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What's New for 11/5/2008
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 Audiovisual

Audiovisual
Man's surgery performed on the wrong ankle.
Douda D. CBS - WCCO. October 22, 2008.

 Book/Report

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.

The Best Practice: How the New Quality Movement Is Transforming Medicine.
Kenney C. New York, NY: Public Affairs; 2008. ISBN: 9781586486198.

 Journal Article

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.

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.

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.

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.

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].

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.

Evaluation of critical incidents in general surgery.
Zingg U, Zala-Mezoe E, Kuenzle B, et al. Br J Surg. 2008;95:1420-1425.

Hospital financial condition and the quality of patient care.
Bazzoli GJ, Chen HF, Zhao M, Lindrooth RC. Health Econ. 2008;17:977-995.

Measuring mobile patient safety information system success: an empirical study.
Jen WY, Chao CC. Int J Med Inform. 2008;77:689-697.

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].

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.

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.

 Meeting/Conference

Massachusetts Meeting/Conference
Patient Safety Officer Executive Development Program.
Institute for Healthcare Improvement. March 5-11, 2009; The Charles Hotel, Cambridge, MA.

 Newspaper/Magazine Article

Newspaper/Magazine Article
Errors test openness at Beth Israel Deaconess. Disclosures will benefit hospital, president insists.
Wen P. Boston Globe. October 27, 2008.

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.

 Web Resource

Multi-use Website
PSO Privacy Protection Center.
Agency for Healthcare Research and Quality.

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

Using Data Effectively to Manage the Risks to Medication Safety.
US Pharmacopeia, Institute for Safe Medication Practices. December 6, 2008; Hilton Garden Inn Orlando Seaworld, Orlando, FL.

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