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| Book/Report |
Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio.
Dixon BE, Zafar A, for AHRQ National Resource Center for Health IT. Rockville, MD: Agency for Healthcare Research and Quality; January 2009. AHRQ Publication No. 09-0031-EF. |
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Never Events: Framework 2009/10.
National Patient Safety Agency. London, UK: National Reporting and Learning Service; 2009. |
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| Commentary |
A nomenclature of nomenclature: the sources of terminologic uncertainty and confusion and the value of communication.
Cunningham SC, Klein RV, Kavic SM. Arch Surg. 2009;144:104-106. |
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Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems.
Braithwaite J, Runciman WB, Merry AF. Qual Saf Health Care. 2009;18:37-41.
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| Review |
Care transitions and home health care.
Boling PA. Clin Geriatr Med. 2009;25:135-148. |
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The safety of intravenous drug delivery systems: update on current issues since the 1999 Consensus Development Conference.
Sanborn M, Gabay M, Moody ML. Hosp Pharm. 2009;44:159-164. |
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| Study |
A model for increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures.
Krimsky WS, Mroz IB, McIlwaine JK, et al. Qual Saf Health Care. 2009;18:74-80. |
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A multidisciplinary team approach to retained foreign objects.
Cima RR, Kollengode A, Storsveen AS, et al. Jt Comm J Qual Patient Saf. 2009;35:123-132. |
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Burden of difficult encounters in primary care: data from the Minimizing Error, Maximizing Outcomes Study.
An PG, Rabatin JS, Manwell LB, Linzer M, Brown RL, Schwartz MD, for the MEMO Investigators. Arch Intern Med. 2009;169:410-414. |
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Clinical triggers: an alternative to a rapid response team.
Moldenhauer K, Sabel A, Chu ES, Mehler PS. Jt Comm J Qual Patient Saf. 2009;35:164-174. |
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Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals.
Nuckols TK, Bell DS, Paddock SM, Hilborne LH. Jt Comm J Qual Patient Saf. 2009;35:139-145. |
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Identifying opportunities for quality improvement in surgical site infection prevention.
Gagliardi AR, Eskicioglu C, McKenzie M, Fenech D, Nathens A, McLeod R. Am J Infect Control. 2009 Feb 6; [Epub ahead of print].
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Intern to attending: assessing stress among physicians.
Stucky ER, Dresselhaus TR, Dollarhide A, et al. Acad Med. 2009;84:251-257. |
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Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised patients.
van Doormaal JE, van den Bemt PM, Mol PG, et al. Qual Saf Health Care. 2009;18:22-27. |
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The safety of emergency care systems: results of a survey of clinicians in 65 US emergency departments.
Magid DJ, Sullivan AF, Cleary PD, et al. Ann Emerg Med. 2008 Dec 1; [Epub ahead of print]. |
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Variability in pharmacy interpretations of physician prescriptions.
Wolf MS, Shekelle P, Choudhry NK, Agnew-Blais J, Parker RM, Shrank WH. Med Care. 2009;47:370-373. |
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| Illinois Meeting/Conference |
Perioperative Safety Symposium: Improving, Enhancing & Sustaining Positive Patient Outcomes.
The Joint Commission; Joint Commission Resources, Inc.; and the Council on Surgical and Perioperative Safety. May 8-9, 2009; Sheraton Chicago Hotel & Towers, Chicago, IL. |
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| Newspaper/Magazine Article |
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| Newspaper/Magazine Article |
Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs).
ISMP Medication Safety Alert! Acute Care edition. February 12, 2009;14:1-4. |
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In just a flash, simple surgery can turn deadly.
Landro L. Wall Street Journal. February 18, 2009:D1. |
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| Press Release/Announcement |
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| Press Release/Announcement |
10-State project to study methods to reduce central line-associated bloodstream infections in hospital ICUs.
Rockville, MD: Agency for Healthcare Research and Quality; February 19, 2009. |
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