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What's New for 10/15/2008
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 Award

Award Recipient
The Leapfrog Group Announces the 2008 Leapfrog Top Hospitals.
Washington, DC: Leapfrog Group; September 24, 2008.

 Book/Report

Book/Report
Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Hospital Initiatives to Reduce Certain Infections.
Washington, DC: United States Government Accountability Office; September 2008. Publication GAO-08-808.

 Grant

Grant Announcement
New AHRQ Health IT Funding Announcement.
Rockville, MD: Agency for Healthcare Research and Quality; September 2008.

 Journal Article

Commentary
Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.
Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.

Review
Developing expert medical teams: toward an evidence-based approach.
Fernandez R, Vozenilek JA, Hegarty CB, et al. Acad Emerg Med. 2008 Sep 10; [Epub ahead of print].

Ethical and legal issues in the use of health information technology to improve patient safety.
Berner ES. HEC Forum. 2008;20:243-258.

Study
A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience.
Sehgal NL, Fox M, Vidyarthi AR, et al; for Triad for Optimal Patient Safety (TOPS) Project. J Gen Intern Med. 2008 Oct 2; [Epub ahead of print].

Advancing measurement of patient safety culture.
Ginsburg L, Gilin D, Tregunno D, et al. Health Serv Res. 2008 Sep 17; [Epub ahead of print].

Do faculty and resident physicians discuss their medical errors?
Kaldjian LC, Forman-Hoffman VL, Jones EW, Wu BJ, Levi BH, Rosenthal GE. J Med Ethics. 2008;34:717-722.

Learning not to take it seriously: junior doctors' accounts of error.
Kroll L, Singleton A, Collier J, Rees Jones I. Med Educ. 2008;42:982-990.

Medical error disclosure among pediatricians: choosing carefully what we might say to parents.
Loren DJ, Klein EJ, Garbutt J, et al. Arch Pediatr Adolesc Med. 2008;162:922-927.

Medication reconciliation at hospital discharge: evaluating discrepancies.
Wong JD, Bajcar JM, Wong GG, et al. Ann Pharmacother. 2008;42:1373-1379.

Patients' and family members' experiences of open disclosure following adverse events.
Iedema R, Sorensen R, Manias E, et al. Int J Qual Health Care. 2008 Sep 17; [Epub ahead of print].

The unintended consequences of computerized provider order entry: findings from a mixed methods exploration.
Ash JS, Sittig DF, Dykstra R, Campbell E, Guappone K. Int J Med Inform. 2008 Sep 10; [Epub ahead of print].

Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data.
Romano PS, Mull HJ, Rivard PE, et al. Health Serv Res. 2008 Sep 17; [Epub ahead of print].

 Meeting/Conference

Nevada Meeting/Conference
31st Annual Health Care Quality and Patient Safety Conference. Patient Safety: A Shared Responsibility with Defined Roles.
American Board of Quality Assurance and Utilization Review Physicians, Inc. November 17-18, 2008. Planet Hollywood Resort & Casino, Las Vegas, NV.

 Newspaper/Magazine Article

Newspaper/Magazine Article
Geisinger Health System's plan to fix America's health care.
Carbonara P. Fast Company. October 2008.

Medication errors associated with documented allergies.
PA-PSRS Patient Safety Advisory. Sept 2008;5:75-80.

 Press Release/Announcement

Press Release/Announcement
Call for Presentations: 2009 Annual Conference on Quality and Patient Safety.
Oakbrook Terrace, IL; Joint Commission.

 Special or Theme Issue

Special or Theme Issue
Enhancing Surgical Systems.
Healey AN, Catchpole K, Yule S. Cogn Tech Work. 2008;10:249-333.

From the Top: The Role of the Board in Quality and Safety.
Institute for Healthcare Improvement. November 6-7, 2008; InterContinental Boston, Boston, MA.

Do No Harm VIII: Building the Community of Patient Safety.
Colorado Patient Safety Coalition. November 14, 2008; Marriott Denver Tech Center, Denver, CO. 

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