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What's New for 5/13/2009
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 Audiovisual

Audiovisual
New study shows danger of drug errors.
KTVU News. May 5, 2009.

 Book/Report

Book/Report
Health Care Errors and Patient Safety.
Hurwitz B, Sheikh A, eds. Hoboken, NJ: Wiley-Blackwell; 2009. ISBN: 9781405146432.

Pennsylvania Patient Safety Authority: 2008 Annual Report. 
Harrisburg, PA: Pennsylvania Patient Safety Authority; April 30, 2009.

 Journal Article

Commentary
Consensus-based recommendations for standardizing terminology and reporting adverse events for emergency department procedural sedation and analgesia in children.
Bhatt M, Kennedy RM, Osmond MH, et al; Consensus Panel on Sedation Research of Pediatric Emergency Research Canada (PERC) and the Pediatric Emergency Care Applied Research Network (PECARN). Ann Emerg Med. 2009;53:426-435.e4.

Review
Medication errors in critical care: risk factors, prevention and disclosure.
Camiré E, Moyen E, Stelfox HT. CMAJ. 2009;180:936-943.

Study
Avoidable iatrogenic complications of urethral catheterization and inadequate intern training in a tertiary-care teaching hospital.
Thomas AZ, Giri SK, Meagher D, Creagh T. BJU Int. 2009 Mar 10; [Epub ahead of print].

Educational strategy to reduce medication errors in a neonatal intensive care unit.
Campino A, Lopez-Herrera MC, Lopez-de-Heredia I, Valls-i-Soler A. Acta Paediatr. 2009;98:782-785.

Evaluation of contextual influences on the medication administration practice of paediatric nurses.
Davis L, Ware R, McCann D, Keogh S, Watson K. J Adv Nurs. 2009;65:1293-1299.

Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings.
Ouchida K, Lofaso VM, Capello CF, Ramsaroop S, Reid MC. J Am Geriatr Soc. 2009;57:910-917.

Motivational influences on anaesthetists' use of practice guidelines.
Phipps DL, Beatty PC, Parker D, Nsoedo C, Meakin GH. Br J Anaesth. 2009 Apr 27; [Epub ahead of print]. 

Nursing student medication errors involving tubing and catheters: a descriptive study.
Wolf ZR, Hicks RW, Altmiller G, Bicknell P. Nurse Educ Today. 2009 Mar 31; [Epub ahead of print]. 

Process of care failures in breast cancer diagnosis.
Weingart SN, Saadeh MG, Simchowitz B, et al. J Gen Intern Med. 2009 Apr 23; [Epub ahead of print].

Seasoned surgeons assessed in a laparoscopic surgical crisis.
Powers K, Rehrig ST, Schwaitzberg SD, Callery MP, Jones DB. J Gastrointest Surg. 2009;13:994-1003. 

Self-reported adverse events in health care that cause harm: a population-based survey.
Adams RJ, Tucker G, Price K, et al. Med J Aust. 2009;190:484-488.

The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events.
van Gaal BG, Schoonhoven L, Hulscher ME, et al. BMC Health Serv Res. 2009 Apr 1;9:58. 

 Meeting/Conference

Canada Meeting/Conference
Canadian Patient Safety Officer Course.
Canadian Patient Safety Institute. November 8-13, 2009; The Kingbridge Centre, King City (Toronto), Ontario.

 Newspaper/Magazine Article

Newspaper/Magazine Article
How safe are patients in primary care?
Carlowe J. Nursing Times. April 28, 2009.

Medical mistakes unhappy reality.
Young A. The Atlanta Journal-Constitution. May 3, 2009:B1. 

The devil inside wired medicine.
Langreth R. Forbes Magazine. May 11, 2009;183:40.

 Web Resource

Multi-use Website
Hospital to Home (H2H).
American College of Cardiology and Institute for Healthcare Improvement.

Call for participants: AHRQ QI validation pilot phase II.
Agency for Healthcare Research and Quality. April 2009.

NPSF Annual Patient Safety Congress.
National Patient Safety Foundation. May 20-22, 2009; Gaylord National Resort & Convention Center, National Harbor, MD.

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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