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What's New for 4/1/2009
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 Book/Report

Book/Report
Commission of Inquiry on Hormone Receptor Testing.
Cameron M. St. John's, NL: Government of Newfoundland and Labrador; 2009. ISBN: 978551463537.

 Journal Article

Commentary
From tasks to processes: the case for changing health information technology to improve health care.
Walker JM, Carayon P. Health Aff. 2009;28:467-477.

Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians.
Koppel R, Kreda D. JAMA. 2009;301:1276-1278.

Measuring preventable harm: helping science keep pace with policy.  
Pronovost PJ, Colantuoni E. JAMA. 2009;301:1273-1275.

Preventing catheter-related bloodstream infections: thinking outside the checklist.
Perencevich EN, Pittet D. JAMA. 2009;301:1285-1287.

Review
Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review.
Pape H, Pfeifer R. Patient Saf Surg. 2009;3:3. 

Study
Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship program in detection and intervention.
Di Pentima MC, Chan S, Eppes SC, Klein JD. Clin Pediatr (Phila). 2009 Feb 17; [Epub ahead of print].

Assessing the impact of an educational program on decreasing prescribing errors at a university hospital.
Peeters MJ, Pinto SL. J Hosp Med. 2009;4:97-101.

Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality.
Kernisan LP, Lee SJ, Boscardin WJ, Landefeld CS, Dudley RA. JAMA. 2009;301:1341-1348.

Early adopters of computerized physician order entry in hospitals that care for children: a picture of US health care shortly after the Institute of Medicine reports on quality.
Teufel RJ 2nd, Swanson Kazley A, Basco WT Jr. Clin Pediatr (Phila). 2009 Feb 17; [Epub ahead of print].

How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital?
Kaafarani HM, Itani KM, Rosen AK, Zhao S, Hartmann CW, Gaba DM. Am J Surg. 2009 Mar 5; [Epub ahead of print].

Impact of performance obstacles on intensive care nurses' workload, perceived quality and safety of care, and quality of working life.
Gurses AP, Carayon P, Wall M. Health Serv Res. 2009;44:422-443.

Relationship of safety climate and safety performance in hospitals.
Singer S, Lin S, Falwell A, Gaba D, Baker L. Health Serv Rev. 2009;44:399-421.

Standardized admission order set improves perceived quality of pediatric inpatient care.
Bekmezian A, Chung PJ, Yazdani S. J Hosp Med. 2009;4:90-96.

Stressful intensive care unit medical crises: how individual responses impact on team performance.
Piquette D, Reeves S, Leblanc VR. Crit Care Med. 2009;37:1251-1255.

 Meeting/Conference

California Meeting/Conference
17th Annual Health Forum/AHA Leadership Summit. In Pursuit of Excellence: Improving Patient Care and Hospital Performance through Innovation.
Health Forum, American Hospital Association. July 23-25, 2009; San Francisco Marriott, San Francisco, CA.

Meeting/Conference Proceedings
Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary Report.
Rockville, MD: Agency for Healthcare Research and Quality; February 2009. AHRQ Publication No. 090003.

 Tools/Toolkit

Measurement Tool/Indicator
10-Minute ISMP Survey on Look-Alike and Sound-Alike (LASA) Drug Names.
Huntingdon Valley, PA: Institute for Safe Medication Practices; 2009.

Medical Office Survey on Patient Safety Culture.
Rockville, MD: Agency for Healthcare Research and Quality; March 2009.

 Web Resource

Multi-use Website
Organisation Patient Safety Incident Reports.
National Patient Safety Agency.

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

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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