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What's New for 6/18/2008
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 Audiovisual

Audiovisual Presentation
Reducing patient risk from prescription instruction errors—a six sigma approach.
O'Dell ML, Andell JL. Milwaukee, WI: American Society for Quality; 2008.

 Book/Report

Book/Report
Engaging Patients as Safety Partners.
Spath P, ed. Chicago, IL: AHA Press; 2008. ISBN: 9781556483530.

 Journal Article

Commentary
Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies.
Cresswell KM, Sheikh A. J Allergy Clin Immunol. 2008;121:1112-1117.e7.

The adoption of electronic medical record technology in order to prevent medical errors: a matter for American public policy.
Crane JN, Crane FG. Policy Stud. 2008;29:137-143.

Review
Medical errors affecting the pediatric intensive care patient: incidence, identification, and practical solutions.
Nichter MA. Pediatr Clin North Am. 2008;55:757-777.

The incidence and nature of in-hospital adverse events: a systematic review.
de Vries EN, Ramrattan MA, Smorenburg SM, Gouma DJ, Boermeester MA. Qual Saf Health Care. 2008;17:216-223.

Study
A 2-year study of patient safety competency assessment in 29 clinical laboratories.
Reed RC, Kim S, Farquharson K, Astion ML. Am J Clin Pathol. 2008;129:959-962. 

A morbidity and mortality conference-based classification system for adverse events: surgical outcome analysis: part I.
Antonacci AC, Lam S, Lavarias V, Homel P, Eavey RD. J Surg Res. 2008;147:172-177.

An epistemology of patient safety research: a framework for study design and interpretation.
Brown C, Hofer T, Johal A, Thomson R, et al. Qual Saf Health Care. 2008;17(3, pt 1, pt 2, pt 3, pt 4):158-181.

Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team.
Kinney S, Tibballs J, Johnston L, Duke T. Pediatrics. 2008;121:e1577-e1584.

Diagnostic errors in pediatric echocardiography: development of taxonomy and identification of risk factors.
Benavidez OJ, Gauvreau K, Jenkins KJ, Geva T. Circulation. 2008;117:2995-3001.

Does surgeon fatigue influence outcomes after anterior resection for rectal cancer?
Schieman C, MacLean AR, Buie WD, Rudmik LR, Ghali WA, Dixon E. Am J Surg. 2008;195:684-687; discussion 687-688.

Effect of ACGME duty hours on attending physician teaching and satisfaction.
Arora V, Meltzer D. Arch Intern Med. 2008;168:1226-1228.

Effect of the 80-hour work week on resident case coverage.
Shin S, Britt R, Britt LD. J Am Coll Surg. 2008;206:798-800; discussion 801-803.

Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems.
Tucker AL, Singer SJ, Hayes JE, Falwell A. Health Serv Res. 2008 Jun 3; [Epub ahead of print].

Incidence, severity and preventability of medication-related visits to the emergency department: a prospective study.
Zed PJ, Abu-Laban RB, Balen RM, et al. CMAJ. 2008;178:1563-1569.

Influence of workplace demands on nurses' perception of patient safety.
Ramanujam R, Abrahamson K, Anderson JG. Nurs Health Sci. 2008;10:144-150.

 Meeting/Conference

Colorado Meeting/Conference
Do No Harm VIII: Building the Community of Patient Safety.
Colorado Patient Safety Coalition. November 14, 2008; Marriott Denver Tech Center, Denver, CO. 

 Newspaper/Magazine Article

Newspaper/Magazine Article
Benefits and risks of including patients on RCA teams.
ISMP Medication Safety Alert! Acute Care Edition. June 5, 2008;13:1-3.

 Press Release/Announcement

Press Release/Announcement
Survey on tall man lettering to reduce drug name confusion.
Horsham, PA: Institute for Safe Medication Practices; 2008.

Safe Surgery Saves Lives.
WHO World Alliance for Patient Safety. June 25, 2008; WHO Regional Office for the Americas, Washington, DC.

Quality and Safety in Nursing Education: A Clinical Microsystems Approach.
Joint Commission Resources. June 25-27, 2008; Joint Commission Conference Center, Oakbrook Terrace, IL.

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