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| Book/Report |
Using telehealth to improve quality and safety: findings from the AHRQ portfolio.
Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. Rockville, MD: Agency for Healthcare Research and Quality; December 2008. AHRQ Publication No. 09-0012-EF. |
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| Grant Announcement |
AHRQ Health Services Research Projects (R01).
U.S. Department of Health and Human Services. Program Announcement No. PA-09-070. |
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| Commentary |
Human factors engineering in healthcare systems: the problem of human error and accident management.
Cacciabue PC, Vella G. Int J Med Inform. 2008 Dec 18; [Epub ahead of print]. |
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Implementing a Bar-Code Medication Administration System.
Weber RJ. Hosp Pharm. 2008;43:1016-1023. |
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ISMP Medication Error Report Analysis.
Cohen MR. Hosp Pharm. 2008;43:960-964. |
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Nurses' role in patient safety.
Hughes RG, Clancy CM. J Nurs Care Qual. 2009;24:1-4. |
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The error of omission: a simple checklist approach for improving operating room safety.
Rosenfield LK, Chang DS. Plast Reconstr Surg. 2009;123:399-402. |
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| Study |
A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety.
Rodriguez-Paz JM, Mark LJ, Herzer KR, et al. Anesth Analg. 2009;108:202-210. |
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A surgical safety checklist to reduce morbidity and mortality in a global population.
Haynes AB, Weiser TG, Berry WR, et al, for the Safe Surgery Saves Lives Study Group. N Engl J Med. 2009 Jan 14; [Epub ahead of print]. |
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Association of communication between hospital-based physicians and primary care providers with patient outcomes.
Bell CM, Schnipper JL, Auerbach AD, et al. J Gen Intern Med. 2008 Dec 20; [Epub ahead of print]. |
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Barriers to emergency departments' adherence to four medication safety–related Joint Commission National Patient Safety Goals.
Juarez A, Gacki-Smith J, Bauer MR, et al. Jt Comm J Qual Patient Saf. 2009;35:49-59. |
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Developing a tool for assessing competency in root cause analysis.
Gupta P, Varkey P. Jt Comm J Qual Patient Saf. 2009;35:36-42. |
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Failure to rescue as a process measure to evaluate fetal safety during labor.
Beaulieu MJ. MCN Am J Matern Child Nurs. 2009;34:18-23. |
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Implementing a patient safety and quality program across two merged pediatric institutions.
Abramson E, Hyman D, Osorio SN, Kaushal R. Jt Comm J Qual Patient Saf. 2009;35:43-48. |
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Improving patient understanding of prescription drug label instructions.
Davis TC, Federman AD, Bass PF III, et al. J Gen Int Med. 2009;24:57-62. |
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Liability associated with obstetric anesthesia: a closed claims analysis.
Davies JM, Posner KL, Lee LA, Cheney FW, Domino KB. Anesthesiology. 2009;110:131-139. |
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Oxytocin as a high-alert medication: implications for perinatal patient safety.
Simpson KR, Knox GE. MCN Am J Matern Child Nurs. 2009;34:8-15. |
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The psychometric properties of the 'Hospital Survey on Patient Safety Culture' in Dutch hospitals.
Smits M, Christiaans-Dingelhoff I, Wagner C, Wal G, Groenewegen PP. BMC Health Serv Res. 2008;8:230. |
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| Newspaper/Magazine Article |
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| Newspaper/Magazine Article |
Preventing Surgical Errors.
Frenzel JC, Kelly T. HHN Magazine Online. January 6, 2009. |
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Winnipeg hospital review finds 27 deaths due to medical errors.
Skerritt J. National Post. January 6, 2009. |
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| Multi-use Website |
Consumermedsafety.org
Institute for Safe Medication Practices; 200 Lakeside Drive, Suite 200 Horsham, PA 19044-2321. Phone: 215-947-7797. Fax: 215-914-1492. Email: consumer@ismp.org. |
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