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What’s New this Week | 09/26/12
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The latest annotated links to patient safety literature, news, and more.
BOOK/REPORT
 Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2012. Oakbrook Terrace, IL: The Joint Commission; September 2012.
Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care. Makary M. New York, NY: Bloomsbury Press; 2012. ISBN: 9781608198368.
2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine.  Ruoff G, ed. Cambridge, MA: CRICO Strategies; 2012.
JOURNAL ARTICLE
 Improving medication safety with accurate preadmission medication lists and postdischarge education. Gardella JE, Cardwell TB, Nnadi M. Jt Comm J Qual Patient Saf. 2012;38:452-458.
Medical errors in US pediatric inpatients with chronic conditions. Ahuja N, Zhao W, Xiang H. Pediatrics. 2012 Sep 10; [Epub ahead of print].
The role of surgeon error in withdrawal of postoperative life support. Schwarze ML, Redmann AJ, Brasel KJ, Alexander GC. Ann Surg. 2012;256:10-15.
Teaching hospital financial status and patient outcomes following ACGME duty hour reform. Navathe AS, Silber JH, Small DS, et al. Health Serv Res. 2012 Aug 2; [Epub ahead of print].
Why patients need leaders: introducing a ward safety checklist. Amin Y, Grewcock D, Andrews S, Halligan A. J R Soc Med. 2012;105:377-383.
SPECIAL OR THEME ISSUE
 Errors and Malpractice in Radiology. Pinto A, ed. Semin Ultrasound CT MR. 2012;33:273-382.
TOOLS/TOOLKIT
 CUSP Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; September 10, 2012.
NEWSPAPER/MAGAZINE ARTICLE
 SWIFT: a new tool for identifying prospective hazards. Joint Commission: The Source. September 2012;10:1-19.
PRESS RELEASE/ANNOUNCEMENT
 Agency information collection activities: proposed collection; comment request. Agency for Healthcare Research and Quality. Federal Register. September 12, 2012;77:55475-55477.
MEETING/CONFERENCE
 "Become a Patient Safety Trainer" Conference and Professional Development Workshop. Patient Safety Education Program. November 7–10, 2012; The Hyatt Lodge, Oak Brook, IL.

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Also of Note...
Addressing Opioid Safety Risks in Hospitals. Institute for Safe Medication Practices. September 28, 2012; 1:30–3:00 PM (Eastern).
2012 ASHRM Annual Conference & Exhibition. American Society for Healthcare Risk Management. October 7–10, 2012; Gaylord National Resort & Convention Center, National Harbor, MD.
2013 American Hospital Association McKesson Quest for Quality Prize. American Hospital Association, McKesson Corporation, McKesson Foundation. 
An Introduction to AHRQ PSNet
Robert M. Wachter, MD
Editor, AHRQ PSNet
Patient Safety Primers
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Learn about key concepts in patient safety with our primers

• Never Events

• Medication Reconciliation

• Handoffs and Signouts

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Did You Know?
Top 5 barriers to error disclosure.