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What's New for 7/8/2009
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 Journal Article

Commentary
Complexity, bullying, and stress: analyzing and mitigating a challenging work environment for nurses.
Hughes RG, Clancy CM. J Nurs Care Qual. 2009;24:180-183.

Exploring the harmful effects of health care.
Kilo CM, Larson EB. JAMA. 2009;302:89-91.

Missed nursing care: a concept analysis.
Kalisch BJ, Landstrom GL, Hinshaw AS. J Adv Nurs. 2009;65:1509-1517.

Nurses' role in communication and patient safety.
Nadzam DM. J Nurs Care Qual. 2009;24:184-188.

Review
An international review of patient safety measures in radiotherapy practice.
Shafiq J, Barton M, Noble D, Lemer C, Donaldson LJ. Radiother Oncol. 2009;92:15-21.

Failed spinal anaesthesia: mechanisms, management, and prevention.
Fettes PD, Jansson JR, Wildsmith JA. Br J Anaesth. 2009;102:739-748.

Study
Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes.
Smits M, Janssen J, de Vet R, et al. Int J Qual Health Care. 2009;41:184-192.

Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator.
Henderson KE, Recktenwald AJ, Reichley RM, et al. Jt Comm J Qual Patient Saf. 2009;35:370-376.

Enhancing pediatric safety: assessing and improving resident competency in life-threatening events with a computer-based interactive resuscitation tool.
Lerner C, Gaca AM, Frush DP, et al. Pediatr Radiol. 2009;39:703-709.

Evaluation of causes and frequency of medication errors during information technology downtime.
Hanuscak TL, Szeinbach SL, Seoane-Vazquez E, Reichert BJ, McCluskey CF. Am J Health Syst Pharm. 2009;66:1119-1124.

Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting.
Soderberg J, Grankvist K, Brulin C, Wallin O. Scand J Clin Lab Invest. 2009 May 29; [Epub ahead of print].

Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations.
Freeth D, Ayida G, Berridge EJ, et al. J Contin Educ Health Prof. 2009;29:98-104.

Nurses' perceptions of safety culture in long-term care settings.
Wagner LM, Capezuti E, Rice JC. J Nurs Scholarsh. 2009;41:184-192.

Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative.
Benn J, Burnett S, Parand A, Pinto A, Iskander S, Vincent C. J Eval Clin Pract. 2009;15:524-540.

Physician practice patterns resemble ACGME duty hours.
Anim M, Markert RJ, Wood VC, Schuster BL. Am J Med. 2009;122:587-593.

 Meeting/Conference

Nevada Meeting/Conference
12th Annual ISMP Cheers Awards.
Institute for Safe Medication Practices. December 8, 2009; Bali Hai Golf Club, Las Vegas, NV.

 Newspaper/Magazine Article

Newspaper/Magazine Article
Nearly 90 major medical mistakes logged at Utah hospitals in 2008.
May H. Salt Lake Tribune. June 26, 2009.

 Special or Theme Issue

Special or Theme Issue
Medication Errors.
Brit J Clin Pharmacol. 2009;67:589-695.

 Tools/Toolkit

Toolkit
Seven steps to patient safety in general practice.
National Patient Safety Agency. London, England: NHS; 2009.

Request for Proposals. Research in Patient Safety 2009.
Boston, MA: National Patient Safety Foundation; May 20, 2009.

High-Alert Series Parts, III, and IV.
Institute for Safe Medication Practices. July 23, 2009 and October 15, 2009. 1:30-3:00 PM (Eastern).

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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