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What's New for 9/24/2008
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 Journal Article

Commentary
2008 Annual National Patient Safety Foundation Congress: conference proceedings.
Stepnick L, Edgman-Levitan S, Bonacum D, Pinakiewicz DC. J Patient Saf. 2008;4:129-140.

Development and evaluation of the Institute for Healthcare Improvement global trigger tool.
Classen DC, Lloyd RC, Provost L, Griffin FA, Resar R. J Patient Saf. 2008;4:169-177.

Time out: an analysis.
Dillon KA. AORN J. 2008;88:437-442.

Study
Chronic kidney disease adversely influences patient safety.
Seliger SL, Zhan M, Hsu VD, Walker LD, Fink JC. J Am Soc Nephrol. 2008 Sep 5; [Epub ahead of print].

CPOE in Iran—a viable prospect? Physicians' opinions on using CPOE in an Iranian teaching hospital.
Kazemi A, Ellenius J, Tofighi S, et al. Int J Med Inform. 2008 Aug 28; [Epub ahead of print].

Diagnostic errors and temporal stability in bipolar disorder.
López J, Baca E, Botillo C, et al. Actas Esp Psiquiatr. 2008;36:205-209.

How patients perceive a doctor's caring attitude.
Quirk M, Mazor K, Haley H-L, et al. Patient Educ Couns. 2008;72:359-366.

Making patients safer: nurses' responses to patient safety alerts.
Lankshear A, Lowson K, Harden J, Lowson P, Saxby RC. J Adv Nurs. 2008;63:567-575.

Older patients' perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries.
Herndon MB, Schwartz LM, Woloshin S, et al. J Gen Intern Med. 2008;23:1547-1554.

Patient-centered approach for improving prescription drug warning labels.
Webb J, Davis TC, Bernadella P, et al. Patient Educ Couns. 2008;72:443-449.

Questionable hospital chart documentation practices by physicians.
Sharma R, Kostis WJ, Wilson AC, et al. J Gen Intern Med. 2008 Aug 27; [Epub ahead of print].

Same system, different outcomes: comparing the transitions from two paper-based systems to the same computerized physician order entry system.
Niazkhani Z, van der Sijs H, Pirnejad H, Redekop WK, Aarts J. Int J Med Inform. 2008 Aug 28; [Epub ahead of print].

Sources and types of discrepancies between electronic medical records and actual outpatient medication use.
Orrico KB. J Manag Care Pharm. 2008;14:626-631.

 Newspaper/Magazine Article

Newspaper/Magazine Article
Beth Israel cited for residents' long hours—facing review for accreditation.
Kowalczyk L. Boston Globe. September 7, 2008;Metro section:1A.

Hospitals' mistakes are going unreported.
Goldstein J. Philadelphia Inquirer. September 12, 2008;National section:A1.

Misprogramming PCA concentration leads to dosing errors.
ISMP Medication Safety Alert! September 11, 2008;13:1-3.

Parents sue over babies' heparin overdoses: infants were given too much heparin at Methodist Hospital.
Higgins W. Indianapolis Star. September 13, 2008;News section:A1

Small patients, big consequences in medical errors.
Tarkan L. New York Times. September 14, 2008;Health section:7.

 Press Release/Announcement

Press Release/Announcement
Patient-Centered Care Awareness Month.
Derby, CT: Planetree, Inc.; 2008.

 Tools/Toolkit

Fact Sheet/FAQs
Bar-Coded Medication Administration (BCMA).
Decisionmaker Brief. AHRQ Publication No: 08-0085, August 2008. Agency for Healthcare Research and Quality, Rockville, MD.

ASHRM Annual Conference & Exhibition.
American Society for Healthcare Risk Management. October 2-5, 2008; Hynes Convention Center, Boston, MA.

Just Culture Training.
Just Culture Community. October 14-15, 2008; The Hyatt Regency North Dallas, Richardson, TX.

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