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Modeling Safety Outcomes on Patient Care Units

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Unifying Themes in Complex Systems
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Abstract

In its groundbreaking report, “To Err is Human,” the Institute of Medicine reported that as many as 98,000 hospitalized patients die each year due to medical errors (IOM, 2001). Although not all errors are attributable to nurses, nursing staff (registered nurses, licensed practical nurses, and technicians) comprise 54% of the caregivers. Therefore, it is not surprising, that AHRQ commissioned the Institute of Medicine to do a follow-up study on nursing, particularly focusing on the context in which care is provided. The intent was to identify characteristics of the workplace, such as staff per patient ratios, hours on duty, education, and other environmental characteristics. That report, “Keeping Patients Safe: Transforming the Work Environment of Nurses” was published this spring (IOM, 2004).

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Patil, A., Effken, J., Carley, K., Lee, JS. (2011). Modeling Safety Outcomes on Patient Care Units. In: Minai, A.A., Braha, D., Bar-Yam, Y. (eds) Unifying Themes in Complex Systems. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-17635-7_33

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