: 2557:External links 2555: 2553: 2552: 2527: 2508: 2489: 2468: 2457: 2439: 2421: 2403: 2391: 2367: 2355: 2336: 2324: 2311: 2298: 2286: 2261: 2257:(73.4 KB) 2238: 2213: 2172: 2154: 2142:ECRI Institute 2129: 2110: 2091: 2055: 2006: 1978: 1959: 1941: 1929: 1910: 1892: 1880: 1847:(6): 260–261. 1827: 1814: 1801: 1789: 1776: 1755: 1729: 1716: 1696: 1683: 1663: 1650: 1637: 1618: 1599: 1584: 1571: 1558: 1535: 1503: 1491: 1479: 1467: 1455: 1436: 1417: 1414:on 2005-01-21. 1399: 1395:(1.14 MB) 1391:on 2006-05-14. 1369: 1356: 1342: 1320: 1302: 1298:Patient Safety 1289: 1263: 1234: 1232: 1229: 1228: 1227: 1222: 1217: 1212: 1207: 1202: 1197: 1192: 1187: 1180: 1177: 1168: 1165: 1155: 1152: 1140: 1139: 1095: 1093: 1086: 1080: 1077: 1067: 1064: 1035: 1032: 1019: 1016: 1006: 1003: 954: 951: 936: 933: 929:Donald Berwick 917: 914: 905: 902: 880: 877: 866: 863: 842: 839: 833: 830: 828: 827:United Kingdom 825: 811: 808: 804:High 5 Project 796:patient safety 783: 780: 778: 775: 769: 766: 764: 761: 755: 752: 722: 719: 717: 714: 708: 705: 703: 700: 698: 695: 666: 663: 601:evidence-based 588: 585: 584: 583: 580: 577: 574: 571: 559: 556: 550: 547: 501: 498: 480: 477: 460: 457: 455: 454:United Kingdom 452: 448: 447: 444: 441: 434: 433: 430: 418: 415: 392: 389: 367: 364: 362: 359: 349: 346: 345: 344: 341: 338: 335: 328: 325: 305: 302: 300: 297: 295: 292: 291: 290: 287: 284: 281: 278: 275: 268: 260: 257: 244:adverse events 238:In the 1990s, 228:patient safety 224:medical errors 208: 207: 190: 189: 172:September 2018 160:external links 140: 138: 131: 124: 123: 83: 81: 74: 69: 43: 42: 40: 33: 26: 24: 18:Leapfrog Group 14: 13: 10: 9: 6: 4: 3: 2: 4805: 4794: 4791: 4789: 4786: 4785: 4783: 4768: 4765: 4763: 4760: 4758: 4757:CEASE therapy 4755: 4753: 4750: 4748: 4745: 4743: 4740: 4738: 4735: 4733: 4730: 4728: 4725: 4723: 4720: 4718: 4715: 4713: 4710: 4708: 4705: 4704: 4702: 4698: 4692: 4689: 4687: 4684: 4682: 4679: 4677: 4674: 4672: 4669: 4668: 4666: 4664: 4660: 4656: 4646: 4643: 4641: 4638: 4636: 4633: 4632: 4629: 4622: 4612: 4609: 4608: 4605: 4598: 4588: 4585: 4583: 4580: 4578: 4575: 4574: 4571: 4564: 4554: 4551: 4549: 4546: 4544: 4541: 4539: 4536: 4535: 4532: 4525: 4515: 4512: 4510: 4507: 4505: 4502: 4500: 4497: 4495: 4492: 4490: 4487: 4485: 4482: 4480: 4477: 4475: 4472: 4470: 4467: 4465: 4462: 4460: 4457: 4455: 4452: 4450: 4447: 4446: 4443: 4436: 4433: 4429: 4423: 4420: 4418: 4415: 4413: 4410: 4408: 4405: 4403: 4400: 4398: 4395: 4393: 4390: 4389: 4387: 4383: 4377: 4374: 4372: 4369: 4367: 4364: 4362: 4359: 4357: 4354: 4352: 4349: 4347: 4346:Jeffrey Brent 4344: 4342: 4339: 4337: 4334: 4332: 4331:Riko Muranaka 4329: 4327: 4324: 4322: 4319: 4318: 4316: 4312: 4306: 4303: 4301: 4298: 4296: 4293: 4291: 4288: 4286: 4283: 4279: 4276: 4274: 4271: 4270: 4269: 4266: 4265: 4263: 4261:Organizations 4259: 4253: 4251: 4247: 4245: 4242: 4240: 4237: 4236: 4234: 4232:Controversies 4230: 4224: 4223: 4219: 4217: 4216: 4212: 4210: 4207: 4205: 4204: 4200: 4198: 4197: 4193: 4191: 4190: 4186: 4183: 4179: 4178: 4176: 4172: 4166: 4163: 4161: 4158: 4156: 4155:Vaccine trial 4153: 4151: 4148: 4146: 4143: 4142: 4140: 4136: 4130: 4127: 4125: 4122: 4120: 4117: 4115: 4112: 4110: 4107: 4105: 4102: 4100: 4097: 4095: 4092: 4090: 4089: 4085: 4084: 4082: 4078: 4068: 4065: 4064: 4061: 4054: 4042: 4036: 4029: 4025: 4024: 4020: 4018: 4015:, 15 deaths) 4014: 4010: 4007: 4004: 4000: 3997: 3994: 3990: 3987: 3984: 3980: 3977: 3976: 3974: 3970: 3963: 3959: 3956: 3953: 3949: 3946: 3945: 3943: 3939: 3933:, 415 deaths) 3932: 3928: 3925: 3922: 3918: 3915: 3914: 3912: 3908: 3904: 3897: 3892: 3890: 3885: 3883: 3878: 3877: 3874: 3870: 3863: 3853: 3850: 3848: 3845: 3843: 3840: 3839: 3836: 3829: 3826: 3822: 3816: 3813: 3811: 3808: 3806: 3803: 3801: 3798: 3796: 3793: 3791: 3788: 3786: 3783: 3782: 3780: 3778: 3774: 3765: 3760: 3758: 3753: 3751: 3746: 3745: 3742: 3730: 3729: 3720: 3718: 3717: 3708: 3706: 3705: 3696: 3695: 3692: 3682: 3679: 3677: 3674: 3672: 3669: 3667: 3664: 3662: 3659: 3657: 3654: 3652: 3651:Joseph Lister 3649: 3647: 3644: 3642: 3639: 3637: 3634: 3633: 3631: 3627: 3619: 3616: 3614: 3611: 3609: 3606: 3604: 3601: 3600: 3598: 3596: 3593: 3592: 3590: 3586: 3579: 3575: 3573: 3570: 3568: 3565: 3561: 3558: 3556: 3553: 3551: 3548: 3546: 3543: 3542: 3540: 3536: 3533: 3531: 3530:Health Canada 3528: 3527: 3525: 3521: 3518: 3517: 3515: 3511: 3508: 3506: 3503: 3502: 3500: 3496: 3493: 3492: 3490: 3486: 3483: 3482: 3480: 3479: 3477: 3475:Organizations 3473: 3470: 3462: 3456: 3453: 3451: 3448: 3446: 3443: 3441: 3438: 3436: 3433: 3431: 3428: 3426: 3423: 3421: 3418: 3416: 3413: 3411: 3408: 3407: 3405: 3399: 3391: 3388: 3386: 3383: 3382: 3381: 3378: 3376: 3373: 3369: 3366: 3364: 3361: 3359: 3356: 3354: 3351: 3349: 3346: 3344: 3341: 3339: 3336: 3335: 3333: 3332: 3330: 3324: 3318: 3315: 3313: 3312:Vaccine trial 3310: 3308: 3305: 3303: 3300: 3298: 3295: 3293: 3290: 3286: 3283: 3282: 3281: 3278: 3274: 3271: 3270: 3269: 3266: 3262: 3259: 3258: 3257: 3254: 3252: 3249: 3248: 3246: 3240: 3234: 3231: 3227: 3225: 3221: 3219: 3217: 3212: 3210: 3207: 3205: 3202: 3200: 3197: 3196: 3195: 3192: 3190: 3189:Relative risk 3187: 3185: 3182: 3180: 3177: 3176: 3174: 3168: 3162: 3159: 3155: 3152: 3150: 3149:Health equity 3147: 3145: 3142: 3141: 3140: 3137: 3135: 3132: 3130: 3127: 3125: 3122: 3120: 3117: 3115: 3114:Health system 3112: 3110: 3107: 3105: 3104:Global health 3102: 3100: 3097: 3095: 3092: 3090: 3087: 3085: 3084:Biostatistics 3082: 3081: 3079: 3077: 3073: 3067: 3064: 3062: 3059: 3057: 3054: 3052: 3049: 3045: 3042: 3040: 3037: 3035: 3032: 3030: 3027: 3025: 3022: 3020: 3017: 3016: 3015: 3012: 3010: 3007: 3005: 3002: 2998: 2995: 2994: 2993: 2990: 2986: 2983: 2981: 2978: 2976: 2973: 2971: 2968: 2966: 2963: 2961: 2958: 2957: 2956: 2953: 2949: 2946: 2944: 2941: 2939: 2936: 2934: 2931: 2930: 2929: 2926: 2922: 2919: 2917: 2914: 2913: 2912: 2909: 2907: 2904: 2902: 2899: 2895: 2892: 2891: 2890: 2887: 2886: 2884: 2882: 2878: 2872: 2869: 2867: 2864: 2862: 2859: 2857: 2854: 2852: 2849: 2847: 2844: 2842: 2839: 2837: 2834: 2832: 2829: 2827: 2826:Right to food 2824: 2822: 2819: 2817: 2814: 2812: 2809: 2805: 2802: 2800: 2797: 2795: 2792: 2790: 2787: 2785: 2782: 2781: 2780: 2777: 2775: 2772: 2770: 2767: 2764: 2760: 2759:Mental health 2757: 2755: 2752: 2750: 2747: 2745: 2742: 2740: 2737: 2735: 2732: 2728: 2725: 2723: 2720: 2719: 2718: 2715: 2713: 2710: 2708: 2707:Housing First 2705: 2701: 2698: 2696: 2695:Health system 2693: 2692: 2691: 2690:Health policy 2688: 2686: 2683: 2681: 2678: 2676: 2673: 2671: 2668: 2666: 2663: 2661: 2658: 2654: 2651: 2649: 2646: 2645: 2644: 2641: 2639: 2636: 2634: 2631: 2629: 2626: 2624: 2621: 2619: 2616: 2614: 2611: 2610: 2608: 2604: 2600: 2599:Public health 2593: 2588: 2586: 2581: 2579: 2574: 2573: 2570: 2564: 2561: 2560: 2556: 2542: 2538: 2531: 2528: 2525: 2521: 2518: 2512: 2509: 2506: 2502: 2499: 2493: 2490: 2478: 2472: 2469: 2466: 2461: 2458: 2453: 2449: 2443: 2440: 2435: 2431: 2425: 2422: 2417: 2413: 2407: 2404: 2401: 2395: 2392: 2381: 2377: 2371: 2368: 2365: 2359: 2356: 2353: 2349: 2346: 2340: 2337: 2334: 2328: 2325: 2321: 2315: 2312: 2308: 2302: 2299: 2296: 2290: 2287: 2276: 2272: 2265: 2262: 2249: 2242: 2239: 2227: 2223: 2217: 2214: 2209: 2205: 2200: 2195: 2191: 2187: 2183: 2176: 2173: 2168: 2164: 2158: 2155: 2143: 2139: 2133: 2130: 2127: 2123: 2120: 2114: 2111: 2108: 2104: 2101: 2095: 2092: 2087: 2083: 2079: 2075: 2072:(7): 563–71. 2071: 2068:(in German). 2067: 2059: 2056: 2051: 2047: 2042: 2037: 2033: 2029: 2025: 2021: 2017: 2010: 2007: 2002: 1997: 1993: 1990:(in German), 1989: 1982: 1979: 1976: 1972: 1969: 1963: 1960: 1955: 1951: 1945: 1942: 1939: 1933: 1930: 1927: 1923: 1920: 1914: 1911: 1907: 1903: 1896: 1893: 1890: 1889:E-newsletters 1884: 1881: 1870: 1866: 1862: 1858: 1854: 1850: 1846: 1842: 1838: 1831: 1828: 1824: 1818: 1815: 1811: 1805: 1802: 1799: 1793: 1790: 1786: 1780: 1777: 1765: 1759: 1756: 1745:on 2013-08-13 1744: 1740: 1733: 1730: 1726: 1720: 1717: 1713: 1709: 1706: 1700: 1697: 1693: 1687: 1684: 1680: 1676: 1673: 1667: 1664: 1660: 1654: 1651: 1647: 1641: 1638: 1635: 1631: 1628: 1622: 1619: 1616: 1612: 1609: 1603: 1600: 1596: 1595: 1588: 1585: 1581: 1575: 1572: 1568: 1562: 1559: 1555: 1551: 1547: 1546: 1539: 1536: 1532: 1521: 1514: 1507: 1504: 1501: 1495: 1492: 1489: 1483: 1480: 1477: 1471: 1468: 1465: 1459: 1456: 1453: 1449: 1446: 1440: 1437: 1434: 1430: 1427: 1421: 1418: 1413: 1409: 1403: 1400: 1387: 1380: 1373: 1370: 1366: 1360: 1357: 1345: 1339: 1332: 1331: 1324: 1321: 1316: 1312: 1306: 1303: 1299: 1293: 1290: 1278: 1274: 1270: 1266: 1260: 1256: 1255:10.17226/9728 1252: 1248: 1247: 1239: 1236: 1230: 1226: 1225:Public health 1223: 1221: 1218: 1216: 1215:Medical error 1213: 1211: 1208: 1206: 1203: 1201: 1198: 1196: 1193: 1191: 1188: 1186: 1185:Adverse event 1183: 1182: 1178: 1176: 1174: 1166: 1164: 1161: 1153: 1151: 1148: 1136: 1133: 1125: 1122:December 2021 1115: 1111: 1105: 1104: 1100: 1094: 1085: 1084: 1078: 1076: 1073: 1065: 1063: 1061: 1055: 1053: 1049: 1045: 1041: 1033: 1031: 1027: 1025: 1017: 1015: 1013: 1004: 1002: 998: 996: 992: 988: 983: 978: 976: 972: 966: 964: 960: 952: 950: 948: 943: 934: 932: 930: 926: 922: 915: 913: 911: 903: 901: 899: 895: 891: 887: 878: 876: 872: 871: 865:United States 864: 862: 860: 856: 852: 848: 840: 838: 831: 826: 824: 822: 817: 809: 807: 805: 801: 797: 793: 789: 781: 776: 774: 767: 762: 760: 753: 751: 749: 745: 740: 738: 734: 733:Health Canada 729: 720: 715: 713: 706: 701: 696: 694: 692: 688: 683: 680: 675: 673: 664: 662: 659: 654: 652: 647: 645: 641: 636: 634: 630: 626: 622: 618: 613: 611: 607: 602: 598: 594: 586: 581: 578: 575: 572: 569: 568: 567: 564: 557: 555: 549:United States 548: 546: 543: 541: 537: 532: 522: 518: 517: 512: 507: 499: 497: 495: 491: 486: 478: 476: 474: 470: 467:(NPSA) is an 466: 458: 453: 451: 445: 442: 439: 438: 437: 431: 428: 427: 426: 424: 416: 414: 410: 406: 403: 397: 390: 388: 384: 380: 378: 374: 365: 360: 358: 356: 347: 342: 339: 336: 333: 329: 326: 323: 319: 318: 317: 313: 311: 303: 298: 293: 288: 285: 282: 279: 276: 273: 269: 266: 265: 264: 258: 256: 253: 249: 248:complications 245: 241: 236: 234: 229: 225: 221: 217: 212: 204: 201: 186: 183: 175: 165: 161: 157: 153: 147: 146: 141:This article 139: 130: 129: 120: 117: 109: 99: 95: 90: 88: 82: 73: 72: 67: 65: 58: 57: 52: 51: 46: 41: 32: 31: 19: 4767:Turbo cancer 4663:surveillance 4659:Epidemiology 4351:Richard Deth 4341:David Baskin 4284: 4249: 4220: 4213: 4209:Natural News 4201: 4194: 4187: 4086: 4027: 4021: 4016: 4012: 4002: 3992: 3982: 3961: 3954:, 83 deaths) 3951: 3930: 3920: 3726: 3714: 3702: 3671:Radium Girls 3666:Typhoid Mary 3353:Microbiology 3223: 3215: 3099:Epidemiology 2997:Organization 2996: 2948:Oral hygiene 2938:Hand washing 2916:Healthy diet 2846:Right to sit 2739:Labor rights 2544:. Retrieved 2540: 2530: 2511: 2492: 2481:. Retrieved 2471: 2460: 2452:www.msma.org 2451: 2442: 2433: 2424: 2415: 2406: 2394: 2383:. Retrieved 2379: 2370: 2358: 2339: 2327: 2314: 2301: 2289: 2278:. Retrieved 2274: 2264: 2241: 2229:. Retrieved 2225: 2222:"About ISMP" 2216: 2189: 2185: 2175: 2166: 2157: 2145:. Retrieved 2141: 2132: 2113: 2094: 2069: 2065: 2058: 2023: 2019: 2009: 1991: 1987: 1981: 1962: 1953: 1944: 1932: 1913: 1895: 1883: 1872:. Retrieved 1844: 1840: 1830: 1817: 1804: 1792: 1779: 1768:. Retrieved 1758: 1747:. Retrieved 1743:the original 1732: 1719: 1699: 1686: 1666: 1653: 1640: 1621: 1602: 1593: 1587: 1574: 1561: 1550:enacted form 1543: 1538: 1530: 1524:. Retrieved 1519: 1506: 1494: 1482: 1470: 1458: 1439: 1420: 1412:the original 1402: 1386:the original 1372: 1359: 1347:. Retrieved 1329: 1323: 1314: 1305: 1292: 1281:. 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