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| Book/Report |
A Comprehensive Guide to Managing Never Events and Hospital-Acquired Conditions.
Bunting RF Jr, Schukman J, Wong WB. Washington, DC: Atlantic Information Services, Inc.; 2009. ISBN: 1933801557. |
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| Commentary |
Errors in clinical reasoning: causes and remedial strategies.
Scott IA. BMJ. 2009;338:b1860. |
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ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2009;44:463-464. |
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Nurses: the patient's first—and perhaps last—line of defense.
Joy J. AORN J. 2009;89:1133-1136. |
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Physician Quality Officer: a new model for engaging physicians in quality improvement.
Walsh KE, Ettinger WH, Klugman RA. Am J Med Qual. 2009 Jun 1; [Epub ahead of print]. |
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| Study |
A new structure of attention? Open disclosure of adverse events to patients and their families.
Iedema R, Jorm C, Wakefield J, Ryan C, Sorensen R. J Lang Social Psychol. 2009;28:139-157. |
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Effect of bar-code–assisted medication administration on medication error rates in an adult medical intensive care unit.
DeYoung JL, VanderKooi ME, Barletta JF. Am J Health Syst Pharm. 2009;66:1110-1115. |
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FMEA team performance in health care: a qualitative analysis of team member perceptions.
Wetterneck TB, Hundt AS, Carayon P. J Patient Saf. 2009;5:102-108. |
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Frequency of failure to inform patients of clinically significant outpatient test results.
Casalino LP, Dunham D, Chin MH, et al. Arch Intern Med. 2009;169:1123-1129. |
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Full implementation of computerized physician order entry and medication-related quality outcomes: a study of 3364 hospitals.
Yu FB, Menachemi N, Berner ES, Allison JJ, Weissman NW, Houston TK. Am J Med Qual. 2009 Jun 5; [Epub ahead of print]. |
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Improving patient safety by understanding past experiences in day surgery and PACU.
Ross J, Ranum D. J Perianesth Nurs. 2009;24:144-151. |
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Patient safety in North America: beyond "operate through your initials" and "sign your site."
Wong DA, Lewis B, Herndon J, Martin C Jr, Brooks R. J Bone Joint Surg Am. 2009;91:1534-1541. |
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Preventable morbidity at a mature trauma center.
Teixeira PGR, Inaba K, Salim A, et al. Arch Surg. 2009;144:536-541. |
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Reflection and analysis of how pharmacy students learn to communicate about medication errors.
Noland CM, Rickles NM. Health Commun. 2009;24:351-360. |
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Surgical glove perforation and the risk of surgical site infection.
Misteli H, Weber WP, Reck S, et al. Arch Surg. 2009;144:553-558. |
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| Maine Meeting/Conference |
On the Edge: Nursing in the Age of Complexity.
Plexus Institute. July 12-14, 2009; St. Joseph's College, Standish, ME. |
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| Newspaper/Magazine Article |
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| Newspaper/Magazine Article |
Standing up for safety.
Hawkes N. BMJ. 2009;338:b2286. |
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| Press Release/Announcement |
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| Press Release/Announcement |
Proposed Requirements to Advance Effective Communication, Cultural Competence, and Patient-Centered Care.
Oakbrook Terrace, IL: The Joint Commission; June 8, 2009. |
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| Multi-use Website |
California Hospital Patient Safety Organization.
1215 K Street, Suite 800, Sacramento, CA 95814. Phone: 916-552-2600. Email: info@chpso.org. |
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