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1.
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Multi-use Website: National Patient Safety Goals.
Oakbrook Terrace, IL: The Joint Commission; 2009.
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2.
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Audiovisual: "To Err Is Human" Report Retrospective and the Decade Ahead.
2009 NPSF Congress: Lucian Leape Institute Plenary. Boston, MA: National Patient Safety Foundation; May 21, 2009.
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3.
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Review: Safety and risk management interventions in hospitals: a systematic review of the literature.
Dückers M, Faber M, Cruijsberg J, Grol R, Schoonhoven L, Wensing M. Med Care Res Rev. 2009;66(6 Suppl):90S-119S.
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4.
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Commentary: The OR and a "just culture."
Hamlin L. AORN J. 2009;90:495-498.
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5.
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Commentary: Improving handoffs in the emergency department.
Cheung DS, Kelly JJ, Beach C, et al; for the American College of Emergency Physicians Section of Quality Improvement and Patient Safety. Ann Emerg Med. 2009 Oct 1; [Epub ahead of print].
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6.
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Newspaper/Magazine Article: Another wrong-site surgery at RI Hospital.
Freyer FJ. Providence Journal. October 24, 2009.
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7.
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Study: Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improvements in handover.
Pickering BW, Hurley K, Marsh B. Crit Care Med. 2009;37:2905-2912.
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8.
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Study: Medication reconciliation in ambulatory care: attempts at improvement.
Nassaralla CL, Naessens JM, Hunt VL, et al. Qual Saf Health Care. 2009;18:402-407.
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9.
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Study: Risks of complications by attending physicians after performing nighttime procedures.
Rothschild JM, Keohane CA, Rogers S, et al. JAMA. 2009;302:1565-1572.
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10.
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Review: Ensuring patient safety through effective leadership behaviour: a literature review.
Künzle B, Kolbe M, Grote G. Safety Sci. 2010;48:1-17.
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11.
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Book/Report: To Err Is Human: Building a Safer Health System.
Kohn L, Corrigan J, Donaldson M, eds. Washington, DC: Committee on Quality of Health Care in America, Institute of Medicine. National Academies Press; 2000. ISBN: 9780309068376.
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12.
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Newspaper/Magazine Article: How could this happen?
Westfall SS, Mascia K. People. October 5, 2009;72:155.
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13.
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Commentary: Disclosing medical errors to patients: a challenge for health care professionals and institutions.
Levinson W. Patient Educ Couns. 2009;76:296-299.
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14.
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Newspaper/Magazine Article: Prescription for success: don't bother nurses.
Colliver V. San Francisco Chronicle. October 28, 2009:A1.
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15.
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Study: Misleading one detail: a preventable mode of diagnostic error?
Arzy S, Brezis M, Khoury S, Simon SR, Ben-Hur T. J Eval Clin Pract. 2009;15:804-806.
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16.
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Book/Report: Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System.
Farley DO, Ridgely MS, Mendel P, et al. Santa Monica, CA: RAND Corporation; 2009. ISBN: 9780833047748.
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17.
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Study: On the prospects for a blame-free medical culture.
Collins ME, Block SD, Arnold RM, Christakis NA. Soc Sci Med. 2009;69:1287-1290.
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18.
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Study: The content and context of change of shift report on medical and surgical units.
Staggers N, Jennings BM. J Nurs Adm. 2009;39:393-398.
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19.
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Book/Report: Enhancing Patient Care: A Practical Guide to Improving Quality and Safety in Hospitals.
Wolff A, Taylor S. Sydney, Australia: MJA Books; 2009. ISBN: 9780977578665.
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20.
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Audiovisual: Leadership WalkRound Films.
London, UK: National Patient Safety Agency, NHS Institute for Innovation and Improvement, The Health Foundation, Patient Safety First; 2009.
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21.
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Study: The natural history of recovery for the healthcare provider "second victim" after adverse patient events.
Scott SD, Hirschinger LE, Cox KR, McCoig M, Brandt J, Hall LW. Qual Saf Health Care. 2009;18:325-330.
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22.
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Study: Communication practices on 4 Harvard surgical services: a surgical safety collaborative.
ElBardissi AW, Regenbogen SE, Greenberg CC, et al. Ann Surg. 2009 Oct 21; [Epub ahead of print].
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23.
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Newspaper/Magazine Article: Approved: 2010 National Patient Safety Goals.
Jt Comm Perspect. October 2009;29:1, 20-31.
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24.
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Special or Theme Issue: Obstetric Quality and Safety.
J Healthc Qual. 2009;31:3-52.
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25.
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Study: Variations in nursing care quality across hospitals.
Lucero RJ, Lake ET, Aiken LH. J Adv Nurs. 2009;65:2299-2310.
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