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What's New for 8/27/2008
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 Journal Article

Commentary
Fault/no fault: bearing the brunt of medical mishaps.
Silversides A. CMAJ. 2008;179:309-311.

Pediatric medication safety in the emergency department.
Cadwell SM. J Emerg Nurs. 2008;34:375-377.

Review
A review of the current evidence base for significant event analysis.
Bowie P, Pope L, Lough M. J Eval Clin Pract. 2008;14:520-536.

Teamwork during resuscitation.
Weinstock P, Halamek LP. Pediatr Clin North Am. 2008;55:1011-1024. 

Study
Agreement between patient-reported symptoms and their documentation in the medical record.
Pakhomov SV, Jacobsen SJ, Chute CG, Roger VL. Am J Manag Care. 2008;14:530-539.

Analysis of 23,364 patient-generated, physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned from Sweden.
Pukk-Härenstam K, Ask J, Brommels M, Thor J, Penaloza RV, Gaffney FA. Qual Saf Health Care. 2008;17:259-263.

Detection of adverse events in surgical patients using the Trigger Tool approach.
Griffin FA, Classen DC. Qual Saf Health Care. 2008;17:253-258.

Does error and adverse event reporting by physicians and nurses differ?
Rowin EJ, Lucier D, Pauker SG, et al. Jt Comm J Qual Patient Saf. 2008;34:537-545.

Emergency department visits for antibiotic-associated adverse events.
Shehab N, Patel PR, Srinivasan A, Budnitz DS. Clin Infect Dis. 2008;47:735-743.

Impact of electronic prescribing in a hospital setting: a process-focused evaluation. 
Cunningham TR, Geller ES, Clarke SW. Int J Med Inform. 2008;77:546-554.

Promoting patient safety using an early warning scoring system.
Higgins Y, Maries-Tillott C, Quinton S, Richmond J. Nurs Stand. 2008;22:35-40.

Reducing medication prescribing errors in a teaching hospital.
Garbutt J, Milligan PE, McNaughton C, et al. Jt Comm J Qual Patient Saf. 2008;34:528-536.

The frequency and significance of discrepancies in the surgical count.
Greenberg CC, Regenbogen SE, Lipsitz SR, Diaz-Flores R, Gawande AA. Ann Surg. 2008;248:337-341.

The Team Climate Inventory: application in hospital teams and methodological considerations.
Ouwens M, Hulscher M, Akkermans R, et al. Qual Saf Health Care. 2008;17:275-280.

Variability in the concentrations of intravenous drug infusions prepared in a critical care unit.
Wheeler DW, Degnan BA, Sehmi JS, et al. Intensive Care Med. 2008;34:1441-1447.

 Meeting/Conference

Upcoming Meeting/Conference
Engaging Physician Practices in Patient Safety and Risk Management: Strategies for Healthcare Systems.
ECRI Institute. October 14, 2008; 1:00 PM – 2:30 PM (Eastern).

 Newspaper/Magazine Article

Newspaper/Magazine Article
Hospitals try to calm doctors' outbursts: medical road rage affecting patient safety, group says.
Kowalczyk L. The Boston Globe. August 10, 2008;Metro section:1A.

More states shred bills for awful medical errors: patients in 23 states will no longer pay for certain mistakes, hospitals say.
Aleccia J. MSNBC News. August 12, 2008.

Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning.
ISMP Medication Safety Alert! Acute Care Edition. August 14, 2008;13:1-3.

 Press Release/Announcement

Press Release/Announcement
Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria.
Rockville, MD: Agency for Healthcare Research and Quality; August 15, 2008. RFP Number AHRQ-2009-10001.

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

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

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