Page 274

Ambulatory health care settings, 29, 50-51, 168

costs, 41

drug errors, 32-33, 34-35, 39

home care, 2, 29, 51, 254

reporting systems, 88, 257

training, 165

American Academy of Pediatrics, 146

American Accreditation Healthcare Commission/URAC, 138, 139

American Board of Medical Specialties, 148

American College of Cardiology, 145

American College of Obstetricians and Gynecologists, 145-146

American College of Surgeons, 270

American Heart Association, 145, 147

American Hospital Association

National Patient Safety Partnership, 78, 81-82, 183, 191, 196

American Medical Accreditation Program Association, 143

American Medical Association, 147

National Patient Safety Foundation, 6, 57, 70, 71, 76, 81, 147, 193

National Patient Safety Partnership, 78, 81-82, 183, 191, 196

American National Standards Institute, 178

American Nurses Association, 143

National Patient Safety Partnership, 78, 81-82, 183, 191, 196

American Nurses Credentialing Center, 143

American Society of Health-System Pharmacists, 145, 183, 193

Ames Research Center, 65, 73

Anesthesia, 6, 32, 144-145, 164, 171, 222-225

infusion pumps, 50-66 (passim)

mortality, 164, 222-225

Anesthesia Patient Safety Foundation, 6, 145

Antibiotics, 33, 171

Anticipating the unexpected, 52, 150, 161, 162, 166, 170, 174-176, 197

Anticoagulants, 35

Antidiarrheals, 34

Anti-inflammatory drugs, 35, 253-254

Association of American Medical Colleges, 148

National Patient Safety Partnership, 78, 81-82, 183, 191, 196

Attitudes

fear, 22, 42, 111, 125, 127, 157, 160, 163, 167, 189

patient trust, 2

professionals, 2, 10, 23, 60, 112

public opinion, 2, 29, 42-43, 70, 167

Australia, 32, 35

Authority gradient, 178, 180-181

Automation, see Computer systems

Autopsies, 269

Aviation, 60, 180

accidents, general, 53

aircraft carriers, 57, 160-161

risk level, 42

safety efforts, ix, 5, 6-7, 42, 71-73, 80

team training, 173-174

see also National Aeronautics and Space Administration

Aviation Safety Action Programs, 97

Aviation Safety Reporting System (ASRS), 72-73, 76, 91, 95-97, 104, 105-106, 125, 127

B

Bar coding, 175, 188, 189, 195-196

Benchmarking, 81, 182, 259

Best practices, 18, 32, 77, 79, 145, 152, 182, 193 see also Clinical practice guidelines

Billings, Charles, 73

Budgetary issues, see Funding

Bureau of Labor Statistics, 73-74, 97

C

California

peer review statute, 127-128

reporting system, 254-255

Cancer, 1, 26, 209



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