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What's New for 11/19/2008
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 Book/Report

Book/Report
The Safety Competencies: Enhancing Patient Safety Across the Health Professions.
Frank JR, Brien S, eds on behalf of The Safety Competencies Steering Committee. Ottawa, ON: Canadian Patient Safety Institute; 2008.

Vincristine: Learning from Error Workshop.
World Alliance for Patient Safety. Geneva, Switzerland: World Health Organization; 2008.

 Journal Article

Commentary
Apologies and medical error.
Robbennolt JK. Clin Orthop Relat Res. 2008 Oct 30; [Epub ahead of print].

Cutting out human error.
Feinmann J. BMJ. 2008;337:a2370.

Hand-off communication: a requisite for perioperative patient safety.
Amato-Vealey EJ, Barba MP, Vealey RJ. AORN J. 2008;88:763-774.

Publication guidelines for improvement studies in health care: evolution of the SQUIRE project.
Davidoff F, Batalden P, Stevens D, Ogrinc G, Mooney S; for SQUIRE Development Group. Ann Intern Med. 2008;149:670-676.

Review
The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability.
Schwappach DLB, Boluarte TA. Swiss Med Wkly. 2008 Oct 24; [Epub ahead of print].

Study
Changing conversations: teaching safety and quality in residency training.
Voss JD, May NB, Schorling JB, et al. Acad Med. 2008;83:1080-1087.

Critical events in the lives of interns.
Ackerman A, Graham M, Schmidt H, Stern DT, Miller SZ. J Gen Intern Med. 2008 Oct 30; [Epub ahead of print].

Exploring performance obstacles of intensive care nurses.
Gurses AP, Carayon P. Appl Ergon. 2008 Oct 23; [Epub ahead of print].

Hospital readmissions: physician awareness and communication practices.
Roy CL, Kachalia A, Woolf S, et al. J Gen Intern Med. 2008 Nov 4; [Epub ahead of print].

Sleep and errors in a group of Australian hospital nurses at work and during the commute.
Dorrian J, Tolley C, Lamond N, et al. Appl Ergon. 2008;39:605-613.

Timely follow-up of abnormal outpatient test results: perceived barriers and impact on patient safety.
Moore C, Saigh O, Trikha A, Lin JJ. J Patient Saf. 2008 October 16;[Epub ahead of print].

 Meeting/Conference

Illinois Meeting/Conference
Embracing the Future: AORN 56th Congress.
Association of periOperative Registered Nurses. March 14-19, 2009; McCormick Place, Chicago, IL.

 Newspaper/Magazine Article

Newspaper/Magazine Article
Medical mix-ups. Similar drug names account for 25 percent of errors.
Stahl L. Courier-Journal. November 6, 2008.

Rx for medication errors.
Friedley NJC. Med Econ. 2008;85:34-38.

 Press Release/Announcement

Press Release/Announcement
ReliOn Insulin Syringes for use with U-100 Insulin (Tyco Healthcare-Covidien).
MedWatch Safety Alert [US Food and Drug Administration Web site]. November 6, 2008. 

 Special or Theme Issue

Special or Theme Issue
The Science of Simulation in Healthcare: Defining and Developing Clinical Expertise.
Kaji AH, Cone DC, eds. Acad Emerg Med. 2008;15:971-1222.

 Web Resource

Multi-use Website
Postmarket Drug Safety Information for Patients and Providers.
US Food and Drug Administration.

AHRQ announces interest in research on diagnostic errors in ambulatory care settings.
Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 25, 2007. Publication No. NOT-HS-08-002.

20th Annual National Forum on Quality Improvement in Health Care. 
Institute for Healthcare Improvement. December 8-11, 2008; Gaylord Opryland Resort & Convention Center, Nashville, TN.  

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