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| Book/Report |
On the Edge: Nursing in the Age of Complexity.
Lindberg C, Nash S, Lindberg C. Bordentown, NJ: PlexusPress; 2008. ISBN: 1438246765. |
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To Err Is Human—But Don't Expect to Get Paid For It.
ASQ Quarterly Quality Report. Milwaukee, WI: American Society of Quality; October 2008. |
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Trends in Nursing Home Deficiencies and Complaints.
Office of the Inspector General. Washington, DC: US Department of Health and Human Services; September 2008. Report No. OEI-02-08-00140. |
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| Commentary |
Implementation of the SBAR communication technique in a tertiary center.
Woodhall LJ, Vertacnik L, McLaughlin M. J Emerg Nurs. 2008;34:314-317. |
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ISMP medication error report analysis.
Smetzer JL, Cohen MR. Hosp Pharm. 2008;43;788-792. |
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The importance of simulation: preventing hand-off mistakes.
Clancy CM. AORN J. 2008;88:625-627. |
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| Review |
Interprofessional communication and medical error: a reframing of research questions and approaches.
Varpio L, Hall P, Lingard L, Schryer CF. Acad Med. 2008;83(Suppl 10):S76-S81. |
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| Study |
An educational and audit tool to reduce prescribing error in intensive care.
Thomas AN, Boxall EM, Laha SK, Day AJ, Grundy D. Qual Saf Health Care. 2008;17:360-363. |
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An intervention to decrease narcotic-related adverse drug events in children's hospitals.
Sharek PJ, McClead RE Jr, Taketomo C, et al. Pediatrics. 2008;122:e861-e866. |
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Content analysis of patient complaints.
Montini T, Noble AA, Stelfox HT. Int J Qual Health Care. 2008 Sep 17; [Epub ahead of print]. |
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Documentation of clinical review and vital signs after major surgery.
McGain F, Cretikos MA, Jones D, et al. Med J Aust. 2008;189:380-383. |
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Human error, not communication and systems, underlies surgical complications.
Fabri PJ, Zayas-Castro JL. Surgery. 2008;144:557-565. |
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Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study.
McKay J, Bowie P, Murray L, Lough M. Qual Saf Health Care. 2008;17:339-345. |
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Nurse staffing and medication errors: cross-sectional or longitudinal relationships?
Mark BA, Belyea M. Res Nurs Health. 2008 Sep 29; [Epub ahead of print]. |
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The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics.
Schmid-Mazzoccoli A, Hoffman LA, Wolf GA, Happ MB, Devita MA. Qual Saf Health Care. 2008;17:377-381. |
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Violations of behavioral practices revealed in closed claims reviews.
Griffen FD, Stephens LS, Alexander JB, et al. Ann Surg. 2008;248:468-474. |
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| Tennessee Meeting/Conference |
Patient Safety Organization Update Workshop.
Agency for Healthcare Research and Quality. December 8, 2008; Gaylord Opryland Resort and Convention Center, Nashville, TN. |
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| Upcoming Meeting/Conference |
Patient Falls and Medication Use: Making the Safety Connection.
Institute for Safe Medication Practices. November 20, 2008; 1:30-3:00 PM (Eastern). |
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| Special or Theme Issue |
Building Bridges Between Radiology and Emergency Medicine: Consensus Conference on Imaging Safety and Quality for Children in the Emergency Setting.
Pediatr Radiol. 2008;38(Suppl 4):625-734. |
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