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What's New for 2/18/2009
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 Book/Report

Book/Report
Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-08-00220.

 Journal Article

Commentary
Patient safety organizations ready for action.
Clancy CM. AORN J. 2009;89:385-387.

Review
Interruptions in healthcare: theoretical views.
Grundgeiger T, Sanderson P. Int J Med Inform. 2008 Dec 8; [Epub ahead of print].

Nonhospital health care–associated hepatitis B and C virus transmission: United States, 1998-2008.
Thompson ND, Perz JF, Moorman AC, Holmberg SD. Ann Intern Med. 2009;150:33-39.

Study
Effect of short-term pretrial practice on surgical proficiency in simulated environments: a randomized trial of the "preoperative warm-up" effect.
Kahol K, Satava RM, Ferrara J, Smith ML. J Am Coll Surg. 2009;208:255-268.

Enhanced detection of blood bank sample collection errors with a centralized patient database.
MacIvor D, Triulzi DJ, Yazer MH. Transfusion. 2009;49:40-43.

Incidence of adverse drug events and medication errors in intensive care units: a prospective multicenter study.
Benkirane RR, R-Abouqal R, Haimeur CC, et al. J Patient Saf. 2009 January 30; [Epub ahead of print].

Methicillin-resistant Staphylococcus aureus central line–associated bloodstream infections in US intensive care units, 1997-2007.
Burton DC, Edwards JR, Horan TC, Jernigan JA, Fridkin SK. JAMA. 2009;301:727-736.

Outcomes after out-of-hospital endotracheal intubation errors.
Wang HE, Cook LJ, Chang CC, Yealy DM, Lave JR. Resuscitation. 2009;80:50-55.

Overrides of medication alerts in ambulatory care.
Isaac T, Weissman JS, Davis RB, et al. Arch Intern Med. 2009;169:305-311.

Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency.
Thomas AN, McGrath BA. Anaesthesia. 2009 Feb 2; [Epub ahead of print].

Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected hospitals in Kuwait.
Al-Kandari F, Thomas D. J Clin Nurs. 2009;18:581-590.

Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test request management and test tube labelling.
Söderberg J, Brulin C, Grankvist K, Wallin O. Clin Chem Lab Med. 2009;47:195-201.

Using snowball sampling method with nurses to understand medication administration errors.
Sheu SJ, Wei IL, Chen CH, Yu S, Tang FI. J Clin Nurs. 2009;18:559-569.

 Meeting/Conference

Europe Meeting/Conference
The 26th International Conference of ISQua.
The International Society for Quality in Health Care. October 11-14, 2009; Burlington Hotel, Dublin, Ireland.

Pennsylvania Meeting/Conference
ISMP's Medication Safety Intensive.
Institute for Safe Medication Practices. April 30 - May 1, 2009; Radisson Plaza Warwick Hotel, Philadelphia, PA.

 Newspaper/Magazine Article

Newspaper/Magazine Article
Establishing a patient advisory council.
Jt Comm Perspect Patient Saf. 2009;9:8-11.

Heparin: improving treatment and reducing risk of harm.
Daner WE, Gosselin RC, Raschke R, Vanderveen T. Patient Saf Qual Healthcare. January/February 2009.

Joint Commission offers warnings, advice on adopting new health care IT systems.
Mitka M. JAMA. 2009;301:587-589.

Medical mistakes: proposals before legislature would stop reimbursement for some errors.
Barbee D. Fort Worth Star-Telegram. February 5, 2009;Metro:B01.

 Web Resource

Multi-use Website
ASPEN Patient Safety Initiatives.
American Society for Parenteral and Enteral Nutrition; 8630 Fenton Street, Suite 412, Silver Spring, MD 20910. Phone: 301-587-6315. Fax: 301-587-2365. Email: aspen@nutr.org.

2009 John M. Eisenberg Patient Safety and Quality Award.
Joint Commission and National Quality Forum.

Patient Safety Leadership Fellowship.
Health Research and Educational Trust, National Patient Safety Foundation, Health Forum. 

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