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What's New for 4/15/2009
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 Audiovisual

Audiovisual
Medical Mistakes: A Culture of Denial?
Yang P, Joyce M. Minneapolis, MN: Di'Still Life Productions; 2008.

 Journal Article

Commentary
2009 National Patient Safety Goals.
Saufl NM. J Perianesth Nurs. 2009;24:114-118.

Market-based control mechanisms for patient safety.
Coiera E, Braithwaite J. Qual Saf Health Care 2009;18:99-103.

Reducing health care hazards: lessons from the Commercial Aviation Safety Team.
Pronovost PJ, Goeschel CA, Olsen KL, et al. Health Aff (Millwood). 2009 Apr 7; [Epub ahead of print].

Review
The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review.
van Rosse F, Maat B, Rademaker CMA, van Vught AJ, Egberts ACG, Bollen CW. Pediatrics. 2009;123:1184-1190.

Study
Assessing organisational culture for quality and safety improvement: a national survey of tools and tool use.
Mannion R, Konteh FH, Davies HT. Qual Saf Health Care. 2009;18:153-156.

Family-centered multidisciplinary rounds enhance the team approach in pediatrics.
Rosen P, Stenger E, Bochkoris M, Hannon MJ, Kwoh CK. Pediatrics. 2009;123:e603-e608.

Harm caused by adverse events in primary care: a clinical observational study.
Wetzels R, Wolters R, van Weel C, Wensing M. J Eval Clin Pract. 2009;15:323-327.

Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward.
Salerno SM, Arnett MV, Domanski JP. Teach Learn Med. 2009;21:121-126.

The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre. 
McCulloch P, Mishra A, Handa A, Dale T, Hirst G, Catchpole K. Qual Saf Health Care. 2009;18:109-115. 

Understanding pharmacist decision making for adverse drug event (ADE) detection.
Phansalkar S, Hoffman JM, Hurdle JF, Patel VL. J Eval Clin Pract. 2009;15:266-275. 

 Legislation/Regulation

Congressional Testimony
Health-Care–Associated Infections in Hospitals: Continuing Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on These Infections.
Subcommittee on Health Care, Committee on Finance, US Senate, Government Accountability Office, GAO-09-516T (March 18, 2009) (testimony of Marjorie Kanof, MD).

 Meeting/Conference

Illinois Meeting/Conference
Hospital Medicine 2009.
Society of Hospital Medicine. May 14-17, 2009; Hyatt Regency, Chicago, IL.

The Pediatric National Conference: Safe Care, Quality Care, We Care.
Joint Commission and Joint Commission Resources. July 22-23, 2009; Joint Commission Conference Center, Oakbrook Terrace, IL.

 Newspaper/Magazine Article

Newspaper/Magazine Article
Do you know what your doctor is talking about?
Chen PW. New York Times. April 2, 2009.

HRSA patient safety and pharmacy collaborative is off to a good start.
Drug Formulary Review. April 1, 2009.

Safe intrahospital transport of the non-ICU patient using standardized handoff communication.
PA-PSRS Patient Safety Advisory. March 2009;6:16-19.

Top of the list: Researcher fights epidemic of medical errors with checklist.
MacMillan C. Republican-American. March 29, 2009;local:1A. 

 Special or Theme Issue

Special or Theme Issue
Contributions by the Agency for Healthcare Research and Quality and Grantees.
Health Serv Res. 2009;44:623-776.

 Web Resource

Multi-use Website
Safe Surgery Saves Lives.
Canadian Patient Safety Institute. 10235 101 Street, Suite 1414, Edmonton, AB, Canada T5J 3G1. Toll free: (866) 421-6933. Phone: (780) 409-8090. Fax: (780) 409-8098. Email: info@cpsi-icsp.ca.

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.

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

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