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What's New for 6/10/2009
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 Book/Report

Book/Report
Hospital Survey on Patient Safety Culture: 2009 Comparative Database Report.
Sorra J, Famloaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and Quality; 2009. AHRQ Publication No. 09-0030.

 Journal Article

Commentary
Selection of indicators for continuous monitoring of patient safety: recommendations of the project 'safety improvement for patients in Europe.' 
Kristensen S, Mainz J, Bartels P. Int J Qual Health Care. 2009;21:169-175.

Review
Are verbal orders a threat to patient safety?
Wakefield DS, Wakefield BJ. Qual Saf Health Care. 2009;18:165-168. 

Effects of shift length on quality of patient care and health provider outcomes: systematic review.
Estabrooks CA, Cummings GG, Olivo SA, Squires JE, Giblin C, Simpson N. Qual Saf Health Care. 2009;18:181-188. 

The active components of effective training in obstetric emergencies.
Siassakos D, Crofts J, Winter C, Weiner C, Draycott T. BJOG. 2009 May 8; [Epub ahead of print].

Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector.
Lyons M. Appl Ergon. 2009;40:379-395. 

Study
A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part II.
Antonacci AC, Lam S, Lavarias V, Homel P, Eavey RA. J Surg Res. 2009;153:95-104.

An exploratory study measuring verbal order content and context.
Wakefield DS, Brokel J, Ward MM, Schwichtenberg T, Groath D, Kolb M, Davis JW, Crandall D. Qual Saf Health Care. 2009;18:169-173.

Clinical staging error in prostate cancer: localization and relevance of undetected tumour areas.
Bolenz C, Gierth M, Grobholz R, et al. BJU Int. 2009;103:1184-1189.

Errare humanum est: frequency of laterality errors in radiology reports.
Sangwaiya MJ, Saini S, Blake MA, Dreyer KJ, Kalra MK. AJR Am J Roentgenol. 2009;192:W239-W244.

Medical students benefit from learning about patient safety in an interprofessional team.
Anderson E, Thorpe L, Heney D, Petersen S. Med Educ. 2009;43:542-552.

Omitted and unjustified medications in the discharge summary.
Perren A, Previsdomini M, Cerutti B, Soldini D, Donghi D, Marone C. Qual Saf Health Care. 2009;18:205-208.

Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports.
Snijders C, van Lingen RA, Klip H, Fetter WP, van der Schaaf TW, Molendijk HA, NEOSAFE study group. Arch Dis Child Fetal Neonatal Ed. 2009;94:F210-F215.  

User satisfaction with computerized order entry system and its effect on workplace level of stress.
Ghahramani N, Lendel I, Haque R, Sawruk K. J Med Syst. 2009;33:199-205.   

 Meeting/Conference

Wisconsin Meeting/Conference
2009 Wisconsin Quality & Safety Forum.
Wisconsin Hospital Association. October 19-20, 2009; Glacier Canyon Lodge, Wisconsin Dells, WI.

Extended Part I: Human Factors and Sociotechnical Systems Engineering.
Systems Engineering Initiative for Patient Safety (SEIPS) Short Course on Human Factors. University of Wisconsin-Madison: July 13-16, 2009; Lowell Center, Madison, WI.

 Newspaper/Magazine Article

Newspaper/Magazine Article
Reduce medication errors through following metrics.
Drug Formulary Review. June 1, 2009. 

 Press Release/Announcement

Press Release/Announcement
The impact of medical error.
Worsham S.

 Special or Theme Issue

Special or Theme Issue
Clinical Handover: Critical Communications.
Med J Aust. 2009;190:S105-S160.

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.

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

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