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Pages 169-172

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From page 169...
... All health care settings should establish compre hensive patient safety programs operated by trained personnel within a culture of safety. These programs should encompass (1)
From page 170...
... The research agenda should include the following: • Knowledge generation – High-risk patients -- Identify patients at risk for medication er rors, nosocomial infections, falls, and other high-risk events. – Near-miss incidents -- Test the causal continuum assumption (that near misses and adverse events are causally related)
From page 171...
... The federal government operates patient safety reporting systems as part of its role of performing regulatory oversight of the health care industry and as part of its caregiver role through the Veterans Health Administration and the Department of Defense. Many states operate reporting systems as part of their regulatory oversight role of health care providers.
From page 172...
... 2001. Safety in Numbers: A Technical Options Paper for a National Approach to the Use of Data for Safer Health Care (Work in Progress)

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