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01/14/09  
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Journal Articles

Assessment of the implementation of a national patient safety alert to reduce wrong site surgery.
Rhodes P, Giles SJ, Cook GA, et al. Qual Saf Health Care. 2008;17:409-415.

Medication errors among adults and children with cancer in the outpatient setting.
Walsh KE, Dodd KS, Seetharaman K, et al. J Clin Oncol. 2008 Dec 29; [Epub ahead of print].

Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting.
Clay BJ, Halasyamani L, Stucky ER, Greenwald JL, Williams MV. J Hosp Med. 2008;3:465-472.

Using implementation safety indicators for CPOE implementation.
Weir CR, McCarthy CA. Jt Comm J Qual Patient Saf. 2009;35:21-28.

Evaluating service delivery interventions to enhance patient safety.
Brown C, Lilford R. BMJ. 2008;337:a2764.

Disclosing errors to patients: perspectives of registered nurses.
Shannon SE, Foglia MB, Hardy M, Gallagher TH. Jt Comm J Qual Patient Saf. 2009;35:5-12.

Medication safety teams' guided implementation of electronic medication administration records in five nursing homes.
Scott-Cawiezell J, Madsen RW, Pepper GA, Vogelsmeier A, Petroski G, Zellmer D. Jt Comm J Qual Patient Saf. 2009;35:29-35.

Physician autonomy and informed decision making: finding the balance for patient safety and quality.
Mathews SC, Pronovost PJ. JAMA. 2008;300:2913-2915.

Books/Reports

Adverse Events in Hospitals: Overview of Key Issues.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00470.

Adverse Events in Hospitals: State Reporting Systems.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00471.

Newspapers/Magazine Articles

For patients, a list of hospital hazards.
Landro L. Wall Street Journal (Eastern edition). December 23, 2008;D2.

Meetings/Conferences

High-Alert Series Parts I, II, III, and IV.
Institute for Safe Medication Practices. January 21, 2009; April 16, 2009; July 23, 2009; and October 15, 2009. 1:30-3:00 PM (Eastern).

NPSF announces the 2009 call for research and solutions posters.
North Adams, MA: National Patient Safety Foundation; December 1, 2008.

Designing evaluation systems for TeamSTEPPS.
Agency for Healthcare Research and Quality. TeamSTEPPS Webinar #7. February 11, 2009; 12:00-1:30 PM (Eastern).


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Primers
Medication Reconciliation, Patient Disclosure, Never Events, Rapid Response Systems, More...
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Federal Government, Department of Health and Human Services, Agency for Healthcare Research and Quality, United Kingdom, More...


Browse by Subject

Safety Target
Medication errors, Diagnostic errors, Nosocomial infections, Post-operative surgical complications, More...

Approach to Improving Safety
Human factors engineering, Error reporting, Teamwork training, Culture of safety, Nurse staffing ratios, Regulation, More...

Error Types
Cognitive errors ("mistakes"), Non-cognitive errors ("slips & lapses"), Latent errors, More...

Clinical Area
Anesthesiology, Emergency medicine, Critical care nursing, Community pharmacy, More...

Target Audience
Physicians, Nurses, Risk managers, Educators, Policymakers, More...

Setting of Care
Intensive care units, Operating room, Children's hospitals, Ambulatory clinic or office, Residential facilities, More...


View ClassicsPatient Safety

Did You Know? View All DYKs

More than 50% of key clinical faculty report worsening medical educational experiences for students on their medicine rotations as a result of duty hour regulations.
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