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What's New for 9/3/2008
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 Audiovisual

Audiovisual
Web sites compare how hospitals measure up.
Neary L. "Talk of the Nation." National Public Radio. August 26, 2008.

 Journal Article

Commentary
Debriefing medical teams: 12 evidence-based best practices and tips.
Salas E, Klein C, King H, et al. Jt Comm J Qual Patient Saf. 2008;34:518-527.

Development and evaluation of a required patient safety course. 
Sukkari SR, Sasich LD, Tuttle DA, Abu-Baker AM, Howell H. Am J Pharm Educ. 2008;72:65. 

Implementing online medication reconciliation at a large academic medical center.
Bails D, Clayton K, Roy K, Cantor MN. Jt Comm J Qual Patient Saf. 2008;34:499-508.

Incentives for patient safety: holding healthcare executives accountable.
Risk Management Reporter. August 2008;27:1-10.

ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2008;43:618-621.

Safety cultural preconditions for organizational learning in high-risk organizations.
Nævestad T-O. J Contin Crisis Manag. 2008;16:154-163. 2008 Aug 6; [Epub ahead of print].

Review
Minimizing surgical error by incorporating objective assessment into surgical education.
Champion HR, Meglan DA, Shair EK. J Am Coll Surg. 2008;207:284-291.

Study
Errors with concentrated epinephrine in otolaryngology.
Shah RK, Hoy E, Roberson DW, Nielsen D. Laryngoscope. 2008 Aug 8; [Epub ahead of print].

Impact of a pharmacist on medication reconciliation on patient admission to a Veterans Affairs Medical Center.
Strunk LB, Matson AW, Steinke D. Hosp Pharm. 2008;43:643-649.

Medication errors in a neonatal intensive care unit. Influence of observation on the error rate.
Campino A, Lopez-Herrera MC, Lopez-de-Heredia I, Valls-i-Soler A. Acta Paediatr. 2008 Aug 15; [Epub ahead of print]. 

Medication errors in the ambulatory treatment of pediatric attention deficit hyperactivity disorder.
Bundy DG, Rinke ML, Shore AD, et al. Jt Comm J Qual Patient Saf. 2008;34:552-560.

Potentially inappropriate prescribing to hospitalised patients.
Radosevic N, Gantumur M, Vlahovic-Palcevski V. Pharmacoepidemiol Drug Saf. 2008;17:733-737.

 Meeting/Conference

Florida Meeting/Conference
43rd ASHP Midyear Clinical Meeting and Exhibition: The Power of You.
American Society of Health-System Pharmacists. December 7-11, 2008; Orange County Convention Center, Orlando, FL.

Upcoming Meeting/Conference
Maximize the effectiveness of your medication safety team.
Institute for Safe Medication Practices. September 17, 2008, October 23, 2008, 1:30-3:00 PM (Eastern).   

 Newspaper/Magazine Article

Newspaper/Magazine Article
Eliminating transfusion errors related to patient misidentification: complying with NPSG.01.03.01.
Jt Comm Perspect Patient Saf. September 2008;8:1, 3-5.

More families hear apologies following medical mistakes.
Greene L. St. Petersburg Times. August 19, 2008.

Never events: Utah hospitals saw nearly 60 serious errors in 2007.
May H. Salt Lake Tribune. August 18, 2008.

 Press Release/Announcement

Press Release/Announcement
TeamSTEPPS™ national implementation.
Agency for Healthcare Research and Quality, US Department of Defense.

 Web Resource

Multi-use Website
BOOSTing Care Transitions Resource Room.
Project BOOST (Better Outcomes for Older adults through Safe Transitions), Society of Hospital Medicine.

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

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.

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