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What's New for 12/17/2008
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Audiovisual

Audiovisual Presentation

North Carolina Just Culture Journey.
Plano, TX: Just Culture Community; November 2008.

Award

Award Recipient

ISMP Announces 11th Annual Cheers Awards Recipients.
Horsham, PA: Institute for Safe Medication Practices; November 7, 2008.

Book/Report

2008 Update on Consumers' Views of Patient Safety and Quality Information.
Kaiser Family Foundation, Agency for Healthcare Research and Quality; October 2008.

Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV.
Farley DO, Damberg CL, Ridgely MS, et al. Santa Monica, CA: RAND Corporation; 2008. ISBN: 9780833044808

Strategies for Addressing Health Care Worker Fatigue.
Oakbrook Terrace, IL: Joint Commission Resources; 2008. ISBN: 9781599402291.

Journal Article

Commentary

Errors and analysis of errors.
Mulligan MA, Nechodom P. Clin Obstet Gynecol. 2008;51:656-665.

Knowledge is power: averting safety-compromising events in the OR.
Catalano K. AORN J. 2008;88:987-995.

Medical emergency team implementation: experiences of a mentor hospital.
Jamieson E, Ferrell C, Rutledge DN. Medsurg Nurs. 2008;17:312-316, 323.

Review

Narrative review: do state laws make it easier to say "I'm sorry?"
McDonnell WM, Guenther E. Ann Intern Med. 2008;149:811-815.

Study

Evaluation of a healthcare safety climate measurement tool.
Turnberg W, Daniell W. J Safety Res. 2008;39:563-568.

Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals.
Bishop MJ, Souders JE, Peterson CM, Henderson WG, Domino KB. Anesth Analg. 2008;107:1924-1935.

Identifying violation-provoking conditions in a healthcare setting.
Phipps DL, Parker D, Pals EJM, Meakin GH, Nsoedo C, Beatty PCW. Ergonomics. 2008;51:1625-1642.

Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States.
McAbee GN, Donn SM, Mendelson RA, McDonnell WM, Gonzalez JL, Ake JK. Pediatrics. 2008;122:e1282-1286.

The effect on medication errors of pharmacists charting medication in an emergency department.
Vasileff HM, Whitten LE, Pink JA, Goldsworthy SJ, Angley MT. Pharm World Sci. 2008 Nov 29; [Epub ahead of print].

The impact of introducing medical emergency team system on the documentations of vital signs.
Chen J, Hillman K, Bellomo R, Flabouris A, Finfer S, Cretikos M; MERIT Study Investigators for the Simpson Centre and ANZICS Clinical Trials Group. Resuscitation. 2008 Nov 14; [Epub ahead of print].

Newspaper/Magazine Article

Arrogant, abusive and disruptive — and a doctor.
Tarkan L. New York Times. December 1, 2008;Science Desk:1.

Safe practice environment chapter proposed by USP.
ISMP Medication Safety Alert! Acute Care Edition. December 4, 2008;13:1-3.

Press Release/Announcement

NPSF announces the 2009 call for research and solutions posters.
North Adams, MA: National Patient Safety Foundation; December 1, 2008.

Electronic data collection using MedWatchPlus portal and rational questionnaire.
Shuren J. Federal Register. October 23, 2008;73:63153-63157.

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

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