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HARDBACK + PDF your price: $58.50 add to cart HARDBACK list:$49.95 Web:$44.96 add to cart PDF BOOK your price: $38.50 add to cart PDF CHAPTERS your price: $2.90 select Rights & Permissions Free Resources PDF EXECUTIVE SUMMARY Display this book on your site! Related Titles Preventing Medication Errors: Quality Chasm Series Keeping Patients Safe: Transforming the Work Environment of Nurses Other Related Titles Patient Safety: Achieving a New Standard for Care (2004) Board on Health Care Services (HCS) Institute of Medicine (IOM) Web Search Builder Use this book's key terms to search within this book, across our collection, or across the Web. Skim This Chapter Skim this chapter and use this chapter's key terms to search within this book. Reference Finder Paste in your own text to find books that relate to your topic. Page 427   E-mail  Facebook  Digg  Stumble  Twitter More The following HTML text is provided to enhance online readability. Many aspects of typography translate only awkwardly to HTML. Please use the page image as the authoritative form to ensure accuracy. D Clinical Domains for Patient Safety Consolidated Health Informatics Initiative Clinical Domain Areas Additional Domains for Patient Safety Demographics   Diagnosis/problem lists for: Signs Symptoms Diseases Social problems Patient risk factors/precursors (e.g., designation of comorbid diagnosis) Interventions/procedures including: Laboratory orders Laboratory results contents Complications associated with specific procedures Encounters Episodes   Process-specific risk factors (e.g., managing coronary health failure)   Departmental risk factors (e.g., delays in the emergency room)   Clinical data measures for health conditions Medications including: Clinical drugs Warnings Alternative medicines Nutritional supplements Vitamins Page 427 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)

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OCR for page 427
Patient Safety: Achieving a New Standard for Care D Clinical Domains for Patient Safety Consolidated Health Informatics Initiative Clinical Domain Areas Additional Domains for Patient Safety Demographics   Diagnosis/problem lists for: Signs Symptoms Diseases Social problems Patient risk factors/precursors (e.g., designation of comorbid diagnosis) Interventions/procedures including: Laboratory orders Laboratory results contents Complications associated with specific procedures Encounters Episodes   Process-specific risk factors (e.g., managing coronary health failure)   Departmental risk factors (e.g., delays in the emergency room)   Clinical data measures for health conditions Medications including: Clinical drugs Warnings Alternative medicines Nutritional supplements Vitamins

OCR for page 428
Patient Safety: Achieving a New Standard for Care Consolidated Health Informatics Initiative Clinical Domain Areas Additional Domains for Patient Safety Allergic reactions Adverse drug events (ADE) Over-the-counter medications Previous known adverse drug reactions Triggers Medication orders Drug interactions Patient-specific drug dosing Diagnosis-specific drug indications Diagnosis-specific drug contraindications Text-based reports including: Clinical document architecture Clinical document naming Clinical template History and physical including: History Vital signs Anatomy Exam findings Functional status Nutritional status Discharge or treatment plan Determinants for genetic testing/screening of family-related diseases Immunizations     Provider information Training level, cultural factors, speaking language, health Population health including: Nosocomial infections reporting Reportable infections reporting Other reportable conditions Hospital errors other than ADE Emergency room trauma reporting Other national health statistics Near misses Patient complaints Readmission indicators Performance measurement Causal factors Malpractice claims Risk management reports Potential adverse events assessment through electronic surveillance Genes and proteins Pharmacogenomic markers for drug response or drug complication Multimedia including but not limited to: Image Audio Waveforms  

OCR for page 429
Patient Safety: Achieving a New Standard for Care Consolidated Health Informatics Initiative Clinical Domain Areas Additional Domains for Patient Safety Nursing including: Diagnoses Interventions Goals and outcomes Process-specific nursing factors Acuity levels for nurse staffing Physiology     Knowledge bases (systematic reviews of): Clinical guidelines Medical literature Health outcomes data Disease registries   Patient self-management Data set and guidelines for self-care Rx interaction program access Functioning and disability Rehabilitation therapies Respiratory Occupational Speech, etc. Supplies including: Ontology for the ordering physician Medical devices Medical device simulations and testing   Organizational process factors Organizational risk factors Hazard analysis Chemicals (Unified Medical Language System—UMLS)   Billing (Health Insurance Portability and Accountability Act, Administrative Simplification, Transactions and Code Sets) Data from claims attachment Scientific/fundamental (UMLS)   Units (UMLS)

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clinical document