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What's New for 6/3/2009
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 Book/Report

Book/Report
To Err Is Human — To Delay Is Deadly.
Jewell K, McGiffert L. Austin, TX: Consumers Union; 2009.

 Journal Article

Commentary
Assessing hospital safety on nights and weekends: the SWAN tool.
Shulkin DJ. J Patient Saf. 2009 April 23; [Epub ahead of print].

Disclosing errors that affect multiple patients.
Chafe R, Levinson W, Sullivan T. CMAJ. 2009;180:1125-1127.

Global priorities for patient safety research.
Bates DW, Larizgoitia I, Prasopa-Plaizier N, Jha AK; Research Priority Setting Working Group of the WHO World Alliance for Patient Safety. BMJ. 2009;338:b1775.

HomeNet: ensuring patient safety with medical device use in the home.
Kaufman D, Weick-Brady M. Home Healthc Nurse. 2009;27:300-307.

New world of patient safety. 23rd Annual Samuel Jason Mixter Lecture.
Leape LL. Arch Surg. 2009;144:394-398.

What 'patient-centered' should mean: confessions of an extremist.
Berwick DM. Health Aff (Millwood). 2009;28:w555-w565; [Epub ahead of print].

Review
Improving safety in the operating room: a systematic literature review of retained surgical sponges.
Wan W, Le T, Riskin L, Macario A. Curr Opin Anaesthesiol. 2009;22:207-214.

Study
A patient safety objective structured clinical examination.
Singh R, Singh A, Fish R, McLean D, Anderson DR, Singh G. J Patient Saf. 2009 Mar 17; [Epub ahead of print].

Developing and evaluating a trigger response system.
Cherry K, Martinek J, Esleck S, Ivory A, Logan R, Ward J. Jt Comm J Qual Patient Saf. 2009;35:331-338.

Development and psychometric testing of a tool to measure missed nursing care.
Kalisch BJ, Williams RA. J Nurs Adm. 2009;39:211-219.

Effective triage can ameliorate the deleterious effects of delayed transfer of trauma patients from the emergency department to the ICU.
Richardson JD, Franklin G, Santos A, et al. J Am Coll Surg. 2009;208:671-678.

Impact of a computerized physician order-entry system.
Stone WM, Smith BE, Shaft JD, Nelson RD, Money SR. J Am Coll Surg. 2009;208:960-967.

Improving alarm performance in the medical intensive care unit using delays and clinical context.
Görges M, Markewitz BA, Westenskow DR. Anesth Analg. 2009;108:1546-1552. 

Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study.
Singh H, Mani S, Espadas D, Petersen N, Franklin V, Petersen LA. Arch Intern Med. 2009;169:982-989.

 Meeting/Conference

Illinois Meeting/Conference
Patient Safety Curriculum: Linking Risk Management and Patient Safety.
American Society of Healthcare Risk Management. August 10-13, 2009; Swissotel Chicago, Chicago, IL.

 Newspaper/Magazine Article

Newspaper/Magazine Article
Empowered to improve.
Gardner E. Mod Healthc. May 18, 2009;39:28-31.

Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups?
ISMP Medication Safety Alert! Acute Care Edition. May 21, 2009;14:1-3.

Time out! Conducting a final verification before surgery.
Jt Comm Perspect Patient Saf. June 2009;9:1,3-4,11.

 Special or Theme Issue

Special or Theme Issue
Errors in Laboratory Medicine and Patient Safety.
Plebani M, ed. Clinica Chimica Acta. 2009;404(1):1-86.

Hospital to Home: Optimizing the Transition.
Institute for Healthcare Improvement. June 15-16, 2009; Gaylord Palms Resort, Kissimmee, FL.  

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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