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What's New for 12/3/2008
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 Audiovisual

Audiovisual
How a simple checklist can dramatically reduce medical errors.
Pronovost PJ. On Call. IHI Open School for Health Professionals. November 3, 2008.

Audiovisual Presentation
CBS2 investigation uncovers hospital mistakes.
Goldstein D. CBS2. November 21, 2008.

 Book/Report

Book/Report
National Priorities and Goals: Aligning Our Efforts to Transform America's Healthcare.
National Priorities Partnership. Washington, DC: National Quality Forum; 2008. ISBN: 1933875194.

 Journal Article

Commentary
ISMP medication error report analysis.
Smetzer JL, Cohen MR. Hosp Pharm. 2008;43:869-872.

Using an advanced practice nursing model for a rapid response team.
Benson L, Mitchell C, Link M, Carlson G, Fisher J. Jt Comm J Qual Patient Saf. 2008;34:743-747.

Review
Resident work hour restrictions: where are we now?
Curet MJ. J Am Coll Surg. 2008;207:767-776.

Roadmap for patient safety research: approaches and roadforks.
Hofoss D, Deilkås E. Scand J Public Health. 2008;36:812-817.

Study
Electronic health records and malpractice claims in office practice.
Virapongse A, Bates DW, Shi P, et al. Arch Intern Med. 2008;168:2362-2367.

How often do physicians review medication charts on ward rounds?
Looi KL, Black PN. BMC Clin Pharmacol. 2008 September;8:9.

Incidence of adverse events related to health care in Spain: results of the Spanish National Study of Adverse Events.
Aranaz-Andrés JM, Aibar-Remón C, Vitaller-Murillo J, et al. J Epidemiol Community Health. 2008;62:1022-1029.

Information exchange among physicians caring for the same patient in the community.
van Walraven C, Taljaard M, Bell CM, et al. CMAJ. 2008;179:1013-1018.

Medication errors involving patient-controlled analgesia.
Hicks RW, Heath WM, Sikirica V, Nelson W, Schein JR. Jt Comm J Qual Patient Saf. 2008;34:734-742.

Medication reconciliation in a rural trauma population.
Miller SL, Miller S, Balon J, Helling TS. Ann Emerg Med. 2008;52:483-491.

Systematic assessment of culture review as a tool to assess errors in the clinical microbiology laboratory.
Goodyear N, Ulness BK, Prentice JL, Cookson BT, Limaye AP. Arch Pathol Lab Med. 2008;132:1792-1795.

The effect of clinical experience on the error rate of emergency physicians.
Berk WA, Welch RD, Levy PD, et al. Ann Emerg Med. 2008;52:497-501.

 Meeting/Conference

Upcoming Meeting/Conference
Using TeamSTEPPS and nursing homes and assisted living facilities.
Agency for Healthcare Research and Quality. TeamSTEPPS Webinar #6. December 10, 2008; 12:00-1:30 pm (Eastern).

 Newspaper/Magazine Article

Newspaper/Magazine Article
Anticoagulant safety practices call for pharmacist supervision.
Scott A. Drug Topics (Health-System Edition). November 10, 2008.

 Tools/Toolkit

Measurement Tool/Indicator
Survey User's Guide: Nursing Home Survey on Patient Safety Culture.
Sorra J, Franklin M, Streagle S. Rockville, MD: Agency for Healthcare Research and Quality; 2008. AHRQ Publication No. 08-0060.

Patient Safety Organization Update Workshop.
Agency for Healthcare Research and Quality. December 8, 2008; Gaylord Opryland Resort and Convention Center, Nashville, TN.

11th Annual ISMP Cheers Award Reception and Dinner.
Institute for Safe Medication Practices. Dec 9, 2008; Maggiano's Little Italy, Pointe Orlando, Florida.

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