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| Audiovisual Presentation |
Medication error death rate up 500 percent.
Spiesel S, Chadwick A. "Day to Day." National Public Radio. August 27, 2008. |
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Preventing Medical Errors.
Food and Drug Administration (FDA) Patient Safety News. Show #79. September 2008. |
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| Book/Report |
Indiana Medical Error Reporting System: Report for 2007.
Whitson T, Garten B, Azbill M. Indianapolis, IN: Indiana State Department of Health; August 25, 2008. |
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| Commentary |
Comparative issues in aviation and surgical crew resource management: (1) are we too solution focused?
Hunt GJF, Callaghan KSN. ANZ J Surg. 2008;78:690-693. |
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Improving patient safety: patient-focused, high-reliability team training.
McKeon LM, Cunningham PD, Detty Oswaks JS. J Nurs Care Qual. 2008 Aug 25; [Epub ahead of print]. |
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Single-patient rooms for safe patient-centered hospitals.
Detsky ME, Etchells E. JAMA. 2008;300:954-956. |
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Ticket to ride: reducing handoff risk during hospital patient transport.
Pesanka DA, Greenhouse PK, Rack LL, et al. J Nurs Care Qual. 2008 Aug 26; [Epub ahead of print]. |
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| Review |
Teamwork in obstetric critical care.
Guise JM, Segel S. Best Pract Res Clin Obstet Gynaecol. 2008 Aug 12; [Epub ahead of print]. |
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| Study |
Clinical and pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 autopsy cases in a prospective study.
Carvalho FLP, Cordeiro JA, Cury PM. Pathol Int. 2008;58:568-571. |
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Problems and solutions arising during a study in visual semantics of the medical emergency team system.
Santiano N, Baramy LS, Young L, et al. Qual Health Res. 2008 Aug 19; [Epub ahead of print]. |
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Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children.
Yin HS, Dreyer BP, van Schaick L, et al. Arch Pediatr Adolesc Med. 2008;162:814-822. |
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| Arizona Meeting/Conference |
Patient Experience & Patient Safety Culture: 11th CAHPS® & 1st SOPS User Group Meeting.
Agency for Healthcare Research and Quality. December 3-5, 2008; Doubletree Paradise Valley Resort, Scottsdale, AZ. |
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| Meeting/Conference Proceedings |
AHRQ 2007 Annual Conference.
Rockville, MD: Agency for Healthcare Research and Quality; August 2008. |
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| Newspaper/Magazine Article |
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| Newspaper/Magazine Article |
Ferrari's Formula One handovers and handovers from surgery to intensive care.
Sower VE, Duffy JA, Kohers G. American Society for Quality. August 2008. |
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Misprogramming PCA concentration leads to dosing errors.
ISMP Medication Safety Alert! August 28, 2008;13:1-3. |
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Scariest hospital risks.
Herper M, Lindner M. Forbes. August 25, 2008. |
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| Press Release/Announcement |
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| Press Release/Announcement |
Call for steering committee nominations: national voluntary consensus standards for medication management.
Washington, DC; National Quality Forum. |
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Common formats for patient safety data collection and event reporting.
Agency for Healthcare Research and Quality. Fed Register. August 29, 2008;73:50974-50976. |
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| Multi-use Website |
Drug Error Finder.
United States Pharmacopeia. |
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