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| 1. | Multi-use Website: Patient Safety Organizations. |
| | Agency for Healthcare Research and Quality. |
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| 2. | Multi-use Website: National Surgical Quality Improvement Program. |
| | American College of Surgeons. |
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| 3. | Study: Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial. |
| | Schnipper JL, Hamann C, Ndumele CD, et al. Arch Intern Med. 2009;169:771-780. |
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| 4. | Book/Report: Safe Practices 2009. |
| | National Quality Forum. Washington, DC: National Quality Forum; 2009. |
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| 5. | Study: A surgical safety checklist to reduce morbidity and mortality in a global population. |
| | Haynes AB, Weiser TG, Berry WR, et al, for the Safe Surgery Saves Lives Study Group. N Engl J Med. 2009;360:491-499. |
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| 6. | Study: Hospital-wide code rates and mortality before and after implementation of a rapid response team. |
| | Chan PS, Khalid A, Longmore LS, Berg RA, Kosiborod M, Spertus JA. JAMA. 2008;300:2506-2513. |
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| 7. | Book/Report: Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. |
| | Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety, Institute of Medicine. Washington, DC: The National Academies Press; 2008. ISBN: 9780309127721. |
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| 8. | Study: Patient safety climate in US hospitals: variation by management level. |
| | Singer SJ, Falwell A, Gaba DM, Baker LC. Med Care. 2008;46:1149-1156. |
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| 9. | Study: Hospital readmissions: physician awareness and communication practices. |
| | Roy CL, Kachalia A, Woolf S, et al. J Gen Intern Med. 2009;24:374-380. |
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| 10. | Commentary: Publication guidelines for improvement studies in health care: evolution of the SQUIRE project. |
| | Davidoff F, Batalden P, Stevens D, Ogrinc G, Mooney S; for SQUIRE Development Group. Ann Intern Med. 2008;149:670-676. |
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| 11. | Study: Information exchange among physicians caring for the same patient in the community. |
| | van Walraven C, Taljaard M, Bell CM, et al. CMAJ. 2008;179:1013-1018. |
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| 12. | Organizational Policy/Guidelines: A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals. |
| | Yokoe DS, Mermel LA, Anderson DJ, et al. Infect Control Hosp Epidemiol. 2008;29:901-994. |
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| 13. | Study: Medical error disclosure among pediatricians: choosing carefully what we might say to parents. |
| | Loren DJ, Klein EJ, Garbutt J, et al. Arch Pediatr Adolesc Med. 2008;162:922-927. |
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| 14. | Study: Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data. |
| | Romano PS, Mull HJ, Rivard PE, et al. Health Serv Res. 2009;44:182-204. |
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| 15. | Study: Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities. |
| | Arora VM, Georgitis E, Siddique J, et al. JAMA. 2008;300:1146-1153. |
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| 16. | Study: Consequences of inadequate sign-out for patient care. |
| | Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Arch Intern Med. 2008;168:1755-1760. |
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| 17. | Study: Surgical team behaviors and patient outcomes. |
| | Mazzocco K, Petitti DB, Fong KT, et al. Am J Surg. 2009;197:678-685. |
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| 18. | Study: Effects of the Accreditation Council for Graduate Medical Education duty hour limits on sleep, work hours, and safety. |
| | Landrigan CP, Fahrenkopf AM, Lewin D, et al. Pediatrics. 2008;122:250-258. |
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| 19. | Study: A survey of the impact of disruptive behaviors and communication defects on patient safety. |
| | Rosenstein AH, O'Daniel M. Jt Comm J Qual Patient Saf. 2008;34:464-471. |
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| 20. | Study: Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not? |
| | Weissman JS, Schneider EC, Weingart SN, et al. Ann Intern Med 2008;149:100-108. |