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| Slideset |
CEO Patient Safety Self-Assessment.
Irving, TX. VHA Foundation. April 2008. |
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| Book/Report |
The Rebecca O'Malley Report.
Cork, Ireland: Health Information and Quality Authority; March 21, 2008. |
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| Commentary |
Alcohol based surgical prep solution and the risk of fire in the operating room: a case report.
Batra S, Gupta R. Patient Saf Surg. 2008;2:10. |
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Barcoded medication administration: a last line of defense.
Cescon DW, Etchells E. JAMA. 2008;299:2200-2202. |
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Iatrogenic delirium and coma: a "near miss."
Dunn WF, Adams SC, Adams RW. Chest. 2008;133:1217-1220. |
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Like night and day — shedding light on off-hours care.
Shulkin DJ. N Engl J Med. 2008;358:2091-2093. |
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| Review |
Critical incident monitoring in anaesthesia.
Choy CY. Curr Opin Anaesthesiol. 2008;21:183-186. |
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Critical incident reporting system in emergency medicine.
Kram R. Curr Opin Anaesthesiol. 2008;21:240-244. |
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| Study |
Effect of crew resource management training in a multidisciplinary obstetrical setting.
Haller G, Garnerin P, Morales M-A, et al. Int J Qual Health Care. 2008 May 6; [Epub ahead of print]. |
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Evaluation of an inpatient computerized medication reconciliation system.
Turchin A, Hamann C, Schnipper JL, et al. J Am Med Inform Assoc. 2008 Apr 24; [Epub ahead of print]. |
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Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose.
Hayes BD, Klein-Schwartz W, Doyon S. Ann Pharmacother. 2008 Apr 29; [Epub ahead of print]. |
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Identifying and quantifying medication errors: evaluation of rapidly discontinued medication orders submitted to a computerized physician order entry system.
Koppel R, Leonard CE, Localio AR, Cohen A, Auten R, Strom BL. J Am Med Inform Assoc. 2008 Apr 24; [Epub ahead of print]. |
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Turning off frequently overridden drug alerts: limited opportunities for doing it safely.
van der Sijs H, Aarts J, van Gelder T, Berg M, Vulto A. J Am Med Inform Assoc. 2008 Apr 24; [Epub ahead of print]. |
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| Newspaper/Magazine Article |
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| Newspaper/Magazine Article |
CMS seeks to add 9 hospital-acquired conditions to no-pay list.
O'Reilly KB. American Medical News. May 12, 2008. |
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Enhanced medication safety.
Mansur JM. Hosp Health Netw. April 29, 2008. |
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Safety and satisfaction: where are the connections?
Wolosin RJ. Patient Saf Qual Healthc. May/June 2008;5:28-32,34-36. |
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Suicides point to gaps in treatment. Errors in psychiatric diagnoses and drugs plague strained immigration system.
Priest D, Goldstein A. Washington Post. May 13, 2008:A1 |
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| Press Release/Announcement |
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| Press Release/Announcement |
Drug Name Suffixes Survey.
Rockville, MD. National Coordinating Council for Medication Error Reporting and Prevention. April 28, 2008. |
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| Tools/Toolkit |
Health Care Professionals Tools.
Little Rock, AR: National Transitions of Care Coalition; April 2008. |
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