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08/19/09 |
Effect of medication reconciliation with and without patient counseling on the number of pharmaceutical interventions among patients discharged from the hospital.
Karapinar-Çarkit F, Borgsteede SD, Zoer J, Smit HJ, Egberts ACG, van den Bemt PMLA. Ann Pharmacother. 2009;43:1001-1010.
Afraid in the hospital: parental concern for errors during a child's hospitalization.
Tarini BA, Lozano P, Christakis DA. J Hosp Med. 2009 Aug 3; [Epub ahead of print].
What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff.
Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Qual Saf Health Care. 2009;18:248-255.
Use of simulation-based education to reduce catheter-related bloodstream infections.
Barsuk JH, Cohen ER, Feinglass J, McGaghie WC, Wayne DB. Arch Intern Med. 2009;169:1420-1423.
Systematic video game training in surgical novices improves performance in virtual reality endoscopic surgical simulators: a prospective randomized study.
Schlickum MK, Hedman L, Enochsson L, Kjellin A, Felländer-Tsai L. World J Surg. 2009 Aug 1; [Epub ahead of print].
Pediatric patient safety in emergency departments: unit characteristics and staff perceptions.
Shaw KN, Ruddy RM, Olsen CS, et al; for Pediatric Emergency Care Applied Research Network. Pediatrics. 2009;124:485-493.
Reality check for checklists.
Bosk CL, Dixon-Woods M, Goeschel CA, Pronovost PJ. Lancet. 2009;374:444-445.
The competent surgeon: individual accountability in the era of "systems" failure.
Whittemore AD. Ann Surg. 2009 July 29; [Epub ahead of print].
Dead by Mistake.
Crowley CF, Nalder E. New York, NY: Hearst Digital News; August 2009.
| Newspapers/Magazine Articles |
Are patients in part to blame when doctors miss the diagnosis?
Chen PW. New York Times. August 7, 2009.
Patients, beware: 731 nurses reveal what to watch out for in the hospital.
Consumer Reports Health. September 2009.
| Press Releases/Announcements |
Call for Presentations: 2010 Annual Conference on Quality and Patient Safety.
Oakbrook Terrace, IL: The Joint Commission. August 12, 2009.
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Safety Target
Medication errors, Diagnostic errors, Nosocomial infections, Post-operative surgical complications, More... |
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Approach to Improving Safety
Human factors engineering, Error reporting, Teamwork training, Culture of safety, Nurse staffing ratios, Regulation, More... |
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Error Types
Cognitive errors ("mistakes"), Non-cognitive errors ("slips & lapses"), Latent errors, More... |
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Clinical Area
Anesthesiology, Emergency medicine, Critical care nursing, Community pharmacy, More... |
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Target Audience
Physicians, Nurses, Risk managers, Educators, Policymakers, More... |
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Setting of Care
Intensive care units, Operating room, Children's hospitals, Ambulatory clinic or office, Residential facilities, More... |
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