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What's New for 5/20/2009
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 Book/Report

Book/Report
National Healthcare Quality Report 2008.
Rockville, MD: Agency for Healthcare Research and Quality; 2009. AHRQ Publication No. 09-0001.

 Journal Article

Commentary
A next act for patient safety.
Viola AF, Kallem C, Bronnert J. J AHIMA. 2009;80:30-35.

Managing the adverse event occurring during elective, ambulatory pediatric surgery.
Skarsgard ED. Semin Pediatr Surg. 2009;18:122-124.

Patient safety and technology.
Henneman EA. AACN Adv Crit Care. 2009;20:128-132.

Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate training in neurosurgery.
Grady MS, Batjer HH, Dacey RG. J Neurosurg. 2009;110:828-836.

Review
Work interruptions and their contribution to medication administration errors: an evidence review.
Biron AD, Loiselle CG, Lavoie-Tremblay M. Worldviews Evid Based Nurs. 2009 Apr 29; [Epub ahead of print].

Study
A comprehensive pharmacist intervention to reduce morbidity in patients 80 years or older: a randomized controlled trial.
Gillespie U, Alassaad A, Henrohn D, et al. Arch Intern Med. 2009;169:894-900.

A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a high-volume endoscopy center.
Francis DL, Prabhakar S, Sanderson SO. Am J Gastroenterol. 2009;104:972-975. 

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2008.
Pedersen CA, Schneider P, Scheckelhoff DJ. Am J Health Syst Pharm. 2009;66:926-946.

Assessing the value of electronic prescribing in ambulatory care: A focus group study.   
Weingart SN, Massagli M, Cyrulik A, et al. Int J Med Inform. 2009 Apr 21; [Epub ahead of print].   

Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT.
McCreadie G, Oliver TB. Clin Radiol. 2009;64:491-499; discussion 500-501.

Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident education and productivity.
Jagannathan J, Vates GE, Pouratian N, et al. J Neurosurg. 2009;110:820-827. 

Medication errors in an intensive care unit.
Bohomol E, Ramos LH,  D'Innocenzo M. J Adv Nurs. 2009;65:1259-1267. 

Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting.
Covell CL, Ritchie JA. J Nurs Care Qual. 2009 May 2; [Epub ahead of print].

The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records.
de Wet C, Bowie P. Postgrad Med J. 2009;85:176-180.

 Meeting/Conference

California Meeting/Conference
The Diagnostic Errors in Medicine 2nd Annual Meeting.
Society of Medical Decision Making. October 21-22, 2009. Renaissance Hollywood Hotel; Los Angeles, CA.

Florida Meeting/Conference
21st Annual National Forum on Quality Improvement in Health Care.
Institute for Healthcare Improvement. December 6-9, 2009; World Center Marriott, Orlando, FL.

 Newspaper/Magazine Article

Newspaper/Magazine Article
Pediatric safety.
Runy LA. Hosp Health Networks. May 2009.

 Special or Theme Issue

Special or Theme Issue
Risk, Safety and Reliability Special Issue.
Newbold D, Attree M, eds. J Nurs Admin. 2009;17:145-266.

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.

ISMP QuarterWatch Reports.
Institute for Safe Medication Practices.

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