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07/01/09  
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Journal Articles

Refocusing the lens: patient safety in ambulatory chronic disease care.
Sarkar U, Wachter RM, Schroeder SA, Schillinger D. Jt Comm J Qual Patient Saf. 2009;35:377-383.

Effects of resident duty hour reform on surgical and procedural patient safety indicators among hospitalized Veterans Health Administration and Medicare patients.
Rosen AK, Loveland SA, Romano PS, et al. Med Care. 2009;47:723-731.

The role of medical liability reform in federal health care reform.
Mello MM, Brennan TA. N Engl J Med. 2009 June 15; [Epub ahead of print]. 

Parental misinterpretations of over-the-counter pediatric cough and cold medication labels.
Lokker N, Sanders L, Perrin EM, et al. Pediatrics. 2009;123:1464-1471.

Systematically improving physician assignment during in-hospital transitions of care by enhancing a preexisting hospital electronic health record.
Zsenits B, Polashenski WA, Sterns RH, Brown DR IV, Moheet A. J Hosp Med. 2009;4:308-312.

Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction.
Clancy CM. Am J Med Qual. 2009 Jun 5; [Epub ahead of print].

Implementing a team-based daily goals sheet in a non-ICU setting.
Holzmueller CG, Timmel J, Kent PS, Schulick RD, Pronovost PJ. Jt Comm J Qual Patient Saf. 2009;35:384-388.

Intentionally harmful violations and patient safety: the example of Harold Shipman.
Baker R, Hurwitz B. J R Soc Med. 2009;102:223-227.

Books/Reports

Review of Patient Safety for Children and Young People.
London, UK: National Patient Safety Agency; 2009. ISBN: 978906624071.

Newspapers/Magazine Articles

At VA hospital, a rogue cancer unit.
Bogdanich W. New York Times. June 20, 2009;National Desk:1.

Tools/Toolkits

Medication Safety Self Assessment for Automated Dispensing Cabinets.
Horsham, PA: Institute for Safe Medication Practices; 2009.  

Meetings/Conferences

Peer Review: The Fundamental Background of Quality Management. ABQAURP's 32nd Annual Health Care Quality & Patient Safety Conference.
American Board of Quality Assurance and Utilization Review Physicians, Inc. November 7, 2009; Disney's BoardWalk Resort, Lake Buena Vista, FL.

Patient Safety Grant Program.
Dublin, OH: Cardinal Health, Inc.

The Pediatric National Conference: Safe Care, Quality Care, We Care.
Joint Commission and Joint Commission Resources. July 22-23, 2009; Joint Commission Conference Center, Oakbrook Terrace, IL.

AHRQ's 2009 Annual Conference—Research to Reform: Achieving Health System Change.
Agency for Healthcare Research and Quality. September 13–16, 2009; North Bethesda Marriott, Bethesda, MD.



Primers
Medication Reconciliation, Error Disclosure, Never Events, Rapid Response Systems, More...
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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

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Disruptive behaviours
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