AHRQ Patient Safety Network http://psnet.ahrq.gov/ A continuously updated, annotated, and carefully selected collection of patient safety news, literature, tools, and resources. en-us AHRQ Patient Safety Network 100% 100% http://psnet.ahrq.gov/ http://psnet.ahrq.gov/mailimg/mast_psnetmail.gif Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System. http://psnet.ahrq.gov/resource.aspx?resourceID=17025&rss=yes Farley DO, Ridgely MS, Mendel P, et al. Santa Monica, CA: RAND Corporation; 2009. ISBN: 9780833047748. Enhancing Patient Care: A Practical Guide to Improving Quality and Safety in Hospitals. http://psnet.ahrq.gov/resource.aspx?resourceID=17024&rss=yes Wolff A, Taylor S. Sydney, Australia: MJA Books; 2009. ISBN: 9780977578665. Medical Liability Reform and Patient Safety Planning Grants (R21). http://psnet.ahrq.gov/resource.aspx?resourceID=17023&rss=yes Rockville, MD: Agency for Healthcare Research and Quality. RFA-HS-10-022. Medication room madness: calming the chaos. http://psnet.ahrq.gov/resource.aspx?resourceID=17029&rss=yes Conrad C, Fields W, McNamara T, Cone M. J Nurs Care Qual. 2009 Oct 16; [Epub ahead of print]. Poor medication history plus slow symptom onset delays a diagnosis. http://psnet.ahrq.gov/resource.aspx?resourceID=17021&rss=yes Wilkin T, Hale LS, Claiborne RA. JAAPA. October 2009;22:39-41. Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries. http://psnet.ahrq.gov/resource.aspx?resourceID=11950&rss=yes Callen J, McIntosh J, Li J. Int J Med Inform. 2009 Oct 1; [Epub ahead of print]. Development and usability of a behavioural marking system for performance assessment of obstetrical teams. http://psnet.ahrq.gov/resource.aspx?resourceID=17019&rss=yes Tregunno D, Pittini R, Haley M, Morgan PJ. Qual Saf Health Care. 2009;18:393-396. Did duty hour reform lead to better outcomes among the highest risk patients? http://psnet.ahrq.gov/resource.aspx?resourceID=17013&rss=yes Volpp KG, Rosen AK, Rosenbaum PR, et al. J Gen Intern Med. 2009;10:1149-1155. Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improvements in handover. http://psnet.ahrq.gov/resource.aspx?resourceID=17016&rss=yes Pickering BW, Hurley K, Marsh B. Crit Care Med. 2009;37:2905-2912. Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995-2007. http://psnet.ahrq.gov/resource.aspx?resourceID=17014&rss=yes Cranshaw J, Gupta KJ, Cook TM. Anaesthesia. 2009 Oct 22; [Epub ahead of print]. On the prospects for a blame-free medical culture. http://psnet.ahrq.gov/resource.aspx?resourceID=11945&rss=yes Collins ME, Block SD, Arnold RM, Christakis NA. Soc Sci Med. 2009;69:1287-1290. Safety as a criterion for quality: The Critical Nursing Situation Index in paediatric critical care, an observational study. http://psnet.ahrq.gov/resource.aspx?resourceID=11944&rss=yes de Neef M, Bos AP, Tol D. Intensive Crit Care Nurs. 2009 Oct 2; [Epub ahead of print]. Using simulation to teach patient safety behaviors in undergraduate nursing education. http://psnet.ahrq.gov/resource.aspx?resourceID=17018&rss=yes Gantt LT, Webb-Corbett R. J Nurs Educ. 2009 Oct 9; [Epub ahead of print]. Variations in nursing care quality across hospitals. http://psnet.ahrq.gov/resource.aspx?resourceID=17017&rss=yes Lucero RJ, Lake ET, Aiken LH. J Adv Nurs. 2009;65:2299-2310. Safe & Sound: How to Prevent Medication Mishaps. http://psnet.ahrq.gov/resource.aspx?resourceID=17020&rss=yes National Family Caregivers Association. November 12, 2009; 2:00-3:00 PM (Eastern). Another wrong-site surgery at RI Hospital. http://psnet.ahrq.gov/resource.aspx?resourceID=17027&rss=yes Freyer FJ. Providence Journal. October 24, 2009. How could this happen? http://psnet.ahrq.gov/resource.aspx?resourceID=17028&rss=yes Westfall SS, Mascia K. People. October 5, 2009;72:155. Oral syringes: a crucial and economical risk-reduction strategy that has not been fully utilized. http://psnet.ahrq.gov/resource.aspx?resourceID=17026&rss=yes ISMP Medication Safety Alert! Acute Care Edition. October 22, 2009;14:1-3. Still hard to share. PSOs making progress but still face tech hurdles. http://psnet.ahrq.gov/resource.aspx?resourceID=17022&rss=yes DerGurahian J. Mod Healthc. October 12, 2009;39:30. Do No Harm IX: Promoting Patient Safety in Tough Times. http://psnet.ahrq.gov/resource.aspx?resourceID=10126&rss=yes Colorado Patient Safety Coalition. November 13, 2009; The Children's Hospital, Aurora, CO. 21st Annual National Forum on Quality Improvement in Health Care. http://psnet.ahrq.gov/resource.aspx?resourceID=10048&rss=yes Institute for Healthcare Improvement. December 6-9, 2009; World Center Marriott, Orlando, FL.