United States Department of Health & Human Services  Skip Navigation
AHRQ HomeAgency for Healthcare Research and Quality
HHS Home
Questions
Contact Us
Site Map
Advancing Excellence in Health Care www.ahrq.gov
 














PSNet AHRQ

Submit Search Advanced Search
What's New for 5/27/2009
< Back to What's New Archive

 Journal Article

Commentary
Avoiding errors associated with insulin therapy.
Cohen H. Medscape CME/CE. May 14, 2009. 

ISMP medication error report analysis.
Cohen MC. Hosp Pharm. 2009;44:374-378.

Review
Quality and safety indicators in anesthesia: a systematic review.
Haller G, Stoelwinder J, Myles PS, McNeil J. Anesthesiology. 2009;110:1158-1175.

Study
Bar-code technology for medication administration: medication errors and nurse satisfaction.
Fowler SB, Sohler P, Zarillo DF. MedSurg Nursing. 2009;18:103-110.

Color coded medication safety system reduces community pediatric emergency nursing medication errors.
Feleke R, Kalynych CJ, Lundblom B, Wears R, Luten R, Kling D. J Patient Saf. 2009 April 23; [Epub ahead of print].

Cost implications of reduced work hours and workloads for resident physicians.
Nuckols TK, Bhattacharya J, Miller Wolman D, Ulmer C, Escarce JJ. N Engl J Med. 2009;360:2202-2215.

Improving medication error reporting in hospice care.
Boyer R, McPherson ML, Deshpande G, Smith SW. Am J Hosp Palliat Care. 2009 May 5; [Epub ahead of print].

Is failure mode and effect analysis reliable?
Shebl NA, Franklin BD, Barber N. J Patient Saf. 2009 May 4; [Epub ahead of print].

Medication Administration Time Study (MATS): nursing staff performance of medication administration.
Elganzouri ES, Standish CA, Androwich I. J Nurs Adm. 2009;39:204-210.

Patient error: a preliminary taxonomy.
Buetow S, Kiata L, Liew T, Kenealy T, Dovey S, Elwyn G. Ann Fam Med. 2009;7:223-231.  

Pediatric safety incidents from an intensive care reporting system.
Skapik JL, Pronovost PJ, Miller MR, Thompson DA, Wu AW. J Patient Saf. 2009 May 4; [Epub ahead of print].

Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness.    
Regenbogen SE, Greenberg CC, Resch SC, et al. Surgery. 2009;145:527-535.

The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization.
Zarbo RJ, Tuthill JM, D'Angelo R, et al. Am J Clin Pathol. 2009;131:468-477. 

 Meeting/Conference

Colorado Meeting/Conference
Do No Harm IX: Promoting Patient Safety in Tough Times.
Colorado Patient Safety Coalition. November 13, 2009; The Children's Hospital, Aurora, CO.

Illinois Meeting/Conference
From the Top: The Role of the Board in Quality and Safety.   
Institute for Healthcare Improvement. September 29-30, 2009; Westin Chicago Michigan Avenue, Chicago, IL.

 Newspaper/Magazine Article

Newspaper/Magazine Article
Hospitals find confession good for the bottom line.
Greene J. Crain's Detroit Business. May 10, 2009;25:18.

Leadership practices to advance patient safety.
Crowley JD, Deen JB. Patient Saf Qual Healthc. May/June 2009;6:18-22.

Piecing together medication administration.
Anderson HJ. Health Data Manage. May 1, 2009;17:22.

 Press Release/Announcement

Press Release/Announcement
National Patient Safety Goals and the Universal Protocol.
Oakbrook Terrace, IL: The Joint Commission; May 12, 2009.

ISMP's Medication Safety Intensive.
Institute for Safe Medication Practices. June 4-5, 2009; Avenue Hotel Chicago, Chicago, IL.

National Time Out Day.
AORN Patient Safety First. 

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.

Produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Editorial Board. This site was designed and implemented by Silverchair..

Contact AHRQ PSNet | Copyright | AHRQ PSNet Privacy Policy | Terms & Conditions | Help


AHRQ Home | Questions? | Contact AHRQ | Site Map | Accessibility | Privacy Policy | Freedom of Information Act | Disclaimers
HHS Home | The White House | USA.gov: U.S. Government Official Web Portal
Agency for Healthcare Research and Quality • 540 Gaither Road Rockville, MD 20850 • Telephone: (301) 427-1364