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Designing for Safety

Designing for Safety. Unit 10c Designing for Safety. Medical Error Reporting . Koppel – Patient Safety . Koppel. Koppel – Study of Workaround to Barcode Medication Administration. Koppel – (cont.) . Koppel – Medication Workarounds (cont.). Probable Causes of Workarounds (Koppel).

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Designing for Safety

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  1. Designing for Safety Unit 10c Designing for Safety

  2. Medical Error Reporting Health IT Workforce Curriculum Version 1.0/Fall 2010

  3. Koppel – Patient Safety Health IT Workforce Curriculum Version 1.0/Fall 2010

  4. Koppel Health IT Workforce Curriculum Version 1.0/Fall 2010

  5. Koppel – Study of Workaround to Barcode Medication Administration Health IT Workforce Curriculum Version 1.0/Fall 2010

  6. Koppel – (cont.) Health IT Workforce Curriculum Version 1.0/Fall 2010

  7. Koppel – Medication Workarounds (cont.) Health IT Workforce Curriculum Version 1.0/Fall 2010

  8. Probable Causes of Workarounds (Koppel) Health IT Workforce Curriculum Version 1.0/Fall 2010

  9. Prevention of Errors From Workarounds Health IT Workforce Curriculum Version 1.0/Fall 2010

  10. Koppel – JAMA 2005 – Role of CPOE in Facilitating Errors Health IT Workforce Curriculum Version 1.0/Fall 2010

  11. Walker - 2008 Health IT Workforce Curriculum Version 1.0/Fall 2010

  12. Walker (cont.) Health IT Workforce Curriculum Version 1.0/Fall 2010

  13. Recommended Prevention/Management Strategies Health IT Workforce Curriculum Version 1.0/Fall 2010

  14. Prevention (cont.) Health IT Workforce Curriculum Version 1.0/Fall 2010

  15. Canada – Health Infoway Health IT Workforce Curriculum Version 1.0/Fall 2010

  16. Problem – Lack of Knowledge Health IT Workforce Curriculum Version 1.0/Fall 2010

  17. Design Patterns and New Methods Health IT Workforce Curriculum Version 1.0/Fall 2010

  18. Bad Informatics Examples and Solutions Health IT Workforce Curriculum Version 1.0/Fall 2010

  19. Multiple Name Formats Health IT Workforce Curriculum Version 1.0/Fall 2010

  20. Regulation? Health IT Workforce Curriculum Version 1.0/Fall 2010

  21. Conclusion Health IT Workforce Curriculum Version 1.0/Fall 2010

  22. Resources Health IT Workforce Curriculum Version 1.0/Fall 2010

  23. Selected References Jiajie Zhang, Vimla L. Patel, Todd R. Johnson, and Edward H. Shortliffe. A cognitive taxonomy of medical errors. Journal of Biomedical Informatics 37 (2004) 193–204 Kohn LT, Corrigan JM, Donaldson MS, editors. To err is human. Committee on Quality of Healthcare in America Institute of Medicine. Washington, DC: National Academy Press; 1999. Interview with Ross Koppel http://histalk2.com/2009/08/12/histalk-interviews-ross-koppel/ Role of Computerized Physician Order Entry Systems in Facilitating Medication Errors. Ross Koppel, PhD, et al, Journal of the American Medical Association, 2005;293:1197-1203 Koppel, R and Kreda, K. Health Care Information Technology Vendors’ “Hold Harmless” Clause: implications for patients and clinicians., JAMA.2009; 301:1276-1278. Workarounds to Barcode Medication Administration Systems: Their Occurrences, Causes, and Threats to Patient Safety, Koppel et. al., J Am Med Inform Assoc. 2008;15:408-423. See the reference list for full references Health IT Workforce Curriculum Version 1.0/Fall 2010

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