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05/07/08  
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Journal Articles

Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursing facility.
Delate T, Chester EA, Stubbings TW, Barnes CA. Pharmacotherapy. 2008;28:444-452.

Introduction of medical emergency teams in Australia and New Zealand: a multi-centre study.
Jones D, George C, Hart GK, Bellomo R, Martin J. Crit Care. 7 April 2008 [Epub ahead of print].

Invited article: Managing disruptive physician behavior: impact on staff relationships and patient care.
Rosenstein AH, O'Daniel M. Neurology. 2008;70:1564-1570. 

Tort claims and adverse events in emergency medical services.
Wang HE, Fairbanks RJ, Shah MN, Abo BN, Yealy DM. Ann Emerg Med. 2008 April 14; [Epub ahead of print].

Enteral feeding misconnections: a consortium position statement.
Guenter P, Hicks RW, Simmons D, et al. Jt Comm J Qual Patient Saf. 2008;34:285-292.

ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2008;43:257-260.

Legislation/Regulations

Error-avoidance recommendations for tubing misconnections when using luer-tip connectors: a statement by the USP Safe Medication Use Expert Committee.
Simmons D, Phillips MS, Grissinger M, Becker SC. Jt Comm J Qual Patient Saf. 2008;34:293-296.

Institute for Safe Medication Practices (ISMP) Guidance on the Interdisciplinary Safe Use of Automated Dispensing Cabinets.
Horsham, PA: Institute for Safe Medication Practices; 2008.

Practice advisory for the prevention and management of operating room fires. 
Caplan RA, Barker SJ, Connis RT, et al; for American Society of Anesthesiologists Task Force on Operating Room Fires. Anesthesiology. 2008;108:786-801; quiz 971-972.

Newspapers/Magazine Articles

How patient and family advisors can improve quality.
Meyers S. Trustee Magazine. April 2008.

Meetings/Conferences

Safe Surgery Saves Lives.
WHO World Alliance for Patient Safety. June 25, 2008; WHO Regional Office for the Americas, Washington, DC.

Anesthesia Patient Safety Foundation (APSF) Grant Program.
Indianapolis, IN: Anesthesia Patient Safety Foundation.

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Browse by Subject

Safety Target
Medication errors, Diagnostic errors, Nosocomial infections, Post-operative surgical complications, More...

Approach to Improving Safety
Human factors engineering, Error reporting, Teamwork training, Culture of safety, Nurse staffing ratios, Regulation, More...

Error Types
Cognitive errors ("mistakes"), Non-cognitive errors ("slips & lapses"), Latent errors, More...

Clinical Area
Anesthesiology, Emergency medicine, Critical care nursing, Community pharmacy, More...

Target Audience
Physicians, Nurses, Risk managers, Educators, Policymakers, More...

Setting of Care
Intensive care units, Operating room, Children's hospitals, Ambulatory clinic or office, Residential facilities, More...


View ClassicsPatient Safety

Did You Know? View All DYKs

Prescribers override more than half of CPOE generated alerts of critical drug-drug interactions (DDIs) without providing a reason.
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