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What's New for 2/11/2009
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 Book/Report

Book/Report
Third Annual Report on Adverse Health Events in Wyoming Healthcare Facilities.
Chasson L, compiler; Mahoney G, Sherard BD, eds. Cheyenne, WY: Wyoming Department of Health; 2008.

 Journal Article

Commentary
A practical framework for patient care teams to prospectively identify and mitigate clinical hazards.
Herzer KR, Rodriguez-Paz JM, Doyle PA, et al. Jt Comm J Qual Patient Saf. 2009;35:72-81.

Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge.
Schnall R, Stone P, Currie L, Desjardins K, John RM, Bakken S. J Nurs Scholarsh. 2008;40:391-394.

The science and economics of improving clinical communication.
O'Byrne WT 3rd, Weavind L, Selby J. Anesthesiol Clin. 2008;26:729-744.

Review
Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety.
Desai MS. Curr Opin Anaesthesiol. 2008;21:699-703.

The state of the evidence for computerized provider order entry: a systematic review and analysis of the quality of the literature.
Weir CR, Staggers N, Phansalkar S. Int J Med Inform. 2009 Jan 25; [Epub ahead of print].

Study
A reengineered hospital discharge program to decrease rehospitalization: a randomized trial.
Jack BW, Chetty VK, Anthony D, et al. Ann Intern Med. 2009;150:178-187.

Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting.
Gurwitz JH, Field TS, Rochon P, et al. J Am Geriatr Soc. 2008;56:2225-2233.

Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation.
Weingart SN, Price J, Duncombe D, et al. J Nurs Care Qual. 2009 Jan 24; [Epub ahead of print].

Frequency, types, and potential clinical significance of medication-dispensing errors.
Bohand X, Simon L, Perrier E, Mullot H, Lefeuvre L, Plotton C. Clinics. 2009;64:11-16.

Health-care professionals' views about safety in maternity services: a qualitative study.
Smith AHK, Dixon AL, Page LA. Midwifery. 2009;25:21-31.

Laparoscopic bile duct injury: understanding the psychology and heuristics of the error.
Dekker SWA, Hugh TB. ANZ J Surg. 2008;78:1109-1114.

Near misses: paradoxical realities in everyday clinical practice.
Jeffs L, Affonso DD, Macmillan K. Int J Nurs Pract. 2008;14:486-494.

Reducing medication errors and improving systems reliability using an electronic medication reconciliation system.
Agrawal A, Wu WY. Jt Comm J Qual Patient Saf. 2009;35:106-114.

The impact of clinically undiagnosed injuries on survival estimates.
Gedeborg R, Thiblin I, Byberg L, Wernroth L, Michaëlsson K. Crit Care Med. 2009;37:449-455.

Trends in primary care clinician perceptions of a new electronic health record.
El-Kareh R, Gandhi TK, Poon EG, et al. J Gen Intern Med. 2009 Jan 21; [Epub ahead of print].

 Meeting/Conference

Canada Meeting/Conference
Edmonton IV: The 4th Annual Conference on Enhancing Safety in Home, Community and Long Term Care.
Winnipeg Regional Health Authority. March 24-25, 2009; The Delta Winnipeg, Winnipeg, MB.

Illinois Meeting/Conference
Advanced Strategies for Implementing an Integrated Patient Safety Program.
Joint Commission. March 30-31, 2009; Joint Commission Conference Center, Oakbrook Terrace, IL.

 Newspaper/Magazine Article

Newspaper/Magazine Article
A towel with a safety message.
Lerner M. Minneapolis Star Tribune. January 25, 2009:B1.

 Tools/Toolkit

Toolkit
Pathways for Patient Safety.
Chicago, IL: Health Research and Educational Trust, Institute for Safe Medication Practices, Medical Group Management Association; 2009.

2009 National Patient Safety Awareness Week.
National Patient Safety Foundation. March 8-14, 2009.

8th Annual Forum for Improving Children's Healthcare: Thrive Together.
National Initiative for Children's Healthcare Quality. March 9-12, 2009; Gaylord Texan Resort, Grapevine, TX.

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