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| 1. | Book/Report: Adverse Health Events in Minnesota: Third Annual Public Report. |
| | St. Paul, MN: Minnesota Department of Health; January 2007. |
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| 2. | Newspaper/Magazine Article: Approved: 2010 National Patient Safety Goals. |
| | Jt Comm Perspect. October 2009;29:1, 20-31. |
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| 3. | Study: Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. |
| | Young JQ, Wachter RM. Jt Comm J Qual Patient Saf. 2009;35:439-448. |
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| 4. | Book/Report: Safety in Doses. |
| | London, UK: National Patient Safety Agency; 2009. ISBN: 9781906624088. |
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| 5. | Commentary: Global priorities for patient safety research. |
| | Bates DW, Larizgoitia I, Prasopa-Plaizier N, Jha AK; Research Priority Setting Working Group of the WHO World Alliance for Patient Safety. BMJ. 2009;338:b1775. |
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| 6. | Study: Making patients safer: nurses' responses to patient safety alerts. |
| | Lankshear A, Lowson K, Harden J, Lowson P, Saxby RC. J Adv Nurs. 2008;63:567-575. |
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| 7. | Study: Diagnostic errors and temporal stability in bipolar disorder. |
| | López J, Baca E, Botillo C, et al. Actas Esp Psiquiatr. 2008;36:205-209. |
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| 8. | Commentary: Code Blue—Where To? |
| | Adams BD. AHRQ WebM&M [serial online]. October 2007. |
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| 9. | Study: An observational study of medication administration errors in old-age psychiatric inpatients. |
| | Haw C, Stubbs J, Dickens G. Int J Qual Health Care. 2007;19:210-216. |
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| 10. | Study: High-risk, high-alert medication management practices in a regional state psychiatric facility. |
| | McKee J, Cleary S. Hosp Pharm. 2007;42:323–330. |
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| 11. | Study: Medication safety in a psychiatric hospital. |
| | Rothschild JM, Mann K, Keohane CA, et al. Gen Hosp Psychiatry. 2007;29:156-162. |
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| 12. | Newspaper/Magazine Article: Lax security, easy escape, tragic ending. |
| | Judd A, Miller A. Atlanta Journal-Constitution. January 15, 2007:A1. |
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| 13. | Study: Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study. |
| | Bowers L, Allan T, Simpson A, Nijman H, Warren J. Int J Soc Psychiatry. 2007;53:75-84. |
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| 14. | Commentary: Crossing the Borderline |
| | Oldham JM. AHRQ WebM&M [serial online]. December 2006. |
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| 15. | Review: Medication errors in mental healthcare: a systematic review. |
| | Maidment ID, Lelliott P, Paton C. Qual Saf Health Care. 2006;15:409-413. |
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| 16. | Study: A review of medication administration errors reported in a large psychiatric hospital in the United Kingdom. |
| | Haw CM, Dickens G, Stubbs J. Psychiatr Serv. 2005;56:1610-1613. |
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| 17. | Study: Interception of potential adverse drug events in long-term psychiatric care units. |
| | Sawamura K, Ito H, Yamazumi S, Kurita H. Psychiatry Clin Neurosci. 2005;59:379-384. |
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| 18. | Pennsylvania Legislation: Prohibition of Excessive Overtime for Nurses Act. |
| | The General Assembly of Pennsylvania. HB957 (2005). |
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| 19. | Commentary: Measured response to identified suicide risk and violence: what you need to know about psychiatric patient safety. |
| | Yeager KR, Saveanu R, Roberts AR, et al. Brief Treat Crisis Interv. 2005;5:121-141. |
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| 20. | Congressional Testimony: Patient Safety: Supporting a Culture of Continuous Quality Improvement in Hospitals and Other Health Care Organizations. |
| | Testimony before the Permanent Subcommittee on Investigations of the Senate Committee of Governmental Affairs, 108th Cong, 1st Sess (June 11, 2003) (statement of Carolyn M. Clancy, MD). |
