United States Department of Health & Human Services  Skip Navigation
AHRQ HomeAgency for Healthcare Research and Quality
HHS Home
Questions
Contact Us
Site Map
Advancing Excellence in Health Care www.ahrq.gov
 














PSNet AHRQ

Submit Search Advanced Search
What's New for 1/14/2009
< Back to What's New Archive

 Book/Report

Book/Report
Adverse Events in Hospitals: Overview of Key Issues.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00470.

Adverse Events in Hospitals: State Reporting Systems.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00471.

 Journal Article

Commentary
Implementation of patient safety rounds in a children's hospital.
Yee PL, Edwards ML, Dixon J, Gleason NS. Nurs Adm Q. 2009;33:48-53.

On the scene at Children's Hospitals and Clinics of Minnesota.
Malone G, Akre M, Hauck M. Nurs Adm Q. 2009;33:54-61.

Physician autonomy and informed decision making: finding the balance for patient safety and quality.
Mathews SC, Pronovost PJ. JAMA. 2008;300:2913-2915.

Proceedings of a summit on preventing patient harm and death from IV medication errors.
Am J Health-Syst Pharm. 2008;65:2367-2379.

Review
What is the scale of prescribing errors committed by junior doctors? A systematic review.
Ross S, Bond C, Rothnie H, Thomas S, Macleod MJ. Br J Clin Pharmacol. 2008 Dec 16; [Epub ahead of print].

Study
Assessment of the implementation of a national patient safety alert to reduce wrong site surgery.
Rhodes P, Giles SJ, Cook GA, et al. Qual Saf Health Care. 2008;17:409-415.

Disclosing errors to patients: perspectives of registered nurses.
Shannon SE, Foglia MB, Hardy M, Gallagher TH. Jt Comm J Qual Patient Saf. 2009;35:5-12.

Effectiveness of random and focused review in detecting surgical pathology error.
Raab SS, Grzybicki DM, Mahood LK, Parwani AV, Kuan SF, Rao UN. Am J Clin Pathol. 2008;130:905-912.

Evaluating service delivery interventions to enhance patient safety.
Brown C, Lilford R. BMJ. 2008;337:a2764; [Epub 2008 Dec 17].

Health care professionals' views of implementing a policy of open disclosure of errors.
Sorensen R, Iedema R, Piper D, Manias E, Williams A, Tuckett A. J Health Serv Res Policy. 2008;13:227-232.

Medication errors among adults and children with cancer in the outpatient setting.
Walsh KE, Dodd KS, Seetharaman K, et al. J Clin Oncol. 2008 Dec 29; [Epub ahead of print].

Medication safety teams' guided implementation of electronic medication administration records in five nursing homes.
Scott-Cawiezell J, Madsen RW, Pepper GA, Vogelsmeier A, Petroski G, Zellmer D. Jt Comm J Qual Patient Saf. 2009;35:29-35.

Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting.
Clay BJ, Halasyamani L, Stucky ER, Greenwald JL, Williams MV. J Hosp Med. 2008;3:465-472.

Using implementation safety indicators for CPOE implementation.
Weir CR, McCarthy CA. Jt Comm J Qual Patient Saf. 2009;35:21-28.

Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback.
Garnerin P, Arès M, Huchet A, Clergue F. Qual Saf Health Care. 2008;17:454-458.

 Meeting/Conference

Upcoming Meeting/Conference
High-Alert Series Parts I, II, III, and IV.
Institute for Safe Medication Practices. January 21, 2009; April 16, 2009; July 23, 2009; and October 15, 2009. 1:30-3:00 PM (Eastern).

 Newspaper/Magazine Article

Newspaper/Magazine Article
CPOE: it don't come easy.
Anderson HJ. Health Data Manag. January 1, 2009;17:18.

For patients, a list of hospital hazards.
Landro L. Wall Street Journal (Eastern edition). December 23, 2008;D2.

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

Designing evaluation systems for TeamSTEPPS.
Agency for Healthcare Research and Quality. TeamSTEPPS Webinar #7. February 11, 2009; 12:00-1:30 PM (Eastern).

Produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Editorial Board. This site was designed and implemented by Silverchair..

Contact AHRQ PSNet | Copyright | AHRQ PSNet Privacy Policy | Terms & Conditions | Help


AHRQ Home | Questions? | Contact AHRQ | Site Map | Accessibility | Privacy Policy | Freedom of Information Act | Disclaimers
HHS Home | The White House | USA.gov: U.S. Government Official Web Portal
Agency for Healthcare Research and Quality • 540 Gaither Road Rockville, MD 20850 • Telephone: (301) 427-1364