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What's New for 4/29/2009
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 Journal Article

Commentary
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2009;44:288-292.

Review
Assessment of transparency of cost estimates in economic evaluations of patient safety programmes.
Fukuda H, Imanaka Y. J Eval Clin Pract. 2009 Apr 1; [Epub ahead of print]. 

Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences.
Balch CM, Freischlag JA, Shanafelt TD. Arch Surg. 2009;144:371-376.

Study
A patient safety curriculum for graduate medical education: results from a needs assessment of educators and patient safety experts.
Varkey P, Karlapudi S, Rose S, Swensen S. Am J Med Qual. 2009 Apr 3; [Epub ahead of print].

Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients.
Sevdalis N, Norris B, Ranger C, Bothwell S; Wristband Project Team. J Eval Clin Pract. 2009;15:311-315.

Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial.
Schnipper JL, Hamann C, Ndumele CD, et al. Arch Intern Med. 2009;169:771-780.

Leading successful rapid response teams: a multisite implementation evaluation.
Donaldson N, Shapiro S, Scott M, Foley M, Spetz J. J Nurs Adm. 2009;39:176-181. 

Medication discrepancies upon hospital to skilled nursing facility transitions.
Tjia J, Bonner A, Briesacher BA, McGee S, Terrill E, Miller K. J Gen Intern Med. 2009;24:630-635.

Pharmacists' medication reconciliation-related clinical interventions in a children's hospital.
Gardner B, Graner K. Jt Comm J Qual Patient Saf. 2009;35:278-283.

Rural hospital nursing: better environments = shared vision and quality/safety engagement. 
Newhouse R, Morlock L, Pronovost P, Colantuoni E, Johantgen M. J Nurs Adm. 2009;39:189-195. 

The influence of standardisation and task load on team coordination patterns during anaesthesia inductions.
Zala-Mezö E, Wacker J, Künzle B, Brüesch M, Grote G. Qual Saf Health Care. 2009;18:127-130.

The rate and costs attributable to intravenous patient-controlled analgesia errors.
Meissner B, Nelson W, Hicks R, Sikirica V, Gagne J, Schein J. Hosp Pharm. 2009;44:312–324.

The teaching of a structured tool improves the clarity and content of interprofessional clinical communication.
Marshall S, Harrison J, Flanagan B. Qual Saf Health Care. 2009;18:137-140.

Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary medical group.
Stock R, Scott J, Gurtel S. Jt Comm J Qual Patient Saf. 2009;35:271-279.

Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting.
Lesselroth B, Adams S, Felder R, et al. Jt Comm J Qual Patient Saf. 2009;35:264-271.

 Meeting/Conference

Pennsylvania Meeting/Conference
4th International Conference on Patient- and Family-Centered Care.
Institute for Family-Centered Care. August 17-19, 2009. Philadelphia Marriott Downtown; Philadelphia, PA.

Upcoming Meeting/Conference
Pediatric Medication Safety: High-Leverage Strategies for a High-Risk Patient Population.
Institute for Safe Medication Practices. May 18, 2009. 1:30-3:00 PM (Eastern).

 Newspaper/Magazine Article

Newspaper/Magazine Article
Flying blind.
Vaitheeswaran V. Economist. April 16, 2009;Special Report:6-8. 

MGH halts a pediatric program: Heart surgeries on hold after errors.
Kowalczyk L. Boston Globe. April 17, 2009;Metro:1.

 Press Release/Announcement

Press Release/Announcement
Save Lives: Clean Your Hands.
World Alliance for Patient Safety. May 5, 2009.

 Web Resource

Multi-use Website
The IHI Open School.
Institute for Healthcare Improvement.

Questions Are the Answer.
Agency for Healthcare Research and Quality.

The Leapfrog Hospital Survey.
Leapfrog Group. Washington, DC.

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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