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What's New for 7/30/2008
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 Journal Article

Commentary
Documentation bad habits: shortcuts in electronic records pose risk.
Dimick C. J AHIMA. 2008;79:40-43.

Hospital mortality: when failure is not a good measure of success.
Shojania KG, Forster AJ. CMAJ. 2008;179:153-157.

ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2008;43:547-550, 554.

The increased incidence of anesthetic adverse events in late afternoon surgeries.
Johnson J. AORN J. 2008;88:79-87. 

Review
Patient safety culture in nursing: a dimensional concept analysis.
Feng X, Bobay K, Weiss M. J Adv Nurs. 2008;63:310-319.

Study
A new method to guard inpatient medication safety by the implementation of RFID.
Sun PR, Wang BH, Wu F. J Med Syst. 2008;32:327-332.

A survey of hospital quality improvement activities.
Cohen AB, Restuccia J, Shwartz M, et al. Med Care Res Rev. 2008 May 29; [Epub ahead of print].

Adaptive coordination in cardiac anaesthesia: a study of situational changes in coordination patterns using a new observation system.
Manser T, Howard SK, Gaba DM. Ergonomics. 2008;51:1153-1178.  

Comparison of adverse events during procedural sedation between specially trained pediatric residents and pediatric emergency physicians in Israel.
Shavit I, Steiner IP, Idelman S, et al. Acad Emerg Med. 2008;15:617-622.

Computerized physician order entry of medications and clinical decision support can improve problem list documentation compliance.
Galanter WL, Hier DB, Jao C, Sarne D. Int J Med Inform. 2008 Jul 2; [Epub ahead of print].

Finding blunders in thyroid testing: experience in newborns.
Zilka LJ, Lott JA, Baker LC, Linard SM. J Clin Lab Anal. 2008;22:254-256.

Identification of adverse events at an orthopedics department in Sweden.
Unbeck M, Muren O, Lillkrona U. Acta Orthop. 2008;79:396-403.

Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk.
Berkenstadt H, Haviv Y, Tuval A, et al. Chest. 2008;134:158-162.

Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand?
Engel KG, Heisler M, Smith DM, et al. Ann Emerg Med. 2008 Jul 9; [Epub ahead of print].

 Legislation/Regulation

Organizational Policy/Guidelines
2008 Recommendations for Pre-Anesthesia Checkout Procedures. 
ASA Committee on Equipment and Facilities. Park Ridge, IL: American Society of Anesthesiologists; 2008. 

 Meeting/Conference

Canada Meeting/Conference
Canadian Patient Safety Officer Course.
Canadian Patient Safety Institute. September 21-26, 2008; The Kingbridge Centre, King City, Ontario, Canada.

 Newspaper/Magazine Article

Newspaper/Magazine Article
"Plug and Play" hospitals: medical devices that exchange data could make hospitals safer.
Grifantini K. Technol Rev. July 9, 2008.    

Medicare to pay bonuses for 'e-prescribing.'
Reinberg S. Washington Post. July 21, 2008.

The Leapfrog Group's CPOE standard and evaluation tool.
Metzger JB, Welebob E, Turisco F, Classen DC. Patient Saf Qual Healthc. July/August 2008. 

 Press Release/Announcement

Press Release/Announcement
FDA Preliminary Public Health Notification: Possible Malfunction of Electronic Medical Devices Caused by Computed Tomography (CT) Scanning.
Rockville, MD: Center for Devices and Radiological Health, US Food and Drug Administration. July 14, 2008. 

Seventh Annual Quality Colloquium.
Quality Colloquium. August 18-21, 2008; Harvard University's Annenberg Hall and Saunders Theatre, Cambridge, MA.

AHRQ 2008 Annual Conference.
Agency for Healthcare Research and Quality. September 7-10, 2008; North Bethesda Marriott, Bethesda, MD. 

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