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| 1. |  Book/Report: Safe Practices 2009. |
| | National Quality Forum. Washington, DC: National Quality Forum; 2009. |
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| 2. | Book/Report: Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy. |
| | Wu HW, Nishimi RY, Page-Lopez CM, Kizer KW. Washington, DC: National Quality Forum; 2005. |
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| 3. | Study: Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality. |
| | Kernisan LP, Lee SJ, Boscardin WJ, Landefeld CS, Dudley RA. JAMA. 2009;301:1341-1348. |
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| 4. | Study: Identification of inpatient DNR status: a safety hazard begging for standardization. |
| | Sehgal NL, Wachter RM. J Hosp Med. 2007;2:366-371. |
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| 5. | Book/Report: "What Did the Doctor Say?:" Improving Health Literacy to Protect Patient Safety. |
| | Oakbrook Terrace, IL: The Joint Commission; 2007. |
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| 6. | Multi-use Website: Medical error. |
| | Wikipedia. |
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| 7. | Fact Sheet/FAQs: Patient Education Pages. |
| | Journal of Patient Safety. |
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| 8. | Study: Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. |
| | Barrios L, Tsuda S, Derevianko A, et al. Surg Endosc. 2009 Apr 3; [Epub ahead of print]. |
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| 9. | Commentary: In Conversation with...Dean Schillinger, MD |
| | AHRQ WebM&M [serial online]. February/March 2009. |
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| 10. | Commentary: A living will misinterpreted as a DNR order: confusion compromises patient care.
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| | Katsetos AD, Mirarchi FL. J Emerg Med. 2009 Feb 12; [Epub ahead of print].
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| 11. | Newspaper/Magazine Article: Preventing surgical errors. |
| | Frenzel JC, Kelly T. HHN Magazine Online. January 6, 2009. |
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| 12. | Commentary: The Wrongful Resuscitation |
| | Teno JM. AHRQ WebM&M [serial online]. April 2008. |
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| 13. | Newspaper/Magazine Article: Hospitals look to improve informed consent process. |
| | O'Reilly KB. American Medical News. November 19, 2007. |
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| 14. | Special or Theme Issue: Language Barriers in Health Care. |
| | Saha S, Fernandez A, eds. J Gen Intern Med. 2007;11(suppl 2):277-372. |
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| 15. | Commentary: Informed or Misled?
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| | White SM. AHRQ WebM&M [serial online]. June 2007. |
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| 16. | Commentary: Patient safety: honoring advanced directives. |
| | Tice MA. Home Healthc Nurse. 2007;25:79-81. |
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| 17. | Newspaper/Magazine Article: In a crisis, do-not-revive requests don't always work. |
| | Parker L. USA Today. December 19, 2006. |
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| 18. | Commentary: Secured But Not Always Safe |
| | Jahr JS, Hosseini P. AHRQ WebM&M [serial online]. November 2006. |
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| 19. | Commentary: DNR in the OR and Afterwards |
| | Lo B. AHRQ WebM&M [serial online]. September 2006. |
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| 20. | Newspaper/Magazine Article: Healthcare industry representatives: maximizing benefits and reducing risks. |
| | PA-PSRS Patient Safety Advisory. March 2006;3:13-19. |
