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What's New for 5/7/2008
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 Journal Article

Commentary
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.

Review
The relationship between nurse education level and patient safety: an integrative review.
Ridley RT. J Nurs Educ. 2008;47:149-156.

Study
A national survey of safe practice with epidural analgesia in obstetric units.
Jones R, Swales HA, Lyons GR. Anaesthesia. 2008;63:516-519.

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.

Educational interventions to reduce prescribing errors.
Conroy S, North C, Fox T, et al. Arch Dis Child. 2008;93:313-315.

Incidence and prevention of iatrogenic urethral injuries.
Kashefi C, Messer K, Barden R, Sexton C, Parsons JK. J Urol. 2008 Apr 18; [Epub ahead of print].

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. 

Safety is part of quality: a proposal for a continuum in performance measurement.
Kazandjian VA, Wicker KG, Matthes N, Ogunbo S. J Eval Clin Pract. 2008;14:354-359.

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].

Using nurses and office staff to report prescribing errors in primary care.
Kennedy AG, Littenberg B, Senders JW. Int J Qual Health Care. 2008 Apr 22; [Epub ahead of print].

 Legislation/Regulation

Organizational Policy/Guidelines
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.

 Meeting/Conference

District of Columbia Meeting/Conference
Safe Surgery Saves Lives.
WHO World Alliance for Patient Safety. June 25, 2008; WHO Regional Office for the Americas, Washington, DC.

 Newspaper/Magazine Article

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

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

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