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What's New for 3/18/2009
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 Audiovisual

Audiovisual
Healthcare 411: medication safety toolkit.
Bethesda, MD; Agency for Healthcare Research and Quality. February 25, 2009.

 Book/Report

Book/Report
icon indicating this resource is a classic Safe Practices 2009.
National Quality Forum. Washington DC: National Quality Forum; 2009.

Serious and Sentinel Events Reported By District Health Boards—2007/08.
The Quality Improvement Committee. Wellington, New Zealand; 2009. ISBN 9780478319118.

 Journal Article

Commentary
Diagnostic errors—The next frontier for patient safety.
Newman-Toker DE, Pronovost PJ. JAMA. 2009;301:1060-1062.

Practice advisory on anesthetic care for magnetic resonance imaging: a report by the American Society of Anesthesiologists Task Force on Anesthetic Care for Magnetic Resonance Imaging.
Anesthesiology. 2009;110:459-479.

The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks and benefits.
Streiff MB, Haut ER. JAMA. 2009;301:1063-1065.

Study
Competence and certification of registered nurses and safety of patients in intensive care units.
Kendall-Gallagher D, Blegen MA. Am J Crit Care. 2009;18:106-113.

Evaluation of the contributions of an electronic web-based reporting system: enabling action.
Levtzion-Korach O, Alcalai H, Orav EJ, et al. J Patient Saf. 2009;5:9-15.

Impact of a comprehensive patient safety strategy on obstetric adverse events.
Pettker CM, Thung SF, Norwitz ER, et al. Am J Obstet Gynecol. 2009 Feb 26; [Epub ahead of print].

Intensive care units, communication between nurses and physicians, and patients' outcomes.
Manojlovich M, Antonakos CL, Ronis DL. Am J Crit Care. 2009;18:21-30.

Knowledge-based errors in anesthesia: a paired, controlled trial of learning and retention.
Goldhaber-Fiebert SN, Goldhaber-Fiebert JD, Rosow CE. Can J Anaesth. 2009;56:35-45.

Medical errors in orthopaedics. Results of an AAOS member survey.
Wong DA, Herndon JH, Canale ST, et al. J Bone Joint Surg Am. 2009;91:547-557.

Nursing time devoted to medication administration in long-term care: clinical, safety, and resource implications.
Thomson MS, Gruneir A, Lee M, et al. J Am Geriatr Soc. 2009;57:266-272.

Patient safety climate in primary care: age matters.
Holden LM, Watts DD, Hinton WP. J Patient Saf. 2009;5:23-28.

The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium.
Cravero JP, Beach ML, Blike GT, Gallagher SM, Hertzog J; Pediatric Sedation Research Consortium. Anesth Analg. 2009;108:795-804.

 Meeting/Conference

New York Meeting/Conference
Crucial Conversations in Healthcare: Advancing Patient Safety & Avoiding Adverse Events.
AIG Healthcare and The National Patient Safety Foundation. April 7, 2009; St. Vincent's Hospital and Medical Center, New York, NY.

 Newspaper/Magazine Article

Newspaper/Magazine Article
A life-changing case for doctors in training.
Lerner BH. New York Times. March 2, 2009:5D.

Finding a way to ask doctors tough questions.
Landro L. Wall Street Journal. March 4, 2009:D1.

IT vulnerabilities highlighted by errors, malfunctions at veterans' medical centers.
Kuehn BM. JAMA. 2009;301:919-920.

 Press Release/Announcement

Press Release/Announcement
Risk of burns during MRI scans from transdermal drug patches with metallic backings.
MedWatch Safety Alert [US Food and Drug Administration Web site]. March 5, 2009.

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

AHRQ's 2009 Annual Conference—Research to Reform: Achieving Health System Change.
Agency for Healthcare Research and Quality. September 13-16, 2009; North Bethesda Marriott, Bethesda, MD.

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