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What's New for 6/4/2008
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 Audiovisual

Audiovisual
Kaiser learns from tragic medical errors.
Rusk K. Assignment 7. ABC7news.com. May 26, 2008.

 Book/Report

Book/Report
Partnering with Patients and Families to Design a Patient- and Family-Centered Health Care System: Recommendations and Promising Practices.
Johnson B, Abraham M, Conway J, et al. Bethesda, MD: Institute for Family-Centered Care; April 2008.

Standardizing Medication Labels: Confusing Patients Less, Workshop Summary.
Hernandez LM; for Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: National Academies Press; 2008.

 Journal Article

Commentary
In situ simulation: a method of experiential learning to promote safety and team behavior.
Miller KK, Riley W, Davis S, Hansen HE. J Perinat Neonatal Nurs. 2008;22:105-113.

ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2008;43:353-356.

Paying the piper: investing in infrastructure for patient safety. 
Pronovost PJ, Rosenstein BJ, Paine L, et al. Jt Comm J Qual Patient Saf. 2008;34:342-348.

Using a medical emergency team to manage anaphylactic shock.
Burns B, Beckett J, Jones D, Webb S. Jt Comm J Qual Patient Saf. 2008;34:360-363.

Review
A systematic review of teamwork training interventions in medical student and resident education.
Chakraborti C, Boonyasai RT, Wright SM, Kern DE. J Gen Intern Med. 2008;23:846-853.

Impact of patient safety mandates on medical education in the United States.
Kane JM, Brannen M, Kern E. J Patient Saf. 2008;4:93-97.

Study
A model of recovering medical errors in the coronary care unit.
Hurley AC, Rothschild JM, Moore ML, Snydeman C, Dykes PC, Fotakis S. Heart Lung. 2008;37:219-226. 

Acute Hepatitis C virus infections attributed to unsafe injection practices at an endoscopy clinic—Nevada, 2007.
Centers for Disease Control (CDC). MMWR Morb Mortal Wkly Rep. 2008;57:513-517.

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2007.
Pedersen CA, Schneider PJ, Scheckelhoff DJ. Am J Health Syst Pharm. 2008;65:827-843.

Designing and implementing a comprehensive quality and patient safety management model: a paradigm for perioperative improvement.
Herzer KR, Mark LJ, Michelson JD, Saletnik LA, Lundquist CA. J Patient Saf. 2008;4:84-92.

Differences in day and night shift clinical performance in anesthesiology.
Cao CGL, Weinger MB, Slagle J, et al. Hum Factors. 2008;50:276-290.

How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care?
Fletcher KE, Wiest FC, Halasyamani L, et al. J Gen Intern Med. 2008;23:623-628. 

Reevaluating the safety profile of pediatrics: a comparison of computerized adverse drug event surveillance and voluntary reporting in the pediatric environment.
Ferranti J, Horvath MM, Cozart H, Whitehurst J, Eckstrand J. Pediatrics. 2008;121:e1201-e1207.

The cost of nurse-sensitive adverse events.
Pappas SH. J Nurs Adm. 2008;38:230-236.

Types, prevalence, and potential clinical significance of medication administration errors in assisted living.
Young HM, Gray SL, McCormick WC, et al. J Am Geriatr Soc. 2008 May 14; [Epub ahead of print].

 Meeting/Conference

Colorado Meeting/Conference
6th Annual Executive Symposium on Surgical Patient Safety: Creating a Culture of Safety. 
Association of Perioperative Registered Nurses Foundation. July 13-15, 2008; Park Hyatt Beaver Creek Resort and Spa, Beaver Creek, CO.

 Newspaper/Magazine Article

Newspaper/Magazine Article
Pharmacy automation: high tech tools close the loop for medication safety.  
Runy LA. Most Wired Magazine. May 2008. 

The National Patient Safety Foundation Research Program.
North Adams, MA: National Patient Safety Foundation; 2008.

Delivering Safe and Optimal Care Through Effective Teamwork and Communication.
Institute for Healthcare Improvement. June 10-11, 2008; La Costa Resort and Spa, Carlsbad, CA.

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