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| 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. |
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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. |
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| 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. |
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On the scene at Children's Hospitals and Clinics of Minnesota.
Malone G, Akre M, Hauck M. Nurs Adm Q. 2009;33:54-61. |
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Physician autonomy and informed decision making: finding the balance for patient safety and quality.
Mathews SC, Pronovost PJ. JAMA. 2008;300:2913-2915.
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Proceedings of a summit on preventing patient harm and death from IV medication errors.
Am J Health-Syst Pharm. 2008;65:2367-2379. |
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| 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].
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| 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.
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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.
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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.
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Evaluating service delivery interventions to enhance patient safety.
Brown C, Lilford R. BMJ. 2008;337:a2764; [Epub 2008 Dec 17]. |
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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. |
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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]. |
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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. |
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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.
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Using implementation safety indicators for CPOE implementation.
Weir CR, McCarthy CA. Jt Comm J Qual Patient Saf. 2009;35:21-28.
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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. |
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| 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). |
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| Newspaper/Magazine Article |
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| Newspaper/Magazine Article |
CPOE: it don't come easy.
Anderson HJ. Health Data Manag. January 1, 2009;17:18. |
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For patients, a list of hospital hazards.
Landro L. Wall Street Journal (Eastern edition). December 23, 2008;D2. |
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