Patient Safety: Achieving a New Standard for Care

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Patient Safety: Achieving a New Standard for Care (2004)
Board on Health Care Services (HCS)
Institute of Medicine (IOM)

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. "Executive Summary." Patient Safety: Achieving a New Standard for Care. Washington, DC: The National Academies Press, 2004.

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Patient Safety: Achieving a New Standard for Care

Wilson, R. M., W. B. Runciman, R. W. Gibberd, B. T. Harrison, L. Newby, and J. D. Hamilton. 1995. The quality in Australian health care study. Med J Aust 163 (9):458–471.

World Health Organization. 2002. Quality of Care: Patient Safety. Online. Available: http://www.who.int/gb/EB_WHA/PDF/WHA55/ewha5518.pdf [accessed December 16, 2003].

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Front Matter (R1-R22)

Executive Summary (1-28)

1 Introduction (29-44)

PART I: BUILDING THE NATIONAL HEALTH INFORMATION INFRASTRUCTURE (45-51)

2 Components of a National Health Information Infrastructure (52-95)

3 Federal Leadership and Public-Private Partnerships (96-126)

4 Health Care Data Standards (127-168)

PART II: ESTABLISHING COMPREHENSIVE PATIENT SAFETY PROGRAMS (169-172)

5 Comprehensive Patient Safety Programs in Health Care Settings (173-199)

6 Adverse Event Analysis (200-225)

7 Near-Miss Analysis (226-246)

PART III: STREAMLINING PATIENT SAFETY REPORTING (247-249)

8 Patient Safety Reporting Systems and Applications (250-278)

9 Standardized Reporting (279-316)

Appendix A: Biographies of Committee Members (317-326)

Appendix B: Glossary and Acronym List (327-340)

Appendix C: Examples of Federal, State, and Private Sector Reporting Systems (341-426)

Appendix D: Clinical Domains for Patient Safety (427-429)

Appendix E: Key Capabilities of an Electronic Health Record System: Letter Report (430-470)

Appendix F: Quality Improvement and Proactive Hazard Analysis Models: Deciphering a New Tower of Babel (471-508)

Appendix G: Australian Incident Monitoring System Taxonomy (509-510)

Index (511-528)