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| Commentary |
Balancing just culture with regulatory standards.
Gorzeman J. Nurs Adm Q. 2008;32:308-311. |
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Patient care, square-rigger sailing, and safety.
Henkind SJ, Sinnett JC. JAMA. 2008;300:1691-1693. |
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Toward a definition of teamwork in emergency medicine.
Fernandez R, Kozlowski SW, Shapiro MJ, Salas E. Acad Emerg Med. 2008 Oct 1; [Epub ahead of print].
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| Review |
Pharmacists and health information technology: emerging issues in patient safety.
Fuji KT, Galt KA. HEC Forum. 2008;20:259-275. |
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| Study |
Analysis of overridden alerts in a drug–drug interaction detection system.
Mille F, Schwartz C, Brion F, et al. Int J Qual Health Care. 2008 Sep 10; [Epub ahead of print]. |
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Contributing factors identified by hospital incident report narratives.
Nuckols TK, Bell DS, Paddock SM, Hilborne LH. Qual Saf Health Care. 2008;17:368-372. |
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Discrepancies between home medications listed at hospital admission and reported medical conditions.
Slain D, Kincaid SE, Dunsworth TS. Am J Geriatr Pharmacother. 2008;6:161-166.
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Gaps in pediatric clinician communication and opportunities for improvement.
Woods DM, Holl JL, Angst DB, et al. J Healthc Qual. 2008;30:43-54.
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Missed diagnosis of critical congenital heart disease.
Chang RK, Gurvitz M, Rodriguez S. Arch Pediatr Adolesc Med. 2008;162:969-974. |
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Predicting patient complaints in hospital settings.
Kline TJB, Willness C, Ghali WA. Qual Saf Health Care. 2008;17:346-350. |
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Prevention of intravenous drug incompatibilities in an intensive care unit.
Bertsche T, Mayer Y, Stahl R, et al. Am J Health Syst Pharm. 2008;65:1834-1840. |
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Reporting of Clinical Adverse Events Scale: a measure of doctor and nurse attitudes to adverse event reporting.
Wilson B, Bekker HL, Fylan F. Qual Saf Health Care. 2008;17:364-367. |
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Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department.
Sard BE, Walsh KE, Doros G, et al. Pediatrics. 2008;122:782-787. |
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Standardised proformas improve patient handover: audit of trauma handover practice.
Ferran NA, Metcalfe AJ, O'Doherty D. Patient Saf Surg. 2008;2:24. |
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| Organizational Policy/Guidelines |
A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals.
Yokoe DS, Mermel LA, Anderson DJ, et al. Infect Control Hosp Epidemiol. 2008;29:901-994. |
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| Regulation |
Implementing the Patient Safety and Quality Improvement Act of 2005 Including How to Become a Patient Safety Organization: Interim Guidance.
US Department of Health and Human Services; Agency for Healthcare Research and Quality; October 8, 2008. |
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| Newsletter/Journal |
Collaborations.
Oakbrook, IL: WHO Collaborating Centre for Patient Safety Solutions. |
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| Newspaper/Magazine Article |
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| Newspaper/Magazine Article |
Collaboration focused on priority issues promotes safety.
ISMP Medication Safety Alert! Acute Care Edition. October 10, 2008;13:1-3. |
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Interruptions and distractions: workflow intrusions at a level-one trauma center.
Brixey JJ, Robinson DJ, Zhang J, Turley JP. Focus Patient Saf. 2008;11:3-4,5. |
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| Toolkit |
Wristband Standardization Initiative.
Austin, TX: Texas Hospital Association; October 2008. |
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