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National Center for Patient Safety

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arrow in graph paper circle Patient Safety Improvement Corps:  An AHRQ/VA Partnership
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2004-2005 State Presentations


State Project Summaries    Available as a Word .doc file.
State Team Presentations     Available as a Word .doc file.
California Project: Patient Safety Improvement Resource Manual
District of Columbia Project: A Focused Assessment of the Culture of Safety in Two Hospitals in the District of Columbia
Florida Project: Dissemination of the Data Analysis of Wrong Site, Wrong Patient, Wrong Procedure Code 15 Reports to Florida Hospitals and Ambulatory Surgical Centers in an Effort to Increase Patient Safety
Georgia Project: Correct Site, Correct Patient Surgeries and Procedures - Successful Practices in Georgia
Hawaii Project: Pa'a Lima - Working Together with Pride and Mutual Trust
Idaho Project: Medication Reconciliation Model Critical Access Hospital Inpatient Admissions
Indiana Project: Deep Vein Thrombosis Prophylaxis & Glucose Monitoring
Kentucky Project: Failure Mode and Effect Analysis (FMEA) as a Measurement Toolto Evaluate the Initiative, Bar Errors by Barcoding
Maryland Project I: Assessment and improvement of Required Event Reporting in Maryland
Maryland Project II: Nursing Home Root Cause Analysis Project
Massachusetts Project: Prevention of Central Line Infections - Massachusetts Public-Private Collaboration
Michigan Project: Hospital Root Cause In-Depth Analysis & Facility Design Standards
Mississippi Project: Decreasing Health Care Associated Infections Through Initiation of Bundles/Improving the Culture of Safety in the State of Mississippi
Nebraska Project: The Heart of Safe Care at Fremont Area Medical Center
New Jersey Project: Development of a System for Patient Safety Reporting and RCAs
North Dakota Project: Medication Reconciliation
Ohio Project: Development of an Error Analysis Process Using Existing Databases
South Dakota Project: Medication Safety: Reconciliation of Medication upon Admission, Transfer and Discharge
Tennessee Project: Creating a Culture of Safety in the Hospital Setting
Vermont Project: Developing Statewide Standards for Patient Safety - A Collaborative Approach
Washington Project: Promoting and Sustaining a Learning Culture Through Out Washington
West Virginia Project: Factors in Reducing Repeat Falls in Heath Care Institutions