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    Accordingly, the Senate passed the Patient Safety and Quality Improvement Act of 2003 (introduced by Senator James Jeffords, Vermont), which was subsequently passed by the House of Representatives and signed into law by the president. The law encourages health care providers to report errors and near misses to patient safety organizations, defined as private or public organizations that analyze reported patient safety data and develop strategic feedback and guidelines to providers on how to improve patient safety and the quality of care. First introduced by Edwards (1971) and further developed by Hawkins (1984), this model is an organizational tool used to identify factors and work system elements that can influence human performance (Molloy & O’Boyle, 2001).

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    Other markers such as elevated bilirubin, alkaline phosphatase, and amylase:lipase ratios are not specific in predicting the biliary source of AP. Serum alanine transaminase elevations of more than 4-fold of normal in patients older than 20 years has a sensitivity of 64% and specificity of 54% in predicting the biliary origin of AP. The Atlanta classification divides AP into mild and severe disease. 18. Does the magnitude of hyperamylasemia or hyperlipasemia correlate with the severity of AP?.

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