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COMMENTARY
Language Barrier
Flores G. AHRQ WebM&M [serial online]. April 2006.
COMMENTARY
Missed Appendicitis.
Adams JG. AHRQ WebM&M [serial online]. June 2003.
COMMENTARY
Language barriers to health care in the United States.
Flores G. N Engl J Med. 2006;355:229-231.
COMMENTARY
ISMP medication error report analysis.
Cohen MC. Hosp Pharm. 2009;44:374-378.
ORGANIZATIONAL POLICY/GUIDELINES
ACOG Committee Opinion No. 447: patient safety in obstetrics and gynecology.
ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2009;114:1424-1427.
COMMENTARY
Coming Up Short
Hochberg Z. AHRQ WebM&M [serial online]. October 2008.
COMMENTARY
The Dangerous Detour.
Gibson J, Taylor D. AHRQ WebM&M [serial online]. June 2003.
COMMENTARY
Recurrent Hypoglycemia: A Care Transition Failure?
Eytan T. AHRQ WebM&M [serial online]. October 2008.
COMMENTARY
Undiagnosed Vaginal Bleeding.
Mandelblatt J. AHRQ WebM&M [serial online]. February 2004.
COMMENTARY
Suicidal Man with Gun.
Simon RI. AHRQ WebM&M [serial online]. May 2003.
BOOK/REPORT
Health Care Leader Action Guide to Reduce Avoidable Readmissions.
Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Health Research and Educational Trust; January 25, 2010.
STUDY
A reengineered hospital discharge program to decrease rehospitalization: a randomized trial.
Jack BW, Chetty VK, Anthony D, et al. Ann Intern Med. 2009;150:178-187.
COMMENTARY
On the Other Hand
Henneman EA. AHRQ WebM&M [serial online]. May 2007.
MULTI-USE WEBSITE
Project Red (Re-Engineered Discharge).
Boston, MA: Boston University Medical Center.
COMMENTARY
A "Weak" Response.
Reisman AB. AHRQ WebM&M [serial online]. December 2004.
COMMENTARY
Disconnected.
Klass P. N Engl J Med. 2010;362:1358-1361.
STUDYclassic
The care transitions intervention: translating from efficacy to effectiveness.
Voss R, Gardner R, Baier R, Butterfield K, Lehrman S, Gravenstein S. Arch Intern Med. 2011;171:1232-1237.
ORGANIZATIONAL POLICY/GUIDELINES
ACOG Committee Opinion #320: partnering with patients to improve safety.
ACOG Committee on Quality Improvement and Patient Safety. Obstet Gynecol. 2005;106:1123-1125. 
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