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What's New for 8/20/2008
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 Audiovisual

Audiovisual
The Evolution of the CAHPS Clinician & Group Survey: An Update from AHRQ's CAHPS Consortium. 
Agency for Healthcare Research and Quality CAHPS Consortium. September 25, 2008, 1:00–2:30 PM (Eastern).

 Book/Report

Book/Report
Building a Culture of Patient Safety: Report of the Commission on Patient Safety and Quality Assurance.
Dublin, Ireland: Department of Health & Children, Commission on Patient Safety and Quality Assurance; 2008. ISBN: 9781406421835.

 Journal Article

Commentary
Building social capital in healthcare organizations: thinking ecologically for safer care.
Hofmeyer A, Marck PB. Nurs Outlook. 2008;56:145.e1-145.e9.

Communicative competence of international nurses and patient safety and quality of care.
Xu Y. Home Health Care Manag Pract. 2008;20:430-432.

The competitive imperative of learning.
Edmondson AC. Harv Bus Rev. 2008;86:60-67, 160.

Review
Cardiac arrest during anesthesia.
Zuercher M, Ummenhofer W. Curr Opin Crit Care. 2008;14:269-274.

Safety in obstetric critical care.
Scholefield H. Best Pract Res Clin Obstet Gynaecol. 2008 Jul 30; [Epub ahead of print].

Safety skills for clinicians: an essential component of patient safety.
Taylor-Adams S, Smith A, Vincent C. J Patient Saf. 25 July 2008; [Epub ahead of print]. 

Suicide in the medical setting.
Ballard ED, Pao M, Henderson D, et al. Jt Comm J Qual Patient Saf. 2008;34:474-481.

Study
"Every error counts": a web-based incident reporting and learning system for general practice.
Hoffmann B, Beyer M, Rohe J, Gensichen J, Gerlach FM. Qual Saf Health Care. 2008;17:307-312.

Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients.
Errando CL, Sigl JC, Robles M, et al. Br J Anaesth. 2008;101:178-185.

Changes in practice and organisation surrounding blood transfusion in NHS trusts in England 1995-2005.
Taylor CJC, Murphy MF, Lowe D, Pearson M. Qual Saf Health Care. 2008;17:239-243. 

Inpatient suicide and suicide attempts in Veterans Affairs hospitals.
Mills PD, DeRosier JM, Ballot BA, Shepherd M, Bagian JP. Jt Comm J Qual Patient Saf. 2008;34:482-488.

Medication errors reported by US family physicians and their office staff.
Kuo GM, Phillips RL, Graham D, Hickner JM. Qual Saf Health Care. 2008;17:286-290. 

Peer support: healthcare professionals supporting each other after adverse medical events.
van Pelt F. Qual Saf Health Care. 2008;17:249-252.

Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety.
Frankel A, Grillo SP, Pittman M, et al. Health Serv Res. 2008 Jul 29; [Epub ahead of print].

 Press Release/Announcement

Press Release/Announcement
2008 Canadian Patient Safety Week.
Edmonton, Canada: Canadian Patient Safety Institute.

 Tools/Toolkit

Measurement Tool/Indicator
Survey on smart infusion pumps.
Horsham, PA: Institute for Safe Medication Practices; July 31, 2008.

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

Using Data Effectively to Manage the Risks to Medication Safety.
US Pharmacopeia, Institute for Safe Medication Practices. September 12, 2008; USP Headquarters, Rockville, MD. 

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