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What's New for 4/8/2009
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 Book/Report

Book/Report
Hospital Report Card: Ontario 2009.
Esmail N, Hazel M. Studies in Health Care Policy. Fraser Institute. Calgary, Alberta, Canada; March 2009. ISSN: 1918-2082.

 Journal Article

Commentary
Current status of the monitoring of medication practice.
Cousins D. Am J Health Syst Pharm. 2009;66:S49-S56.

Measurement of quality and assurance of safety in the critically ill.
Pronovost PJ, Sexton JB, Pharn JC, Goeschel CA, Winters BD, Miller MR. Clin Chest Med. 2009;30:169-179.

Study
A pilot study examining undesirable events among emergency department–boarded patients awaiting inpatient beds. 
Liu SW, Thomas SH, Gordon JA, Hamedani AG, Weissman JS. Ann Emerg Med. 2009 Mar 19; [Epub ahead of print]. 

Do patient safety events increase readmissions?
Friedman B, Encinosa W, Jiang HJ, Mutter R. Med Care. 2009 Mar 23; [Epub ahead of print].

Drug-related problems in medical wards with a computerized physician order entry system.
Bedouch P, Allenet B, Grass A, et al. J Clin Pharm Ther. 2009;34:187-195.

Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error.
Okon TR, Lutz PS, Liang H. J Pain Symptom Manage. 2009 Mar 9; [Epub ahead of print].

Managing intraoperative stress: what do surgeons want from a crisis training program?
Arora S, Sevdalis N, Nestel D, Tierney T, Woloshynowych M, Kneebone R. Am J Surg. 2009;197:537-543.   

Mortality related to anaesthesia in France: analysis of deaths related to airway complications.
Auroy Y, Benhamou D, Péquignot F, Bovet M, Jougla E, Lienhart A. Anaesthesia. 2009;64:366-370.

Rating recommendations for consumers about patient safety: sense, common sense, or nonsense?
Weingart SN, Morway L, Brouillard D, et al. Jt Comm J Qual Patient Saf. 2009;35:206-215.

Rescue me: saving the vulnerable non-ICU patient population.
Bader MK, Neal B, Johnson L, et al. Jt Comm J Qual Patient Saf. 2009;35:199-205.

The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level: analysis of administrative data.
Van den Heede K, Lesaffre E, Diya L, et al. Int J Nurs Stud. 2009 Feb 6; [Epub ahead of print].   

Use of electronic health records in US hospitals.
Jha AK, Desroches CM, Campbell EG, et al. N Engl J Med. 2009 Mar 25; [Epub ahead of print].

 Meeting/Conference

Massachusetts Meeting/Conference
The Eighth National Quality Colloquium.
Harvard University. August 17-20, 2009; Annenberg Hall, Cambridge, MA.

Upcoming Meeting/Conference
Creating a Patient and Family Advisory Council.
Institute for Family-Centered Care. April 28, 2009; 1:00–2:30 PM (Eastern).

 Newspaper/Magazine Article

Newspaper/Magazine Article
Doctor dozed during surgery, report says Beth Israel faulted in case.
Kowalczyk L. Boston Globe. March 25, 2009;Metro:1.

Engaging as partners in patient safety: the experience of librarians.
Zipperer L, Sykes J. Patient Saf Qual Healthc. March/April 2009;6:28-30,32-33. 

Fatal outcome after inadvertent injection of topical epinephrine.
ISMP Medication Safety Alert! Acute Care Edition. March 26, 2009;14:1-2.

Spell it out: ensuring compliance with do-not-use abbreviation policies.
Jt Comm Perspect Patient Saf. April 2009;9:1-3,13-15.

 Press Release/Announcement

Press Release/Announcement
Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens.
FDA Alert [US Food and Drug Administration Web site]. March 19, 2009.

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.

Award for Excellence in Medication-Use Safety.
American Society of Health-System Pharmacists.

High-Alert Series Parts, II, III, and IV.
Institute for Safe Medication Practices. April 16, 2009; July 23, 2009; and October 15, 2009. 1:30-3:00 PM (Eastern).

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