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What's New for 7/15/2009
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 Audiovisual

Audiovisual
First, do no harm: parts 1-3.
Hall M. WRNI Rhode Island Public Radio. June 30-July 2, 2009.

 Book/Report

Book/Report
Patient Safety.
Sixth Report of Session 2008–09. House of Commons Health Committee. London, England: The Stationery Office; July 3, 2009. Publication HC 151-I.

 Journal Article

Commentary
Breaking the mould in patient safety.
Degos L, Amalberti R, Bacou J, Carlet J, Bruneau C. BMJ. 2009;338:b2585. 

The SBAR communication technique: teaching nursing students professional communication skills.
Thomas CM, Bertram E, Johnson D. Nurse Educ. 2009;34:176-180.

Review
What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior?
Schedlbauer A, Prasad V, Mulvaney C, et al. J Am Med Inform Assoc. 2009;16:531-538.

Study
A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center.
Kalina M, Tinkoff G, Gleason W, Veneri P, Fulda G. Pediatr Emerg Care. 2009 June 26; [Epub ahead of print].

A survey of nurses' beliefs about the medical emergency team system in a Canadian tertiary hospital.
Bagshaw SM, Mondor EE, Scouten C, et al; for the Capital Health Medical Emergency Team Investigators. Am J Crit Care. 2009 June 18; [Epub ahead of print].

An ethnographic study of classifying and accounting for risk at the sharp end of medical wards.
Dixon-Woods M, Suokas A, Pitchforth E, Tarrant C. Soc Sci Med. 2009 June 15; [Epub ahead of print].

Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas.
Helmons PJ, Wargel LN, Daniels CE. Am J Health Syst Pharm. 2009;66:1202-1210.

Medical errors and consequent adverse events in critically ill surgical patients in a tertiary care teaching hospital in Delhi.
Kumar S, Chaudhary S. J Emerg Trauma Shock. 2009;2:80-84.

Medication administration errors in nursing homes using an automated medication dispensing system.
van den Bemt PM, Idzinga JC, Robertz H, Kormelink DG, Pels N. J Am Med Inform Assoc. 2009;16:486-492.

Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care: a physician survey.
Wang CJ, Patel MH, Schueth AJ, et al. J Am Med Inform Assoc. 2009;16:493-502.

Physician perspectives on quality and error in the outpatient setting.
Manwell LB, Williams ES, Babbott S, Rabatin JS, Linzer M. WMJ. 2009;108:139-144.

Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch health care.
Habraken MM, Van der Schaaf TW, Leistikow IP, Reijnders-Thijssen PM. Ergonomics. 2009;52:809-819.

 Newspaper/Magazine Article

Newspaper/Magazine Article
AMA meeting: delegates see boosting quality of care as duty.
O'Reilly KB. American Medical News. July 6, 2009;17:28.

Beyond the count: preventing the retention of foreign objects.
PA-PSRS Patient Safety Advisory. June 2009;6:39-45.

Misidentification of alphanumeric symbols in both handwritten and computer-generated information.
ISMP Medication Safety Alert! Acute Care Edition. July 2, 2009;14:1-2.

System breakdown: 4 med errors, 250 scripts/day.
Mulligan M. Drug Topics. July 1, 2009.

Patient Safety Indicators Download.
AHRQ Quality Indicators. Rockville, MD: Agency for Healthcare Research and Quality; [updated] June 2009.

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

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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