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What's New for 11/26/2008
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 Audiovisual

Audiovisual
Medical mistakes, when things are left behind.
Freed T. KSEE 24 News. November 11, 2008.

 Journal Article

Commentary
Event reporting: the value of a nonpunitive approach.
Youngberg BJ. Clin Obstet Gynecol. 2008;51:647-655.

Is health care getting safer?
Vincent C, Aylin P, Franklin BD, et al. BMJ. 2008;337:a2426.

Nursing peer review: developing a framework for patient safety.
Diaz L. J Nurs Adm. 2008;38:475-479.

Operational rounds: a practical administrative process to improve safety and clinical services in radiology.
Donnelly LF, Dickerson JM, Lehkamp TW, Gessner KE, Moskovitz J, Hutchinson S. J Am Coll Radiol. 2008;5:1142-1149.

Study
Chemotherapy safety and severe adverse events in cancer patients: strategies to efficiently avoid chemotherapy errors in in- and outpatient treatment.
Markert A, Thierry V, Kleber M, Behrens M, Engelhardt M. Int J Cancer. 2008;124:722-728.

Hospital ethical climate and teamwork in acute care: the moderating role of leaders.
Rathert C, Fleming DA. Health Care Manage Rev. 2008;33:323-331.

Impact of preoperative briefings on operating room delays.
Nundy S, Mukherjee A, Sexton JB, et al. Arch Surg. 2008;143:1068-1072.

In chronic condition: experiences of patients with complex health care needs, in eight countries, 2008.
Schoen C, Osborn R, How SKH, Doty MM, Peugh J. Health Aff (Millwood). 2008 Nov 13; [Epub ahead of print].

Physicians' attitudes towards copy and pasting in electronic note writing.
O'Donnell HC, Kaushal R, Barrón Y, Callahan MA, Adelman RD, Siegler EL. J Gen Intern Med. 2008 Nov 8; [Epub ahead of print].

 Meeting/Conference

Europe Meeting/Conference
International Forum on Quality and Safety in Health Care.
BMJ Publishing Group and the Institute for Healthcare Improvement. March 17-20, 2009; Internationales Congress Center, Berlin, Germany.

Georgia Meeting/Conference
Professional Development Workshop.
The Patient Safety Education Project. January 30-31, 2009; Emory Conference Center, Atlanta, GA.

 Newspaper/Magazine Article

Newspaper/Magazine Article
AHRQ presses on: no rule yet, but agency taps 10 safety organizations.
DerGurahain J. Mod Healthc. November 10, 2008;38:8.

Debriefing for patient safety.
Turner SH, Kurtz WD. Patient Saf Qual Healthc. November/December 2008.

Learning from never events: one hospital's reaction to a wrong-site surgery.
Jt Comm Perspect Patient Saf. December 2008;8:8-10.

Using external errors to signal a clear and present danger.
ISMP Medication Safety Alert! Acute Care Edition. November 6, 2008;13:1-2.

 Press Release/Announcement

Press Release/Announcement
The Canadian Patient Safety Institute Patient Safety Studentship Program 2009-2010.
Ottawa, Canada: The Canadian Patient Safety Institute.

Patient Safety and Quality Improvement; Final Rule.
US Department of Health and Human Services; Agency for Healthcare Research and Quality; Federal Register. November 21, 2008;73:70731-70814.

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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