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single in kind approach to learning more about patient safety issues and strategies to interrupt medical errors and adverse results is searching the Internet. Many organizations and clusters have developed web sites that can assist the two clinicians and patients. Many of these web sites provide up-to-date, helpful information and clinical alerts.

Exploring web sites of that kind as these can help cherishs learn about the problem of medical errors and prepare to address issues in their facilities. Many web sites provide information that clinicians can use to support their efforts to improve clinical processe and, thus, make secure high quality, cost-effective patient issues Many of these web sites also provide access to discussion form into groupss or links to additional resources.

This row provides an overview of many safety-related web sites (Table 1) This listing and description is not intended to be inclusive. It simply is meant to highlight a certain number of frequently mentioned web sites. Readers are encouraged to explore a variety of web sites and identify those that will be greatest in quantity helpful to their specific specialty and clinical issues.



rule RESOURCES

The Agency for Healthcare Research and Quality site is a helpful web resource that provides a collection of documents, pres releases, workshops, speeches, congressional hearings, and information related to the Quality Interagency Coordination Task Force. the two consumer and professional information is provided, including "Twenty tips to help obviate medical errors: Patient fact sheet" and "Reducing medical errors in healthcare: Fact sheet." The Institute of Medicine's report forward medical errors also may be plant on this site.

Another helpful command web resource is the Veterans Health Administration's Virtual Learning Center This web page lists as a common thing [i]or[/i] matter asked questions along with answers and provides brief rebukes on patient safety that users can search or tender twigs of shrubs and trees Each lesson discusses a specific clinical alert, commended interventions, and reference materials.

The National Center for Patient Safety embodies the Department of Veterans Affairs' (VA) commitment to reducing and preventing adverse medical circumstances This web site includes information about the VA's patient safety program and provides information about the civilization of safety to which the VA classification ascribes. This culture includes a focus upon prevention and not punishment, applying human factor analysis, and the safety research of reliable organizations targeted at identifying and eliminating connected view problems.

Another management resource is the Quality Interagency Coordination Task Force web site. The purport of the task force is to make sure that all federal agencies involved in purchasing, providing, studying, or regulating health care services work in a coordinated fashion to improve health care quality. Typical resources forward this site include "Five degrees to safer health care: Patient fact sheet" and "Report to the president upon medical errors."

ORGANIZATIONS AND GROUPS

undivided organization at the fore-front of gathering and providing information forward patient safety is the Leapfrog assemblage for Patient Safety. The Leapfrog clump is a coalition of more than 90 public and private organizations that provide health care benefits. The coalition was formed to address patient safety and quality issues in the US health care theory The group, founded by the Business Roundtable, focuses upon basic patient safety and encourages employer to tread in the steps of purchasing principles designed to improve patient safety and quality.

The Joint Commission upon Accreditation of Healthcare Organizations' web site includes a web page titled "Facts about patient safety." This resource focuses onward standards that help facilities unravel processes to identify, report, analyze, and hinder sentinel events. Visitors to the page can access Sentinel affair Alert, a monthly newsletter, and obtain information related to sentinel occurrences such as fatal falls, postoperative complications, immoral site surgery, and blood transfusion errors. Users also can sign up to receive an e-mail version of the newsletter A listing of sentinel affairs and related frequency reports of these consequences is located on the page as well.

The Institute for Safe Medication Practices site provides an independent review of medication errors submitted to the Medical Errors Reporting Program unraveled by United States Pharmacopoeia. It focuses in succession improving medication distribution, naming, packaging, labeling, and delivery method design. Visitors to this site can review medication safety alerts, patient alerts, a message board, and a conceptual framework for a national medical error reporting system

The Institute of Medicine web site provides objective information and advice about health to conduct officials, businesses, and the public. The Institute's Special Initiative upon Health Care Quality aims to improve the quality of health care in the United States. The goals of this initiative are to evaluate quality assessment and improvement tools and their use and to inform consumer policy makers, providers, and others of elucidation opportunities and obstacles to achieving better health issues for individuals and populations. This web site also provides access to late Institute of Medicine reports and publications.



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