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| Audiovisual |
How a simple checklist can dramatically reduce medical errors.
Pronovost PJ. On Call. IHI Open School for Health Professionals. November 3, 2008. |
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| Audiovisual Presentation |
CBS2 investigation uncovers hospital mistakes.
Goldstein D. CBS2. November 21, 2008. |
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| 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. |
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| Commentary |
ISMP medication error report analysis.
Smetzer JL, Cohen MR. Hosp Pharm. 2008;43:869-872. |
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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.
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| Review |
Resident work hour restrictions: where are we now?
Curet MJ. J Am Coll Surg. 2008;207:767-776.
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Roadmap for patient safety research: approaches and roadforks.
Hofoss D, Deilkås E. Scand J Public Health. 2008;36:812-817.
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| 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. |
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How often do physicians review medication charts on ward rounds?
Looi KL, Black PN. BMC Clin Pharmacol. 2008 September;8:9. |
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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. |
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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. |
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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. |
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Medication reconciliation in a rural trauma population.
Miller SL, Miller S, Balon J, Helling TS. Ann Emerg Med. 2008;52:483-491. |
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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. |
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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. |
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| 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). |
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| Newspaper/Magazine Article |
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| Newspaper/Magazine Article |
Anticoagulant safety practices call for pharmacist supervision.
Scott A. Drug Topics (Health-System Edition). November 10, 2008. |
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| 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. |
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