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| Commentary |
Hospital complications: linking payment reduction to preventability.
Averill RF, Hughes JS, Goldfield NI, McCullough EC. Jt Comm J Qual Patient Saf. 2009;35:283-285. |
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Linking Joint Commission inpatient core measures and National Patient Safety Goals with evidence.
Masica AL, Richter KM, Convery P, Haydar Z. Proc (Bayl Univ Med Cent). 2009;22:103-111. |
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Tubing safety in the obstetric setting: preventing medication errors.
Broussard BS. Nurs Womens Health. 2009;13:155-158. |
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| Review |
Developing a team performance framework for the intensive care unit.
Reader TW, Flin R, Mearns K, Cuthbertson BH. Crit Care Med. 2009;37:1787-1793. |
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| Study |
Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home.
Lee BH, Lehmann CU, Jackson EV, et al. J Pain. 2009;10:160-166. |
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Cost and workforce implications of subjecting all physicians to aviation industry work-hour restrictions.
Payette M, Chatterjee A, Weeks WB. Am J Surg. 2009 Apr 15; [Epub ahead of print]. |
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Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary.
O'Leary KJ, Liebovitz SM, Feinglass J, et al. J Hosp Med. 2009;4:219-225. |
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Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease.
Murray MD, Ritchey ME, Wu J, Tu W. Arch Intern Med. 2009;169:757-763. |
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Framing family conversation after early diagnosis of iatrogenic injury and incidental findings.
Barrios L, Tsuda S, Derevianko A, et al. Surg Endosc. 2009 Apr 3; [Epub ahead of print]. |
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Implementation of a patient safety incident management system as viewed by doctors, nurses and allied health professionals.
Travaglia JF, Westbrook MT, Braithwaite J. Health (London). 2009;13:277-296. |
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Improved operating room teamwork via SAFETY prep: a rural community hospital's experience.
Paige JT, Aaron DL, Yang T, Howell DS, Chauvin SW. World J Surg. 2009 Apr 7; [Epub ahead of print]. |
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Medication errors resulting from computer entry by nonprescribers.
Santell JP, Kowiatek JG, Weber RJ, Hicks RW, Sirio CA. Am J Health Syst Pharm. 2009;66:843-853. |
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Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events.
Shah RK, Lander L, Forbes P, Jenkins K, Healy GB, Roberson DW. Laryngoscope. 2009;119:871-879. |
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The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience.
Viccellio A, Santora C, Singer AJ, Thode HC Jr, Henry MC. Ann Emerg Med. 2009 Apr 2; [Epub ahead of print]. |
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What does nursing teamwork look like? A qualitative study.
Kalisch BJ, Weaver SJ, Salas E. J Nurs Care Qual. 2009 Apr 1; [Epub ahead of print]. |
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| Newspaper/Magazine Article |
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| Newspaper/Magazine Article |
Creating a safer anticoagulant therapy system through communication.
Jt Comm Perspect Patient Saf. May 2009;9:9-11. |
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Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter.
ISMP Medication Safety Alert! Acute Care Edition. April 23, 2009;14:1-2. |
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| Press Release/Announcement |
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| Press Release/Announcement |
Call for participants: AHRQ QI validation pilot phase II.
Agency for Healthcare Research and Quality. April 2009. |
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| Multi-use Website |
Getting Safer Care.
Agency for Healthcare Research and Quality. |
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Patient Safety Toolkits & E-learning Packages.
National Patient Safety Agency. |
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