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What's New for 5/14/2008
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 Audiovisual

Audiovisual
Billed for medical mistakes.
Stock S. I-Team Investigation. CBS4.com. May 1, 2008.

State oversight of CVS extended: Team 5 Investigates uncovers new prescription errors.
TheBostonChannel.com. WCVB-TV. May 1, 2008.

 Book/Report

Book/Report
Pennsylvania Patient Safety Authority 2007 Annual Report.
Harrisburg, PA: Patient Safety Authority; April 29, 2008.

 Journal Article

Commentary
Informatics opportunities: the intersection of patient safety and clinical informatics.
Kilbridge PM, Classen DC. J Am Med Inform Assoc. 2008 Apr 24; [Epub ahead of print].

Revitalizing an established rapid response team.
Genardi ME, Cronin SN, Thomas L. Dimens Crit Care Nurs. 2008;27:104-109.

The wisdom and justice of not paying for "preventable complications."
Pronovost PJ, Goeschel CA, Wachter RM. JAMA. 2008;299:2197-2199.

Review
Overconfidence as a cause of diagnostic error in medicine.
Berner ES, Graber ML. Am J Med. 2008;121(suppl 1):S2-S23.

Teamwork and the legal and ethical responsibility of the anaesthetist.
Booij LH, van Leeuwen E. Curr Opin Anaesthesiol. 2008;21:178-182.

Study
A prospective review of adverse events during interhospital transfers of neonates by a dedicated neonatal transfer service.
Lim MTC, Ratnavel N. Pediatr Crit Care Med. 2008 Apr 24; [Epub ahead of print].

An iconic language for the graphical representation of medical concepts.
Lamy J-B, Duclos C, Bar-Hen A, Ouvrard P, Venot A.  BMC Med Inform Decis Mak. 2008;8:16.

Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital admission?
Bahl V, Thompson MA, Kau T-Y, Hu HM, Campbell DA Jr. Med Care. 2008;46:516-522.

Potentially inappropriate medication use in hospitalized elders.
Rothberg MB, Pekow PS, Liu F, et al. J Hosp Med. 2008;3:91-102.

Reducing preventable medication safety events by recognizing renal risk.
Fields W, Tedeschi C, Foltz J, et al. Clin Nurse Spec. 2008;22:73-78.

Student perceptions of medical errors: incorporating an explicit professionalism curriculum in the third-year surgery clerkship.
Newell P, Harris S, Aufses A Jr, Ellozy S. J Surg Educ. 2008;65:117-119.

The role of continuous quality improvement and psychological safety in predicting work-arounds.
Halbesleben JRB, Rathert C. Health Care Manage Rev. 2008;33:134-144.

Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety.
Koppel R, Wetterneck T, Telles JL, Karsh BT. J Am Med Inform Assoc. 2008 Apr 24; [Epub ahead of print].

 Meeting/Conference

Washington Meeting/Conference
Using Data Effectively to Manage the Risks to Medication Safety.
US Pharmacopeia, Institute for Safe Medication Practices. June 7, 2008; Red Lion Hotel, Seattle, WA. 

 Newspaper/Magazine Article

Newspaper/Magazine Article
Some red rules shouldn't rule in hospitals.
ISMP Medication Safety Alert! Acute Care Edition. April 24, 2008;13:1-3.

 Special or Theme Issue

Special or Theme Issue
Diagnostic Error: Is Overconfidence the Problem.
Graber ML, Berner ES, eds. Amer J Med. 2008;121(suppl 1):S1-S46.

 Web Resource

Database/Directory
Hospital Survey on Patient Safety Culture Comparative Database.
Agency for Healthcare Research and Quality.

The Leapfrog Hospital Survey.
Leapfrog Group. Washington, DC.

From the Top: The Role of the Board in Quality and Safety.
Institute for Healthcare Improvement. May 29-30, 2008; Embassy Suites Chicago Downtown-Lakefront, Chicago, IL.

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