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| Audiovisual |
Healthcare 411: Making hospital discharges safer for seniors.
Rockville, MD: Agency for Healthcare Research and Quality. June 3, 2009. |
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| Grant Announcement |
Request for Proposals. Research in Patient Safety 2009.
Boston, MA: National Patient Safety Foundation; May 20, 2009. |
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| Commentary |
Ending extra payment for "never events"—stronger incentives for patients' safety.
Milstein A. N Engl J Med. 2009;360:2388-2390. |
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Implementation of a rapid response team: a success story.
Scott SS, Elliott S. Crit Care Nurse. 2009;29:66-75. |
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Mapping research on culture and safety in high-risk organizations: arguments for a sociotechnical understanding of safety culture.
Nævestad TO. J Contingencies Crisis Manage. 2009;17:126-136. |
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Medicare nonpayment, hospital falls, and unintended consequences.
Inouye SK, Brown CJ, Tinetti ME. N Engl J Med. 2009;360:2390-2393. |
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Using information to optimize medical outcomes.
Duncan JR, Evens RG. JAMA. 2009;301:2383-2385. |
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| Review |
Enteral feeding misconnections: an update.
Guenter P, Hicks RW, Simmons D. Nutr Clin Pract. 2009;24:325-334. |
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| Study |
Ambulance stretcher adverse events.
Wang HE, Weaver MD, Abo BN, Kaliappan R, Fairbanks RJ. Qual Saf Health Care. 2009;18:213-216. |
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Development and pilot evaluation of a preoperative briefing protocol for cardiovascular surgery.
Henrickson SE, Wadhera RK, ElBardissi AW, Wiegmann DA, Sundt TM. J Am Coll Surg. 2009;208:1115-1123. |
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Doctors' views of attitudes towards peer medical error.
Asghari F, Fotouhi A, Jafarian A. Qual Saf Health Care. 2009;18:209-212. |
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Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary care.
Singh R, McLean-Plunckett EA, Kee R, et al. Qual Saf Health Care. 2009;18:199-204. |
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Frequency and clinical importance of pages sent to the wrong physician.
Wong BM, Quan S, Cheung CM, et al. Arch Intern Med. 2009;169:1072-1073. |
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Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial.
Graumlich JF, Novotny NL, Nace GS, et al. J Hosp Med. 2009 May 28; [Epub ahead of print]. |
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Quality-monitoring program for bar-code–assisted medication administration.
Mims E, Tucker C, Carlson R, Schneider R, Bagby J. Am J Health Syst Pharm. 2009;66:1125-1131. |
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Silence, power and communication in the operating room.
Gardezi F, Lingard L, Espin S, Whyte S, Orser B, Baker GR. J Adv Nurs. 2009;65:1390-1399. |
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The relationship between computerized physician order entry and pediatric adverse drug events: a nested matched case-control study.
Yu F, Salas M, Kim YI, Menachemi N. Pharmacoepidemiol Drug Saf. 2009 May 28; [Epub ahead of print]. |
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| Colorado Meeting/Conference |
Taking you higher: 2009 ASHRM annual conference and exhibition.
American Society of Healthcare Risk Management. October 22–25, 2009; Colorado Convention Center, Denver CO. |
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| Newspaper/Magazine Article |
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| Newspaper/Magazine Article |
Getting doctors and hospitals to say 'I'm sorry'.
LaMay C. Idaho Statesman. June 7, 2009;Local:1 |
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