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| 1. |  Multi-use Website: Patient Safety Organizations. |
| | Agency for Healthcare Research and Quality. |
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| 2. | Fact Sheet/FAQs: 10 Patient Safety Tips for Hospitals. |
| | Rockville, MD: Agency for Healthcare Research and Quality; Revised December 2009. AHRQ Publication No. 10-M008. |
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| 3. | Book/Report: Advances in Patient Safety: New Directions and Alternative Approaches. |
| | Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1-4). |
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| 4. | Book/Report: Hospital Survey on Patient Safety Culture: 2008 Comparative Database Report. |
| | Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and Quality; March 2008. AHRQ Publication No. 08-0039. |
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| 5. | Study: Do medical inpatients who report poor service quality experience more adverse events and medical errors? |
| | Taylor BB, Marcantonio ER, Pagovich O, et al. Med Care. 2008;46:224-228. |
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| 6. | Study: Medication use leading to emergency department visits for adverse drug events in older adults. |
| | Budnitz DS, Shehab N, Kegler SR, Richards CL. Ann Intern Med. 2007;147:755-765. |
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| 7. | Study: Effective implementation of work-hour limits and systemic improvements. |
| | Landrigan CP, Czeisler CA, Barger LK, et al. Jt Comm J Qual Patient Saf. 2007;33(suppl 1):19-29. |
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| 8. | Study: Medical errors involving trainees: a study of closed malpractice claims from 5 insurers. |
| | Singh H, Thomas EJ, Petersen LA, Studdert DM. Arch Intern Med. 2007;167:2030-2036. |
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| 9. | Study: Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions. |
| | Davenport DL, Henderson WG, Mosca CL, Khuri SF, Mentzer RM Jr. J Am Coll Surg. 2007;205:778-784. |
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| 10. | Study: Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform. |
| | Volpp KG, Rosen AK, Rosenbaum PR, et al. JAMA. 2007;298:975-983. |
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| 11. | Study: Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform. |
| | Volpp KG, Rosen AK, Rosenbaum PR, et al. JAMA. 2007;298:984-992. |
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| 12. | Book/Report: Hospital Survey on Patient Safety Culture: 2007 Comparative Database Report. |
| | Rockville, MD: Agency for Healthcare Research and Quality; April 2007. AHRQ Publication No. 07-0025. |
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| 13. | Study: Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. |
| | Raab SS, Grzybicki DM, Janosky JE, et al. Cancer. 2005;104:2205-2213. |
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| 14. | Book/Report: Advances in Patient Safety: From Research to Implementation. |
| | Rockville, MD: Agency for Healthcare Research and Quality; February 2005. AHRQ Publication Nos. 050021 (1-4). |
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| 15. | Study: The working hours of hospital staff nurses and patient safety. |
| | Rogers AE, Hwang WT, Scott LD, Aiken LH, Dinges DF. Health Aff (Millwood). 2004;23:202-212. |
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| 16. | Study: Video capture of clinical care to enhance patient safety. |
| | Weinger MB, Gonzales DC, Slagle J, Syeed M. Qual Saf Health Care. 2004;13:136-144. |
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| 17. | Book/Report: Keeping Patients Safe: Transforming the Work Environment of Nurses. |
| | Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care Services, Page A, ed. Washington, DC: National Academies Press; 2004. |
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| 18. | Study: Discussion of medical errors in morbidity and mortality conferences. |
| | Pierluissi E, Fischer MA, Campbell AR, Landefeld CS. JAMA. 2003;290:2838-2842. |
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| 19. | Book/Report: Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. Updated edition. |
| | Wachter R, Shojania K. New York, NY: Rugged Land; 2005. ISBN: 1590710738. |
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| 20. | Study: Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. |
| | Zhan C, Miller MR. JAMA. 2003;290:1868-1874. |
