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Applied Strategies for Improving Patient Safety

A Comprehensive Process To Improve Care in Rural and Frontier Communities

Datos Bibliográficos

ID19433414
AutoresJohn M Westfall (0000-0002-1070-0268, University of Colorado Hospital, autor de correspondencia), Douglas H Fernald (0000-0001-7392-0113, University of Colorado Health), Elizabeth W Staton (0000-0002-6485-5804, University of Colorado Health), Rebecca VanVorst (University of Colorado Health), David West, D R F West (University of Colorado Health), Wilson D Pace (0000-0003-1699-5471, University of Colorado Health)
Año2004
Volumen20
Número4
Páginas355-362
Fecha de publicación2004-09-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaThe Journal of Rural Health (JOURNAL)
Identificadores de la revistaISSN: 0890-765X • E-ISSN: 1748-0361
EditorialWiley (PUBLISHER • GB)
DOI10.1111/j.1748-0361.2004.tb00049.x
PMID15551852
OpenAlexW2026341537
IdiomaEN
Citas recibidas4
Referencias citadas23

Context: Medical errors and patient safety have gained increasing attention throughout all areas of medical care. Understanding patient safety in rural settings is crucial for improving care in rural communities. Purpose: To describe a system to decrease medical errors and improve care in rural and frontier primary care offices. Methods: Applied Strategies for Improving Patient Safety (ASIPS) was a demonstration project designed to collect and analyze medical error reports and use these reports to develop and implement interventions aimed at decreasing errors. ASIPS participants were clinicians and staff in 2 practice‐based research networks: the Colorado Research Network (CaReNet) and the High Plains Research Network (HPRN). This paper describes ASIPS in HPRN. Findings: Fourteen HPRN practices with a total of 150 clinicians and staff have participated in ASIPS. Participants have submitted 128 reports. Diagnostic tests were involved in 26% of events; medication errors appeared in 20% of events. Communication errors were reported in 72%. Two learning groups developed “Principles for Process Improvement” for medication errors and diagnostic testing errors. Several safety “alerts” were issued to improve care, and 2 interventions were implemented to decrease errors. Conclusions: A safe and secure reporting system that relies on voluntary reporting from clinicians and staff can be successfully implemented in rural primary care settings. Information from reports can be used to identify processes that can be improved

Family medicine · Health care · Medical emergency · Patient safety · Primary care · Psychological intervention · Clinical Reasoning and Diagnostic Skills · Computer Science · Hospital Admissions and Outcomes · Medicine · Nursing · Patient Safety and Medication Errors

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    Open Access•Helen Burstin, Mary Wakefield•The Journal of Rural Health•2004

  • Rural Hospital Patient Safety Systems Implementation in Two States

    Open Access•Daniel R Longo, John E Hewett et al.•The Journal of Rural Health•2007

  • Implementing Patient Safety Initiatives in Rural Hospitals

    Open Access•Jill Klingner, Ira Moscovice et al.•The Journal of Rural Health•2009

  • Knowledge, Attitudes, Beliefs, and Personal Practices Regarding Colorectal Cancer Screening Among Health Care Professionals in Rural Colorado

    Open Access•Sun Hee Rim, Linda Zittleman et al.•The Journal of Rural Health•2009

  • Human error

    Open Access•James Reason•BMJ•2000

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    Troyen A Brennan, LUCIAN L LEAPE et al.•New England Journal of Medicine•1991

Obras citantes distintas4
Citas por año0,18
Intervalo de citas2004 - 2009 (6)
Velocidad de citaciónhistorical
Altamente citadoNo
Tipos de citaNeutras: 4
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