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| Audiovisual Presentation |
FDA MedWatch and Patient Safety Tutorial.
US Food and Drug Administration. October 2008. |
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Physician, say you're sorry.
Delbanco T, Bell SK. New York Times Video. November 24, 2008. |
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| Book/Report |
Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.
Oakbrook Terrace, IL: The Joint Commission; November 2008. |
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| Grant Recipient |
AHRQ Risk-informed Intervention Development and Implementation of Safe Practices in Ambulatory Care.
Rockville, MD: Agency for Healthcare Research and Quality; October 2008. |
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| Commentary |
Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.
Iglehart JK. N Engl J Med. 2008;359:2633-2635. |
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| Review |
Teamwork and patient safety in dynamic domains of healthcare: a review of the literature.
Manser T. Acta Anaesthesiol Scand. 22 Oct 2008; [Epub ahead of print]. |
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| Study |
Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project.
Ward KT, Bates-Jensen B, Eslami MS, et al. Am J Geriatr Pharmacother. 2008;6:205-211.
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Computerized provider order entry adoption: implications for clinical workflow.
Campbell EM, Guappone KP, Sittig DF, Dykstra RH, Ash JS. J Gen Intern Med. 2008 Nov 20; [Epub ahead of print]. |
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Getting to the root of medication errors.
Cohen H, Shastay AD. Nursing. 2008;38:39-47; quiz 48-49. |
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Hospital-wide code rates and mortality before and after implementation of a rapid response team.
Chan PS, Khalid A, Longmore LS, Berg RA, Kosiborod M, Spertus JA. JAMA. 2008;300:2506-2513. |
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Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents in the US.
Baldwin DC Jr, Daugherty SR. J Interprof Care. 2008;22:573-586. |
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Quality management and patient safety: survey results from 102 Hungarian hospitals.
Makai P, Klazinga N, Wagner C, Boncz I, Gulacsi L. Health Policy. 2008 Nov 10; [Epub ahead of print].
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Quantification and classification of errors associated with hand-repackaging of medications in long-term care facilities in Germany.
Gerber A, Kohaupt I, Lauterbach KW, Buescher G, Stock S, Lungen M. Am J Geriatr Pharmacother. 2008;6:212-219.
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Time for a change in injury and trauma care delivery: a trauma death review analysis.
Sugrue M, Caldwell E, D'Amours S, et al. ANZ J Surg. 2008;78:949-954. |
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Time motion study in a pediatric emergency department before and after computer physician order entry.
Yen K, Shane EL, Pawar SS, Schwendel ND, Zimmanck RJ, Gorelick MH. Ann Emerg Med. 2008 Nov 19; [Epub ahead of print].
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| Europe Meeting/Conference |
Safe Surgery Saves Lives European Workshop.
World Alliance for Patient Safety. January 15, 2009; London, UK. |
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| Texas Meeting/Conference |
8th Annual Forum for Improving Children's Healthcare: Thrive Together.
National Initiative for Children's Healthcare Quality. March 9-12, 2009; Gaylord Texan Resort, Grapevine, TX. |
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| Newspaper/Magazine Article |
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| Newspaper/Magazine Article |
Actively caring for safety: overcoming bystander apathy.
ISMP Medication Safety Alert! Acute Care Edition. November 20, 2008:13:1-3. |
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Fixing relationships, preventing errors.
McGinn P, Chabon R. HHN Magazine Online. November 25, 2008. |
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