Summary: The development of systems to prevent accidents, injuries, and other adverse occurrences in an institutional setting. The concept includes prevention or reduction of adverse events or incidents involving employees, patients, or facilities. Examples include plans to reduce injuries from falls or plans for fire safety to promote a safe institutional environment.
Publications265 found, 100 shown here
- A surgical safety checklist to reduce morbidity and mortality in a global populationAlex B Haynes
Harvard School of Public Health, Massachusetts General Hospital, Boston, USA
N Engl J Med 360:491-9. 2009..We hypothesized that a program to implement a 19-item surgical safety checklist designed to improve team communication and consistency of care would reduce complications and deaths associated with surgery...
- Multilevel psychometric properties of the AHRQ hospital survey on patient safety cultureJoann S Sorra
Westat, Rockville, MD, USA
BMC Health Serv Res 10:199. 2010..The purpose of this study was to examine the multilevel psychometric properties of the survey...
- Improving safety with information technologyDavid W Bates
Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
N Engl J Med 348:2526-34. 2003
- The human factor: the critical importance of effective teamwork and communication in providing safe careM Leonard
Colorado Permanente Medical Group, Denver, USA
Qual Saf Health Care 13:i85-90. 2004....
- An epistemology of patient safety research: a framework for study design and interpretation. Part 2. Study designC Brown
Department of Public Health and Epidemiology, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK
Qual Saf Health Care 17:163-9. 2008..The extent to which findings can be generalised over time and place should be considered as part of an evaluation, for example by undertaking qualitative or quantitative measures of fidelity, attitudes or subgroup effects...
- The psychometric properties of the 'Hospital Survey on Patient Safety Culture' in Dutch hospitalsMarleen Smits
NIVEL, Netherlands Institute for Health Services Research, PO Box 1568, 3500 BN Utrecht, The Netherlands
BMC Health Serv Res 8:230. 2008..The aim of this study was to examine the underlying dimensions and psychometric properties of the questionnaire in Dutch hospital settings, and to compare these results with the original questionnaire used in USA hospital settings...
- Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note reviewAli Baba Akbari Sari
Department of Health Sciences, University of York, York YO10 5DD
BMJ 334:79. 2007..To evaluate the performance of a routine incident reporting system in identifying patient safety incidents...
- The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in CanadaG Ross Baker
Department of Health Policy, Management and Evaluation, University of Toronto, McMurrich Building Room 2031, 12 Queen s Park Crescent West, Toronto, Ontario M5S 1A8, Canada
CMAJ 170:1678-86. 2004..AEs are unintended injuries or complications resulting in death, disability or prolonged hospital stay that arise from health care management. We estimated the incidence of AEs among patients in Canadian acute care hospitals...
- Safety culture assessment: a tool for improving patient safety in healthcare organizationsV F Nieva
Westat, Research Blvd, Rockville, MD 20850, USA
Qual Saf Health Care 12:ii17-23. 2003..The paper also highlights critical processes that healthcare organizations need to consider when deciding to use these tools...
- Towards an International Classification for Patient Safety: the conceptual frameworkHeather Sherman
Department of Health Services Research, Division of Quality Measurement and Research, The Joint Commission, One Rennaisance Blvd, Oakbrook Terrace, IL 60181 USA
Int J Qual Health Care 21:2-8. 2009..Concepts need to be defined, guidance for using the classification needs to be provided, and further real-world testing needs to occur to progressively refine the ICPS to ensure it is fit for purpose...
- Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospitalAlan J Forster
Ottawa Health Research Institute, Ottawa, Ont
CMAJ 170:1235-40. 2004..We evaluated characteristics of adverse events affecting patients admitted to a Canadian teaching hospital, paying particular attention to timing...
- The incidence of adverse events in Swedish hospitals: a retrospective medical record review studyMichael Soop
Department for Supervision of Healthcare Services, National Board of Health and Welfare, 10630 Stockholm, Sweden
Int J Qual Health Care 21:285-91. 2009..To estimate the incidence, nature and consequences of adverse events and preventable adverse events in Swedish hospitals...
- Exploring relationships between hospital patient safety culture and adverse eventsRussell E Mardon
Westat, Rockville, Maryland 20850, USA
J Patient Saf 6:226-32. 2010..The general hypothesis was that hospitals with a more positive patient safety culture would have lower PSI rates...
- Review: engaging patients as vigilant partners in safety: a systematic reviewDavid L B Schwappach
Swiss Patient Safety Foundation, Zurich, Switzerland
Med Care Res Rev 67:119-48. 2010..Evidence suggests that involvement in safety may be successful if interventions promote complex behavioral change and are sensitively implemented in health care settings...
- An epistemology of patient safety research: a framework for study design and interpretation. Part 4. One size does not fit allC Brown
Department of Public Health and Epidemiology, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK
Qual Saf Health Care 17:178-81. 2008..We show how a bayesian framework can be used to synthesise evidence from a number of different sources and why this approach may be particularly appropriate for the evaluation of patient safety interventions...
- Systems approaches to surgical quality and safety: from concept to measurementCharles Vincent
Clinical Safety Research Unit, Imperial College of Science, Technology and Medicine, University of London, London, United Kingdom
Ann Surg 239:475-82. 2004....
- Adverse events and potentially preventable deaths in Dutch hospitals: results of a retrospective patient record review studyM Zegers
NIVEL, Netherlands Institute for Health Services Research, Utrecht, The Netherlands
Qual Saf Health Care 18:297-302. 2009..This study determined the incidence, type, nature, preventability and impact of adverse events (AEs) among hospitalised patients and potentially preventable deaths in Dutch hospitals...
- Relationship of safety climate and safety performance in hospitalsSara Singer
Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
Health Serv Res 44:399-421. 2009..To examine the relationship between measures of hospital safety climate and hospital performance on selected Patient Safety Indicators (PSIs)...
- Measuring errors and adverse events in health careEric J Thomas
The Center for Clinical Research and Evidence Based Medicine, Division of General Medicine, and Department of Medicine at The University of Texas Houston Medical School, 77030, USA
J Gen Intern Med 18:61-7. 2003..We propose a general framework to help health care providers, researchers, and administrators choose the most appropriate methods to meet their patient safety measurement goals...
- Patient safety strategies targeted at diagnostic errors: a systematic reviewKathryn M McDonald
Stanford Center for Health Policy Center for Primary Care and Outcomes Research, Stanford University, Stanford, California, USA
Ann Intern Med 158:381-9. 2013..Overall, the review showed a growing field of diagnostic error research and categorized and identified promising interventions that warrant evaluation in large studies across diverse settings...
- Integrating incident data from five reporting systems to assess patient safety: making sense of the elephantOsnat Levtzion-Korach
Division of General Internal Medicine, Brigham and Women s Hospital, Boston, USA
Jt Comm J Qual Patient Saf 36:402-10. 2010..These data sources vary in the timing of the reporting (retrospective or prospective), severity of the events, and profession of the reporters...
- The WHO surgical checklistRavi P Mahajan
Anaesthesia and Intensive Care, University of Nottingham, Nottingham, UK
Best Pract Res Clin Anaesthesiol 25:161-8. 2011..Many countries have still not adopted its use. In this article, a brief review is presented regarding the role of the WHO checklist, barriers to its implementation and strategies for successful adoption...
- A survey on patient safety culture in primary healthcare services in TurkeySaid Bodur
Department of Public Health, Selcuk University, Konya, Turkey
Int J Qual Health Care 21:348-55. 2009..To evaluate the patient safety culture in primary healthcare units...
- Patient safety: what about the patient?C A Vincent
Clinical Risk Unit, Department of Psychology, University College London, London WC1E 6BT, UK
Qual Saf Health Care 11:76-80. 2002....
- Avoiding wrong site surgery: a systematic reviewJohn Devine
Orthopedic Service, Department of Surgery, Eisenhower Army Medical Center, Ft Gordon, GA 30809, USA
Spine (Phila Pa 1976) 35:S28-36. 2010..Systematic review...
- Introducing patient safety to undergraduate medical students--a pilot program delivered by health care administratorsGilberto Ka Kit Leung
Department of Surgery, Li Ka Shing Faulty of Medicine, The University of Hong Kong, China
Med Teach 32:e547-51. 2010..Identifying informed and interested staff to teach patient safety can be difficult. We report our experiences with a lecture-based program on patient safety delivered by health care administrators...
- Patient safety in surgical environments: cross-countries comparison of psychometric properties and results of the Norwegian version of the Hospital Survey on Patient SafetyArvid S Haugen
Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Jonas Lies vei 65, N 5021 Bergen, Norway
BMC Health Serv Res 10:279. 2010..This study examined the psychometric properties of a Norwegian translation of the HSOPS and also compared safety climate factors from a surgical setting to hospitals in the United States, the Netherlands and Norway...
- Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture (HSOPSC)I Chi Chen
College of Management, Yuan Ze University, Taoyuan, Taiwan
BMC Health Serv Res 10:152. 2010....
- Frameworks for patient safety in the nursing curriculumTeri M Chenot
School of Nursing, Jacksonville University, Jacksonville, FL, USA
J Nurs Educ 49:559-68. 2010..2007) in their curriculum; one school exhibited all six. Our findings led to conclusions and recommendations for nurse educators and for future research on patient safety education in the nursing curriculum...
- The WHO patient safety curriculum guide for medical schoolsMerrilyn Walton
Faculty of Medicine, University of Sydney, Sydney School of Public Health, Sydney, Australia
Qual Saf Health Care 19:542-6. 2010....
- Assessing quality and safety competencies of graduating prelicensure nursing studentsDori Taylor Sullivan
Duke University School of Nursing, Durham, NC 27710, USA
Nurs Outlook 57:323-31. 2009..In general, students reported relatively high levels of preparedness in all types of prelicensure nursing programs and endorsed the importance of quality and safety competencies to professional practice...
- The checklist--a tool for error management and performance improvementBrigette M Hales
Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada M4N 3M5
J Crit Care 21:231-5. 2006..This narrative is a guide to the evolution of medical and critical care checklists, and a discussion of the barriers and risks to the implementation of checklists...
- Patient safety culture in primary care: developing a theoretical framework for practical useSusan Kirk
School of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK
Qual Saf Health Care 16:313-20. 2007....
- Why is patient safety so hard? A selective review of ethnographic studiesMary Dixon-Woods
Department of Health Sciences, University of Leicester, Leicester, UK
J Health Serv Res Policy 15:11-6. 2010..Addressing safety problems requires acknowledgement that patient safety is not simply a technical issue, but a site of organizational and professional politics...
- Using usability heuristics to evaluate patient safety of medical devicesJiajie Zhang
School of Health Information Sciences, University of Texas Health Science Center at Houston, 7000 Fannin, Suite 600, Houston, TX 77030, USA
J Biomed Inform 36:23-30. 2003....
- An epistemology of patient safety research: a framework for study design and interpretation. Part 1. Conceptualising and developing interventionsC Brown
Department of Public Health and Epidemiology, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK
Qual Saf Health Care 17:158-62. 2008..Finally, the paper outlines the authors' pragmatist ontological stance to patient safety research, which sets the philosophical basis for the remaining three articles...
- Psychometric properties of the Hospital Survey on Patient Safety Culture: findings from the UKP Waterson
Department of Human Sciences, Loughborough University, Loughborough LE11 3TU, UK
Qual Saf Health Care 19:e2. 2010..This study reports an assessment of the psychometric properties and suitability of the American Hospital Survey on Patient Safety Culture for use within the UK...
- Societal values and policies may curtail preschool children's physical activity in child care centersKristen A Copeland
Division of General and Community Pediatrics, Cincinnati Children s Hospital Medical Center, Cincinnati, OH 45229, USA
Pediatrics 129:265-74. 2012..Children are primarily sedentary in these settings, and are not meeting recommended levels of physical activity. Our objective was to identify potential barriers to children's physical activity in child care centers...
- Incident reporting and patient safetyCharles Vincent
BMJ 334:51. 2007
- Assessing and improving safety climate in a large cohort of intensive care unitsJ Bryan Sexton
Department of Psychiatry, Duke University Health System, Durham, NC, USA
Crit Care Med 39:934-9. 2011..To evaluate the impact of a comprehensive unit-based safety program on safety climate in a large cohort of intensive care units participating in the Keystone intensive care unit project...
- Perceptions of safety culture vary across the intensive care units of a single institutionDavid T Huang
CRISMA Clinical Research, Investigation, and Systems Modeling of Acute Illness Laboratory, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, USA
Crit Care Med 35:165-76. 2007..To determine whether safety culture factors varied across the intensive care units (ICUs) of a single hospital, between nurses and physicians, and to explore ICU nursing directors' perceptions of their personnel's attitudes...
- Simulation-based medical education: an ethical imperativeAmitai Ziv
The Chaim Sheba Medical Center, and Israel Center for Medical Simulation MSR, Tel Hashomer, Israel
Acad Med 78:783-8. 2003..The use of simulation wherever feasible conveys a critical educational and ethical message to all: patients are to be protected whenever possible and they are not commodities to be used as conveniences of training...
- Work system design for patient safety: the SEIPS modelP Carayon
Department of Industrial and Systems Engineering, College of Engineering, University of Wisconsin Madison, Madison, Wisconsin 53726, USA
Qual Saf Health Care 15:i50-8. 2006..An application of the SEIPS model in one particular care setting (outpatient surgery) is presented and other practical and research applications of the model are described...
- Patient safety research: an overview of the global evidenceA K Jha
Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA
Qual Saf Health Care 19:42-7. 2010..To better understand the extent and nature of the problem of unsafe care, the WHO World Alliance for Patient Safety commissioned an overview of the world's literature on patient safety research...
- AHRQ's hospital survey on patient safety culture: psychometric analysesMary A Blegen
Community Health Systems Department, School of Nursing, University of California, San Francisco, CA 94143, USA
J Patient Saf 5:139-44. 2009....
- The impact of U.S. policies to protect healthcare workers from bloodborne pathogens: the critical role of safety-engineered devicesJanine Jagger
International Healthcare Worker Safety Center, Division of Infectious Diseases, Department of Medicine, University of Virginia Health System, Charlottesville, VA 22908, USA
J Infect Public Health 1:62-71. 2008....
- Identification of adverse events at an orthopedics department in SwedenMaria Unbeck
Karolinska Institutet, Department of Clinical Sciences, Danderyd Hospital, Division of Orthopedics, Stockholm, Sweden
Acta Orthop 79:396-403. 2008..We tested and evaluated a patient safety model (the Wimmera clinical risk management model) and performed a three-stage retrospective review of records to determine the occurrence of AEs in adult orthopedic inpatients...
- Psychometric properties of the Hospital Survey on Patient Safety Culture for hospital management (HSOPS_M)Antje Hammer
Institute for Medical Sociology, Health Services Research and Rehabilitation Science, Faculty of Human Science and Faculty of Medicine, University of Cologne, Cologne, Germany
BMC Health Serv Res 11:165. 2011..This study examines whether the Hospital Survey on Patient Safety Culture for hospital management (HSOPS_M) has the same psychometric properties as the HSOPS for hospital employees does...
- A review of significant events analysed in general practice: implications for the quality and safety of patient careJohn McKay
Division of Community Based Sciences, University of Glasgow, Glasgow, UK
BMC Fam Pract 10:61. 2009..We reviewed reports to identify the range of safety issues analysed, learning needs raised and actions taken by GP teams...
- The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging researchJohn B Sexton
The University of Texas Center of Excellence for Patient Safety Research and Practice, The University of Texas Houston Medical School, Houston, USA
BMC Health Serv Res 6:44. 2006..Here we report the psychometric properties, establish benchmarking data, and discuss emerging areas of research with the University of Texas Safety Attitudes Questionnaire...
- A comparison of hospital adverse events identified by three widely used detection methodsJames M Naessens
Health Care Policy and Research, Mayo Clinic, 200 First Street Southwest, Rochester, MN, USA
Int J Qual Health Care 21:301-7. 2009..Determine the degree of congruence between several measures of adverse events...
- Measuring and comparing safety climate in intensive care unitsDaniel J France
Center for Perioperative Research in Quality, 1211 21st Ave South, Suite 732, Nashville, TN 37212 1212, USA
Med Care 48:279-84. 2010..Learning about the factors that influence safety climate and improving the methods for assessing relative performance among hospital or units would improve decision-making for clinical improvement...
- Is the "International Classification for Patient Safety" a classification?Stefan Schulz
IMBI, University Medical Center, 79104 Freiburg, Germany
Stud Health Technol Inform 150:502-6. 2009..Acknowledging its merits as a standard reporting instrument for change management and process improvements we propose formal improvements...
- Development of medical checklists for improved quality of patient careBrigette Hales
Sunnybrook Health Sciences Centre, Toronto, ON, Canada
Int J Qual Health Care 20:22-30. 2008..Their development requires a systematic and comprehensive approach, particularly when implemented in high intensity fields such as medicine...
- Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS ProjectM A Blegen
Community Health Systems Department, School of Nursing, University of California, San Francisco, 2 Koret Way, Box 0608, San Francisco, CA 94143, USA
Qual Saf Health Care 19:346-50. 2010..The goal of this project was to improve unit-based safety culture through implementation of a multidisciplinary (pharmacy, nursing, medicine) teamwork and communication intervention...
- A longitudinal, multi-level comparative study of quality and safety in European hospitals: the QUASER study protocolGlenn B Robert
National Nursing Research Unit, King s College London, 57 Waterloo Road, London, SE1 8WA, UK
BMC Health Serv Res 11:285. 2011....
- Towards an International Classification for Patient Safety: key concepts and termsWilliam Runciman
University of South Australia, Joanna Briggs Institute and Royal Adelaide Hospital, Level 5 McEwin Building, Royal Adelaide Hospital, North Tce Adelaide 5000, SA, Australia
Int J Qual Health Care 21:18-26. 2009..Understanding the patient safety literature has been compromised by the inconsistent use of language...
- Mapping the limits of safety reporting systems in health care--what lessons can we actually learn?Matthew J W Thomas
School of Psychology, Social Work and Social Policy, University of South Australia, Adelaide, Australia
Med J Aust 194:635-9. 2011..To assess the utility of Australian health care incident reporting systems and determine the depth of information available within a typical system...
- Extent, nature and consequences of adverse events: results of a retrospective casenote review in a large NHS hospitalAli Baba Akbari Sari
Department of Health Management and Economics, School of Public Health, University of Medical Sciences, Tehran, Iran
Qual Saf Health Care 16:434-9. 2007..To estimate the extent, nature and consequences of adverse events in a large National Health Service (NHS) hospital, and to evaluate the reliability of a two-stage casenote review method in identifying adverse events...
- Adopting a surgical safety checklist could save money and improve the quality of care in U.S. hospitalsMarcus E Semel
Brigham and Women s Hospital, Center for Health Decision Science, Harvard School of Public Health, Boston, MA, USA
Health Aff (Millwood) 29:1593-9. 2010..Using the checklist would both save money and improve the quality of care in hospitals throughout the United States...
- Improving patient safety incident reporting systems by focusing upon feedback - lessons from English and Welsh trustsLouise M Wallace
Applied Research Centre Health and Lifestyles Interventions, Coventry University, Coventry, UK
Health Serv Manage Res 22:129-35. 2009..We draw recommendations of enduring relevance to the UK NHS that can be used by trust staff to improve their systems. The recommendations will be of relevance in general terms to health services worldwide...
- Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teamsAgnes Bognar
Department of Ophthalmology, School of Medicine, University of Szeged, Szeged, Hungary
Ann Thorac Surg 85:1374-81. 2008..We assessed the perceptions and attitudes of surgical teams relative to committing errors, the impact of errors, and the culture of safety...
- Student learning outcomes after integration of quality and safety education competencies into a senior-level critical care courseConnie L Miller
University of Nebraska Medical Center, College of Nursing, Omaha, Nebraska 68198 5330, USA
J Nurs Educ 48:678-85. 2009..Results suggest a combination of classroom and clinical learning activities have the strongest impact on student knowledge, skills, and attitudes related to safety and quality...
- Errors and adverse events in family medicine: developing and validating a Canadian taxonomy of errorsSarah Jacobs
Department of Public Health Sciences, University of Toronto, Ontario
Can Fam Physician 53:271-6, 270. 2007..To develop a taxonomy of errors derived solely from the content of error reports using Canadian data from the Primary Care International Study of Medical Errors...
- Nursing and patient safety in the operating roomHerdis Alfredsdottir
Operating Room, National University Hospital, Reykjavik, Iceland
J Adv Nurs 61:29-37. 2008..This paper is a report of a study to identify what operating room nurses believe influences patient safety and how they see their role in enhancing patient safety...
- Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning SystemK Catchpole
Nuffield Department of Surgery, University of Oxford, Oxford, UK
Anaesthesia 63:340-6. 2008..Practitioners, departments and professional bodies should consider how the information can be used to promote patient safety and their own defensibility...
- Factors determining hospital nurses' failures in reporting medication errors in TaiwanHui Ying Chiang
Nursing Department, Chi Mei Medical Center, Yung Kang City, Tainan, Taiwan
Nurs Outlook 58:17-25. 2010..Further, hospital administrators should provide information and encouragement to nurses whose responsibility it is to report MAEs...
- Impact of a patient safety curriculum for nurse anesthesia studentsLaura L Ardizzone
Columbia University School of Nursing, New York, NY 10032, USA
J Nurs Educ 48:706-10. 2009....
- Patient safety as perceived by Swedish leadersKarin Pukk Härenstam
Medical Management Centre, Karolinska Institutet and Danderyds University Hospital, Stockholm, Sweden
Int J Health Care Qual Assur 22:168-82. 2009The purpose of this paper is to survey Swedish healthcare leaders' patient safety awareness, the priority they give to safety issues and their views on suitable safety management strategies.
- Organisational culture: variation across hospitals and connection to patient safety climateT Speroff
Department of Medicine, Center for Health Services Research, Veterans Affairs Tennessee Valley Healthcare System, Vanderbilt University School of Medicine, Nashville, Tennessee 37232, USA
Qual Saf Health Care 19:592-6. 2010..Bureaucratic organisational culture is less favourable to quality improvement, whereas organisations with group (teamwork) culture are better aligned for quality improvement...
- Characteristics of quality and patient safety curricula in major teaching hospitalsSusan K Pingleton
Association of American Medical Colleges, Washington, DC, USA
Am J Med Qual 25:305-11. 2010..Aligning the formal and informal curricula as well as leveraging all curricula could improve educational venues for quality and safety and institutional clinical performance, and promote a learning health care system...
- Uncovering differences among health professions trainees exposed to an interprofessional patient safety curriculumKaren R Cox
Office of Clinical Effectiveness, University of Missouri Health System, Columbia, MO 65212, USA
Qual Manag Health Care 18:182-93. 2009..As more interprofessional curricular experiences are designed, examining baseline group differences is essential to optimize learning outcomes...
- Interventions for preventing falls in older people in care facilities and hospitalsIan D Cameron
Rehabilitation Studies Unit, SydneyMedical School Northern, The University of Sydney, Ryde, Australia
Cochrane Database Syst Rev 12:CD005465. 2012..Falls in care facilities and hospitals are common events that cause considerable morbidity and mortality for older people. This is an update of a review first published in 2010...
- How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory studyR E Davis
Clinical Safety Research Unit, Department of Bio Surgery and Surgical Technology, St Mary s Hospital, South Wharf Road, London W2 1NY, UK
Qual Saf Health Care 17:90-6. 2008..One in 10 patients admitted to hospital will suffer an adverse event as a result of their medical treatment. A reduction in adverse events could happen if patients could be engaged successfully in monitoring their care...
- An overview of patient safety climate in the VAChristine W Hartmann
Center for Health Quality, Outcomes and Economic Research, A VA Center of Excellence, Bedford, MA 01730, USA
Health Serv Res 43:1263-84. 2008..To assess variation in safety climate across VA hospitals nationally...
- Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital levelM Smits
NIVEL, Netherlands Institute for Health Services Research, Utrecht, The Netherlands
Qual Saf Health Care 18:292-6. 2009....
- Patient safety climate in 92 US hospitals: differences by work area and disciplineSara J Singer
Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA
Med Care 47:23-31. 2009..A better understanding of how patient safety climate differs among distinct work areas and disciplines in hospitals would facilitate the design and implementation of interventions...
- Patient safety: helping medical students understand error in healthcareRona Patey
Department of Anaesthesia, Aberdeen Royal Infirmary, Aberdeen, UK
Qual Saf Health Care 16:256-9. 2007..A literature review did not reveal any patient safety courses in the core undergraduate medical curriculum. Therefore a new module was designed and piloted...
- Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcomeSimon Kreckler
Nuffield Department of Surgery, University of Oxford, Oxford, United Kingdom
Ann Surg 250:1035-40. 2009..To evaluate patient safety in an emergency surgical unit using process and outcome measures in parallel...
- An epistemology of patient safety research: a framework for study design and interpretation. Part 3. End points and measurementC Brown
Department of Public Health and Epidemiology, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK
Qual Saf Health Care 17:170-7. 2008..Since no end point or method of data collection is infallible, the present authors advocate the use of multiple end points and methods where feasible...
- Patient safety in primary care: a survey of general practitioners in The NetherlandsSander Gaal
Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, PO Box 9101, 114 IQ Healthcare, 6500 HB Nijmegen, The Netherlands
BMC Health Serv Res 10:21. 2010..Previous research on safety in primary care has focused on medication safety and incident reporting. In this study, the views of general practitioners (GPs) on patient safety were examined...
- Studying large-scale programmes to improve patient safety in whole care systems: challenges for researchJonathan Benn
Department of Biosurgery and Surgical Technology, Imperial College London, St Mary s Campus, QEQM Building Praed Street, London W2 1NY, UK
Soc Sci Med 69:1767-76. 2009..This requires a sociotechnical approach, rather than focusing upon one microsystem, disciplinary perspective or single level of the system...
- Incidence, patterns, and prevention of wrong-site surgeryMary R Kwaan
Department of Surgery, Brigham and Women s Hospital, Boston, MA 02115, USA
Arch Surg 141:353-7; discussion 357-8. 2006..We hypothesized that wrong-site surgery is infrequent and that a substantial proportion of such incidents are not preventable by current site-verification protocols...
- Trust in the context of patient safety problemsVikki Ann Entwistle
Alliance for Self Care Research, Social Dimensions of Health Institute, Dundee, UK
J Health Organ Manag 20:397-416. 2006..This paper considers some implications of recent developments relating to patient safety for understandings of trust in health care contexts...
- Language proficiency and adverse events in US hospitals: a pilot studyChandrika Divi
The Joint Commission, One Renaissance Boulevard, Oakbrook Terrace, IL 60181, USA
Int J Qual Health Care 19:60-7. 2007..To examine differences in the characteristics of adverse events between English speaking patients and patients with limited English proficiency in US hospitals...
- Adverse events following an emergency department visitAlan J Forster
Ottawa Health Research Institute Clinical Epidemiology Program, Ottawa, Ontario, Canada
Qual Saf Health Care 16:17-22. 2007..Many studies demonstrate a high rate of treatment-related adverse outcomes or adverse events. No studies have prospectively evaluated adverse events in patients discharged home from the emergency department (ED)...
- Using a multihospital survey to examine the safety cultureSaul N Weingart
Stoneman Center for Quality Improvement, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, USA
Jt Comm J Qual Saf 30:125-32. 2004..A culture of safety survey was used to study features of the safety culture and their relationship with patient safety indicators...
- The current state of patient safety culture in Lebanese hospitals: a study at baselineFadi El-Jardali
Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
Int J Qual Health Care 22:386-95. 2010..The objective of this study is to conduct a baseline assessment of patient safety culture in Lebanese hospitals...
- Transforming healthcare: a safety imperativeL Leape
Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA
Qual Saf Health Care 18:424-8. 2009..In future roundtable sessions, the Institute will further elaborate on the meaning of each concept, identify the challenges to implementation, and issue recommendations for policy makers, organizations, and healthcare professionals...
- Teaching quality improvement and patient safety to trainees: a systematic reviewBrian M Wong
Department of Medicine, University of Toronto, Toronto, Ontario, Canada
Acad Med 85:1425-39. 2010....
- Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating roomAndrew W ElBardissi
Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA
Ann Thorac Surg 83:1412-8; discussion 1418-9. 2007..We hypothesized that human factors identified in other domains would similarly be viewed as contributors to error in cardiac surgery...
- Feedback from incident reporting: information and action to improve patient safetyJ Benn
Department of Biosurgery and Surgical Technology, Clinical Safety Research Unit, Imperial College London, St Mary s Hospital, Paddington, London, UK
Qual Saf Health Care 18:11-21. 2009..In this article, the findings and implications of research to identify forms of effective feedback from incident reporting are discussed, to promote best practices in this area...
- Improving patient safety across a large integrated health care delivery systemAllan Frankel
Partners HealthCare System, Boston, MA, USA
Int J Qual Health Care 15:i31-40. 2003..We sought to create a common patient safety strategy for the Partners HealthCare system, a large, integrated, non-profit health care delivery system in the United States...
- Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning SystemA Hutchinson
Section of Public Health, ScHARR, University of Sheffield, Regent Court, Sheffield, UK
Qual Saf Health Care 18:5-10. 2009..The National Patient Safety Agency (NPSA) for England and Wales has been capturing incident data from acute hospitals since November 2003...
- Role of medical students in preventing patient harm and enhancing patient safetyS C Seiden
The University of Chicago, Department of Pediatrics, Comer Children s Hospital, Chicago, IL 60637, USA
Qual Saf Health Care 15:272-6. 2006..The potential role of the medical student as a valuable member of the team in preventing patient harm has, however, often been overlooked...
- Patient safety education at U.S. and Canadian medical schools: results from the 2006 Clerkship Directors in Internal Medicine surveyEric Alper
University of Massachusetts Medical School, Department of Medicine, 55 Lake Avenue North, Worcester, MA 01655, USA
Acad Med 84:1672-6. 2009..To describe current patient safety curricula at U.S. and Canadian medical schools and identify factors associated with adoption of these programs...
- Medical students benefit from learning about patient safety in an interprofessional teamElizabeth Anderson
Department of Medical and Social Care Education, University of Leicester, Leicester, UK
Med Educ 43:542-52. 2009..Safe clinical practice is inextricably linked to team-working. Delivering patient safety education interprofessionally heightens students' awareness of the importance of effective team-working for safe care and care delivery...
- Towards an International Classification for Patient Safety: a Delphi surveyRichard Thomson
Institute of Health and Society, Newcastle University Medical School, Newcastle upon Tyne, UK
Int J Qual Health Care 21:9-17. 2009..The World Alliance set out to develop an International Classification for Patient Safety (ICPS) to address this, and to test the relevance and acceptability of the draft ICPS and progressively refine it prior to field testing...
- The working hours of hospital staff nurses and patient safetyAnn E Rogers
School of Nursing, Center for Sleep and Respiratory Neurobiology, School of Medicine, University of Pennsylvania, Philadelphia, USA
Health Aff (Millwood) 23:202-12. 2004..The risks of making an error were significantly increased when work shifts were longer than twelve hours, when nurses worked overtime, or when they worked more than forty hours per week...
- Relationship between complaints and quality of care in New Zealand: a descriptive analysis of complainants and non-complainants following adverse eventsM M Bismark
Harvard School of Public Health, Boston, Massachusetts 02115, USA
Qual Saf Health Care 15:17-22. 2006..To estimate the proportion and characteristics of patients injured by medical care in New Zealand public hospitals who complain to an independent health ombudsman, the Health and Disability Commissioner ("the Commissioner")...
- Development and evaluation of a 1-day interclerkship program for medical students on medical errors and patient safetyEric Moskowitz
Jefferson Medical College, 1025 Walnut Street, Philadelphia, PA 19107, USA
Am J Med Qual 22:13-7. 2007..There may be a subset of students needing closer attention. The findings provide evidence for the validity of the attitude survey and reinforce the effectiveness of interclerkship programs in medical schools...
- NEURAL NETWORKS FOR PROCESS FAULT DIAGNOSIS AND SAFETYVenkat Venkatasubramanian; Fiscal Year: 1993..We also plan to explore the robustness of such systems for incomplete and uncertain data...
- Effectiveness of patient lift equipmentHester Lipscomb; Fiscal Year: 2008..The proposed work addresses several NIOSH priority areas including health care workers, back injuries, and intervention effectiveness research. ..
- Back Disorders in Union CarpentersHester Lipscomb; Fiscal Year: 2006..The project addresses a number of areas of expressed interest to NIOSH including construction workers, back disorders, surveillance methods and health services research. [unreadable] [unreadable]..
- WORK AND HEALTH DISPARITIES AMONG RURAL WOMENHester Lipscomb; Fiscal Year: 2004..Education will also be targeted to medical providers in this geographic area on work exposures and conditions, exposure response, prevention, basic epidemiology, and ergonomics. ..
- Improving Safety and Quality with Integrated TechnologyJeanne Marie Guise; Fiscal Year: 2006..The findings, though applied specifically for OB, can be applied to many areas of medicine and surgery. The findings will provide inpatient and outpatient HIT stakeholders needed information to make important decisions. ..
- INCIDENT REPORTING IN NURSING HOMESNicholas Castle; Fiscal Year: 2008..This information will further our development of a standardized incident reporting mechanism recommended by the Institute of Medicine and others. [unreadable] [unreadable] [unreadable]..
- EXAMINING NURSING HOME COMPARENicholas Castle; Fiscal Year: 2005..abstract_text> ..
- The Epidemiology of Fecal Incontinence after ChildbirthJeanne Marie Guise; Fiscal Year: 2004..These data will provide a better understanding of the extent of the problem and will provide data essential for future trials of prevention and treatment of fecal incontinence. ..
- Staffing Characteristics of Nursing Homes and QualityNicholas Castle; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- The Influence of Staff Turnover on QualityNicholas Castle; Fiscal Year: 2007..unreadable] [unreadable] [unreadable]..
- Evaluating the Clinical Impact of Simulation & Team Training on OB SafetyJeanne Marie Guise; Fiscal Year: 2007..Our current work evaluates performance in the simulated environment; this proposal focuses on the translation of simulation and team training to the clinical environment. [unreadable] [unreadable] [unreadable]..
- Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk AssessmentSAUL WEINGART; Fiscal Year: 2007..Lessons about oral chemotherapy safety are applicable to other high-alert medications in ambulatory care. [unreadable] [unreadable] [unreadable]..
- Pharmacotherapy for Minor DepressionRobert Howland; Fiscal Year: 2004..The results of this study will have profound public health implications by improving our understanding of the efficacy of SJW and standard antidepressants for the treatment of MinorD. ..
- Blood Exposure and Primary Prevention in the Home Care *JANE LIPSCOMP; Fiscal Year: 2007..abstract_text> ..
- Evaluation of Workplace Violence Prevention InterventionJane Lipscomb; Fiscal Year: 2006..4) Design and implement a violence prevention intervention within these workplaces. 5) Conduct a process and outcome evaluation of the intervention in sample workplaces one year following program implementation. ..
- The Value of CPOE in Pediatric Inpatient Units and Its Impact on Safety and WorkBen Tzion Karsh; Fiscal Year: 2008..unreadable] [unreadable] [unreadable] [unreadable]..
- EFFECTS OF OSHA GUIDELINES ON VIOLENCE PREVENTION IN MENJane Lipscomb; Fiscal Year: 2001..abstract_text> ..
- Infection Risk of Urinary Collection StrategiesSanjay Saint; Fiscal Year: 2006..Since approximately 40% of elderly Americans will enter a nursing home at some point, identification of those at risk of infection could have considerable health, quality of life, and economic consequences. ..
- Workplace Violence Risk in the Home Health Work PlaceJane Lipscomb; Fiscal Year: 2003..abstract_text> ..
- NURSE STAFFING AND QUALITY OF CAREMary Blegen; Fiscal Year: 2002..In addition, hierarchical linear model analysis will assist in the description of the relative effects on the quality of care of hospital level and patient care unit level variables. ..
- Evaluation of Organizational Justice Intervention to Alleviate TYPE III ViolenceJane A Lipscomb; Fiscal Year: 2010..4) To evaluate the impact of a workplace violence prevention program on organizational justice climate and the incidences and prevalence of Type III workplace violence by comparing intervention and control agencies. ..
- Prescription Drug Coverage and Health Outcomes in EldersJennifer Tjia; Fiscal Year: 2008..abstract_text> ..
- Impact of Patient Safety Initiatives on Nursing Workflow and ProductivityMary Blegen; Fiscal Year: 2008..This conference will bring together experts on the work of nurses and on ways to measure that work in order to develop valid approaches to studying this increase in work demands. [unreadable] [unreadable] [unreadable]..
- BLOODBORNE EXPOSURE MANAGEMENTRobyn Gershon; Fiscal Year: 2001..This study will identify barriers to appropriate implementation of the Guidelines and allow us to focus our energies and resources on specific improvements in order to minimize the risk of infection to exposed employees. ..
- Bar Coding Technology and Patient and Employee SafetyBen Tzion Karsh; Fiscal Year: 2006..Fourth, it is significant that this study will take place in pediatric facilities since the complexity of health care delivery is compounded with children. ..
- Allergy Alerts in Computerized Physician EntryDavid Bates; Fiscal Year: 2001..We believe the results of our work will improve patient safety and the overall quality of pharmacotherapy. We also believe that the results of our study will be applicabe to other healthcare systems ..
- Proactive Risk Assessment of Primary Care of the ElderlyBen Tzion Karsh; Fiscal Year: 2007..The investigators have a history of successful collaboration and deliverables in primary care patient safety. [unreadable] [unreadable] [unreadable]..
- Sleep Loss, Sleepiness and Fatigue in 12-Hour NursesJeanne Geiger Brown; Fiscal Year: 2008....
- Preparing rural and urban hospitals to improve safety culture through simulationDavid Gaba; Fiscal Year: 2007..We will also use multiple methods, including process measures and participant evaluations, to evaluate simulation qualitatively. [unreadable] [unreadable] [unreadable]..
- LEARN (Leveraging Existing Assessments of Risk Now) for Pediatric Patient SafetyDonna Woods; Fiscal Year: 2007..unreadable] [unreadable] [unreadable]..
- In Situ Simulation to Detect and Prevent Near Misses during Critical EventsWilliam Riley; Fiscal Year: 2007..Our intervention to improve patient safety is based on an advanced set of event sets and debriefing techniques in use by the Federal Aviation Agency (FAA). [unreadable] [unreadable] [unreadable] [unreadable]..
- Workshop Series:"Control Banding":A Risk Assessment Tool for Joint Labor/Mgmt HltAnne Bracker; Fiscal Year: 2007..In the spring of 2008 the PI will submit a final report to NIOSH summarizing the lessons learned from the participants' experiences. [unreadable] [unreadable] [unreadable]..
- Gene mutation and rescue in human diaphragmatic herniaPatricia K Donahoe; Fiscal Year: 2010..CDH gene defects uncovered by these studies will serve as targets for pharmacological or other therapeutic interventions to ameliorate or prevent this severe birth malformation. ..
- Government Industry Relationships in ScienceEric Campbell; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- Rural Hospital Nursing: Environment, Effects and EvidenceRobin Newhouse; Fiscal Year: 2008..This project has promising potential to improve quality of care to the rural population using the novel approach of focusing on an understudied area, nursing in rural hospitals. ..
- TMS in the Management of Postoperative PainJeffrey J Borckardt; Fiscal Year: 2010..Thus, new interventions that have the potential to reduce reliance on postoperative morphine in this patient population such as TMS need to be explored. ..
- Improving Continence & Pain Control in LTC: The M-TRAIN InterventionJANET K P SPECHT; Fiscal Year: 2010..The study will evaluate outcomes for nursing homes, elderly residents, and new ways to assist RNs and CNAs use the most current knowledge to care for elders with pain and urinary incontinence. ..
- The impact of quality end-of-life care in nursing homesSARAH ANN FORBES THOMPSON; Fiscal Year: 2010..Findings from this study will drive the development of interventions aimed at differing levels of communication, leadership, communication, and palliative care to improve end-of-life care for nursing home residents. ..
- FOCUS Hip Fracture Transfusion Trial: Delirium and Other Cognitive OutcomesAnn L Gruber Baldini; Fiscal Year: 2010..This ancillary study examines whether transfusion helps prevent short-term (post- randomization) and long-term (30 day) changes in delirium. ..
- Improving use of peri-operative beta-blockers with a multidimentional QI programAndrew Auerbach; Fiscal Year: 2009..The impact of this set of tools will be substantial as groups such as the NSQIP, SCIP, National Quality Forum, and Leapfrog Group continue to endorse PBB as a key strategy to reduce surgical morbidity and mortality. ..
- Violence Against Home Health and Hospice WorkersCarri Casteel; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- 2008 NIFS Conference: Sowing the Wind with Safety and HealthDennis Murphy; Fiscal Year: 2008..4 injuries per 100 full time equivalents (FTE) and reduce occupational agricultural fatalities from 24.1 per 100 FTE to 16.0 per 100 FTE by 2010. [unreadable] [unreadable] [unreadable]..
- Expert Decision-making in Exposure AssessmentGurumurthy Ramachandran; Fiscal Year: 2007..The methodology will be developed using a large occupational exposure dataset from 3M Company, and probabilistic professional judgments obtained from occupational hygienists employed at 3M Company. ..
- Bloodborne Pathogen Risk in Home Healthcare WorkersRobyn Gershon; Fiscal Year: 2007..This study will improve our understanding of the risks facing home health care workers and allow us to focus our risk management energies and resources appropriately. ..
- Improving Care for the Dying: Transforming Patiens's Wi*John Combes; Fiscal Year: 2005..A tool will be developed to measure outcomes including length of stay, patient satisfaction and financial implications of hospital-based palliative care. ..
- Are Volume Standards Accurate Measures of Quality?Laurent Glance; Fiscal Year: 2005..abstract_text> ..
- User adjustable support surfaces for wheelchair comfortDouglas Hobson; Fiscal Year: 2004..In sub-task 4, these results will be compiled and submitted for an STTR phase II work continuation. All of these sub-tasks will assist in meeting the overall goal ..
- MIS RECEPTORS-NOVEL SERINE/THREONINE KINASE COMPONENTSPatricia Donahoe; Fiscal Year: 2004....
- A New Measure of Nursing Home Care QualityMarilyn Rantz; Fiscal Year: 2003..abstract_text> ..
- Data Sharing & Data Withholding Among Trainees in Scien*Eric Campbell; Fiscal Year: 2002..Hypotheses will be tested using univariate and multivariate statistical techniques. Results will be disseminated through publications in peer-reviewed journals and presentations at scientific meetings. ..
- IN VIVO IMAGING OF FORMATION OF HEPATIC METASTASESJonathan Kruskal; Fiscal Year: 2002..This project will allow identification of a series of in vivo steps that can be used to explore novel diagnostic and therapeutic probes in animal studies. ..
- REDUCING VIOLENCE AGAINST NURSING HOME CAREGIVERSDonna Gates; Fiscal Year: 2001..Data analysis will also determine whether the intervention group demonstrated a significant difference in violence prevention skills than the control group. ..
- Colon Cancer Screening Augmented by Image ProcessingMichael Zalis; Fiscal Year: 2006..The proposed research will serve as basis for the design of a larger, screening-cohort evaluation of CTC using these image-processing techniques. ..
- Public Health Model to Promote Safe Elderly DrivingSherrilene Classen; Fiscal Year: 2006..abstract_text> ..
- Post-accident earning and benefits adequacy and equityEmile Tompa; Fiscal Year: 2006..The research in Part 2 will provide valuable insight into whether it is appropriate to treat temporary disability as a short-term phenomenon. ..
- Improving Safety and Quality with Outpatient Order EntryTejal Gandhi; Fiscal Year: 2006..Given the diversity of practices, these findings will be generalizable to other organizations and will speed the adoption of these systems. ..
- East Carolina University Master of Science in Occupational Safety ProgramMichael Behm; Fiscal Year: 2006..This graduate training fulfills a need, both regionally and nationally, for graduate level trained safety practitioners. [unreadable] [unreadable] [unreadable]..
- Developing School Based Treatment of ADHD AdolescentsSteven Evans; Fiscal Year: 2007..The results of this study will provide effect size data needed to project sample size for our clinical trial as well as generate hypotheses regarding treatment moderators and mediators. ..
- Epidemiology of Arboviral Encephalomyelitis in HoustonKristy Murray; Fiscal Year: 2007..Her time will be directed toward completion of the specific aims of this proposal and her PhD. [unreadable] [unreadable] [unreadable]..
- Community Health Intervention with Yakima Agricultural *Matthew Keifer; Fiscal Year: 2006..abstract_text> ..
- Academic Industry Relationships in GeneticsEric Campbell; Fiscal Year: 2006..Results will be disseminated through publications in peer-reviewed journals and presentations at scientific meetings. ..
- IMPACT OF AGING, ISCHEMIA AND CYTOKINES ON WOUND HEALINGThomas Mustoe; Fiscal Year: 2002....
- Therapeutic Computer Activity Intervention in Alzheimer's DiseaseSunghee Tak; Fiscal Year: 2009..Using a standardized videotape-recording protocol, data collection will occur at baseline, treatment, and one-week follow-up. A mixed model ANOVA (time as a repeated factor) will be used to assess changes in agitated behaviors. ..
- Renewing a Century of Committment to a Healthy, Safe & Prod Working LifeM E BONNIE ROGERS; Fiscal Year: 2006..unreadable] [unreadable] A wide range of topics (>100) will be covered including those reflective of the NORA.[unreadable] [unreadable] [unreadable]..
- Impact of Nurse Work Environment on Rural Quality of Care and Clinical OutcomesMarianne Baernholdt; Fiscal Year: 2009....
- HEALTHY WORK ORGANIZATION--INTERVENTION EFFECTIVENESSDAVID DEJOY; Fiscal Year: 2001..abstract_text> ..
- EDUCATIONAL RESOURCE FOR TUMOR HETEROGENEITYRoger Day; Fiscal Year: 2004..Utilization of the Patient Encounter Interface in an ongoing training program for oncology residents, focused on patient management skills. ..
- Evaluation of the NAGCAT Tractor GuidelinesFadi Fathallah; Fiscal Year: 2005..It is anticipated that once the recommended revisions are incorporated into the NAGCAT, the risks of traumatic and fatal injuries to children due to tractor operation will be reduced. ..
- DEMOLITION AND ASTHMA IN CHICAGO PUBLIC HOUSINGSamuel Dorevitch; Fiscal Year: 2006....
- Nurse Staffing, Financial Performance, Quality of CareBarbara Mark; Fiscal Year: 2009....
- Pharmacotherapy for Minor DepressionAndrew Nierenberg; Fiscal Year: 2004..The results of this study will have profound public health implications by improving our understanding of the efficacy of SJW and standard antidepressants for the treatment of MinorD. ..
- A Model of Patient and Nursing Administration OutomesBarbara Mark; Fiscal Year: 2006..abstract_text> ..
- Exposure to Blood Among Home Health Care NursesJack Leiss; Fiscal Year: 2006..Collaborating agency directors and home health care nurses, focus groups, and a pilot study will be used to design and test recruitment strategies that will ensure high response rates. [unreadable] [unreadable]..