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Approach to Improving Safety
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COMMENTARY
The Result Stopped Here.
Astion M. AHRQ WebM&M [serial online]. June 2004.
BOOK/REPORT
Meeting the Joint Commission's 2013 National Patient Safety Goals.
Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.
COMMENTARY
In Conversation with…Eric G. Poon, MD, MPH
AHRQ WebM&M [serial online]. September 2008.
NEWSPAPER/MAGAZINE ARTICLE
Lost surgical specimens, lost opportunities.
PA-PSRS Patient Saf Advis. September 2005;2:1-5.
COMMENTARY
Patient Safety: A Perspective from Office Practice.
Baron RJ. AHRQ WebM&M [serial online]. May 2009.
STUDY
Medical errors arising from outsourcing laboratory and radiology services.
Chasin BS, Elliott SP, Klotz SA. Am J Med. 2007;120:819.e9-11.
COMMENTARY
Is the Admission Drug Dose Too Low?
Kaushal R, Abramson E. AHRQ WebM&M [serial online]. August 2009.
NEWSPAPER/MAGAZINE ARTICLE
Safe patient outcomes occur with timely, standardized communication of critical values.
PA-PSRS Patient Saf Advis. September 2009;6:93-97.
STUDY
Errors of diagnosis in pediatric practice: a multisite survey.
Singh H, Thomas EJ, Wilson L, et al. Pediatrics. 2010;126:70-79.
NEWSPAPER/MAGAZINE ARTICLE
Diagnostic error in acute care.
PA-PSRS Patient Saf Advis. 2010;7:76-86.  
REVIEWclassic
The safety implications of missed test results for hospitalised patients: a systematic review.
Callen J, Georgiou A, Li J, Westbrook JI. BMJ Qual Saf 2011;20:194-199.
NEWSPAPER/MAGAZINE ARTICLE
Hospitals move to cut dangerous lab errors.
Landro L. Wall Street Journal (Eastern edition). June 14, 2006:D1. [Reprinted on Post-gazette.com].
STUDY
Trends in primary care clinician perceptions of a new electronic health record.
El-Kareh R, Gandhi TK, Poon EG, et al. J Gen Intern Med. 2009;24:464-468.
STUDY
Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test result communication.
Singh H, Wilson L, Petersen LA, et al. BMC Med Inform Decis Mak. 2009;9:49.
COMMENTARY
A 60-year-old man with delayed care for a renal mass.
Schiff GD. JAMA. 2011;305:1890-1898.
COMMENTARY
Lost in the Black Hole.
Wachter RM. AHRQ WebM&M [serial online]. October 2003.
COMMENTARY
Incomplete care—on the trail of flaws in the system.
Gandhi TK, Zuccotti G, Lee TH. N Engl J Med. 2011;365:486-488.
NEWSPAPER/MAGAZINE ARTICLE
Entire UPMC transplant team missed hepatitis alert.
Hamill SD. Pittsburgh Post-Gazette. July 10, 2011:A6.
STUDY
Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care.
Lo HG, Matheny ME, Seger DL, Bates DW, Gandhi TK. J Am Med Inform Assoc. 2009;16:66-71.
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