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What's New for 1/28/2009
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 Book/Report

Book/Report
Adverse Health Events in Minnesota: Fifth Annual Public Report.
St. Paul, MN: Minnesota Department of Health; 2009.

Patient Safety Initiative. 2007 Summary Report.
Kirchner CM, Noggoh E, Prestianni F, Lumia ME. Trenton, NJ: New Jersey Department of Health and Senior Services; December 2008.

 Grant

Grant Announcement
AHRQ Health Services Research Demonstration and Dissemination Grants (R18).
U.S. Department of Health and Human Services. Program Announcement No. PA-09-071.

 Journal Article

Commentary
Attending work hour restrictions: is it time?
Hyman NH. Arch Surg. 2009;144:7-8.

Critical care checklists, the Keystone Project, and the Office for Human Research Protections: a case for streamlining the approval process in quality-improvement research.
Savel RH, Goldstein EB, Gropper MA. Crit Care Med. 2009 Dec 26; [Epub ahead of print].

Review
Monitoring for medication errors in outpatient settings.
Balkrishnan R, Foss CE, Pawaskar M, Uhas AA, Feldman SR. J Dermatolog Treat. 2008 Dec 10; [Epub ahead of print].

Study
A simulation design for research evaluating safety innovations in anaesthesia.
Merry AF, Weller JM, Robinson BJ, et al. Anaesthesia. 2008;63:1349-1357.

Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes.
Antonacci AC, Lam S, Lavarias V, Homel P, Eavey RD. Arch Surg. 2008;143:1192-1197.

Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in general surgery.
Rebasa P, Mora L, Luna A, Montmany S, Vallverdú H, Navarro S. World J Surg. 2009;33:191-198.

Do medication samples jeopardize patient safety?
Franks AS, Ray SM, Wallace LS, Keenum AJ, Weiss BD. Ann Pharmacother. 2008 Dec 17; [Epub ahead of print].

Electronic results management in pediatric ambulatory care: qualitative assessment.
Ferris TG, Johnson SA, Co JP, et al. Pediatrics. 2009;123(suppl 2):S85-S91.

Excess cost and length of stay associated with voluntary patient safety event reports in hospitals.
Paradis AR, Stewart VT, Bayley KB, Brown A, Bennett AJ. Am J Med Qual. 2009;24:53-60.

Getting by: underuse of interpreters by resident physicians.
Diamond LC, Schenker Y, Curry L, Bradley EH, Fernandez A. J Gen Intern Med. 2009;24:256-262.

Medication errors and response bias: the tip of the iceberg.
Bar-Oz B, Goldman M, Lahat E, et al. Isr Med Assoc J. 2008;10:771-774.

 Meeting/Conference

Illinois Meeting/Conference
2009 Leadership Standards and Patient Safety.
Joint Commission. March 5, 2009; Joint Commission Conference Center, Oakbrook Terrace, IL.

Maryland Meeting/Conference
NPSF Annual Patient Safety Congress.
National Patient Safety Foundation. May 20-22, 2009; Gaylord National Resort & Convention Center, National Harbor, MD.

 Newspaper/Magazine Article

Newspaper/Magazine Article
IOM: shorten residents' work shifts to reduce fatigue, improve patient safety.
Kuehn BM. JAMA. 2009;301:259-261.

Medication errors occurring with the use of bar-code administration technology.
PA-PSRS Patient Safety Advisory. December 2008;5:122-126.

 Web Resource

Multi-use Website
ISMP QuarterWatch Reports.
Institute for Safe Medication Practices.

Solutions for Patient Safety.
Ohio Business Roundtable. 41 S. High Street, Suite 2240, Columbus, OH, 43215.

From the Top: The Role of the Board in Quality and Safety.
Institute for Healthcare Improvement. March 2-3, 2009; The Buttes, Tempe, AZ.

Hospitals and Communities Moving Forward with Patient- and Family-Centered Care.
Institute for Family-Centered Care. March 2-5, 2009; The Boston Park Plaza Hotel, Boston, MA.

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