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| Audiovisual |
Man's surgery performed on the wrong ankle.
Douda D. CBS - WCCO. October 22, 2008. |
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| Book/Report |
Identity Crisis: An Examination of the Costs and Benefits of a Unique Patient Identifier for the US Health Care System.
Hillestad R, Bigelow JH, Chaudhry B, et al. Santa Monica, CA: RAND Corporation; 2008. |
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The Best Practice: How the New Quality Movement Is Transforming Medicine.
Kenney C. New York, NY: Public Affairs; 2008. ISBN: 9781586486198. |
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| Commentary |
Addressing prehospital patient safety using the science of injury prevention and control.
Meisel ZF, Hargarten S, Vernick J. Prehosp Emerg Care. 2008;12:411-416. |
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Munson Medical Center: embedding a culture of safety and QI into the organization.
Haslinger T. Jt Comm J Qual Patient Saf. 2008;34:665-670. |
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The top 10 list for a safe and effective sign-out.
Kemp CD, Bath JM, Berger J, et al. Arch Surg. 2008;143:1008-1010. |
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University of Michigan: quality and safety in an academic medical center.
Strong DL, Kin JM, Kratochwill EW, Typaldos C. Jt Comm J Qual Patient Saf. 2008;34:671-677.
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| Study |
Drug dosing error with drops – severe clinical course of codeine intoxication in twins.
Hermanns-Clausen M, Weinmann W, Auwärter V, et al. Eur J Pediatr. 2008 Oct 21; [Epub ahead of print]. |
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Errors, near misses and adverse events in the emergency department: what can patients tell us?
Friedman SM, Provan D, Moore S, Hanneman K. CJEM. 2008;10:421-427. |
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Evaluation of critical incidents in general surgery.
Zingg U, Zala-Mezoe E, Kuenzle B, et al. Br J Surg. 2008;95:1420-1425.
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Hospital financial condition and the quality of patient care.
Bazzoli GJ, Chen HF, Zhao M, Lindrooth RC. Health Econ. 2008;17:977-995. |
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Measuring mobile patient safety information system success: an empirical study.
Jen WY, Chao CC. Int J Med Inform. 2008;77:689-697.
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Oncology medication safety: a 3D status report 2008.
Johnson PE, Chambers CR, Vaida AJ. J Oncol Pharm Pract. 2008 Sep 25; [Epub ahead of print]. |
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Patient safety indicators for England from hospital administrative data: case-control analysis and comparison with US data.
Raleigh VS, Cooper J, Bremner SA, Scobie S. BMJ. 2008;337:a1702.
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Shifting supervision: implications for safe administration of medication by nursing students.
Reid-Searl K, Moxham L, Walker S, Happell B. J Clin Nurs. 2008;17:2750-2757. |
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| Massachusetts Meeting/Conference |
Patient Safety Officer Executive Development Program.
Institute for Healthcare Improvement. March 5-11, 2009; The Charles Hotel, Cambridge, MA. |
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| Newspaper/Magazine Article |
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| Newspaper/Magazine Article |
Errors test openness at Beth Israel Deaconess. Disclosures will benefit hospital, president insists.
Wen P. Boston Globe. October 27, 2008. |
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ISMP's second QuarterWatch report shows sharp increase in reports of serious adverse drug events.
ISMP Medication Safety Alert! Acute Care Edition. October 23, 2008;13:1-3. |
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| Multi-use Website |
PSO Privacy Protection Center.
Agency for Healthcare Research and Quality. |
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