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What's New for 7/29/2009
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 Award

Award Announcement
MITSS HOPE Award.
Medically Induced Trauma Support Services.

 Journal Article

Commentary
Attending physician work hours: ethical considerations and the last doctor standing.
Mercurio MR, Peterec SM. Pediatrics. 2009;124:758-762.

Medication safety technologies: what is and is not working.
Bates DW, Wachter RM, Vanderveen T. Patient Saf Qual Healthc. July/August 2009;6:22-27.

The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited.
Stahel PF, Mehler PS, Clarke TJ, Varnell J. Patient Saf Surg. 2009;3:14.

Study
Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers.
Were MC, Li X, Kesterson J, et al. J Gen Intern Med. 2009 July 3; [Epub ahead of print].

Evaluation of a physician informatics tool to improve patient handoffs.
Flanagan ME, Patterson ES, Frankel RM, Doebbeling BN. J Am Med Inform Assoc. 2009;16:509-515.

Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices.
Byrnes MC, Schuerer DJ, Schallom ME, et al. Crit Care Med. 2009 July 2; [Epub ahead of print].

Improving patient safety: effects of a safety program on performance and culture in a department of radiology.
Donnelly LF, Dickerson JM, Goodfriend MA, Muething SE. AJR Am J Roentgenol. 2009;193:165-171.

Management of test results in family medicine offices.
Elder NC, McEwen TR, Flach JM, Gallimore JJ. Ann Fam Med. 2009;7:343-351.

Medication reconciliation performed by pharmacy technicians at the time of preoperative screening.
van den Bemt PM, van den Broek S, van Nunen AK, Harbers JB, Lenderink AW. Ann Pharmacother. 2009;43:868-874. 

Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database.
Bundy DG, Shore AD, Morlock LL, Miller MR. Vaccine. 2009;27:3890-3896.

Should all duty hours be the same? Results of a national survey of surgical trainees.
Moalem J, Salzman P, Ruan DT, et al. J Am Coll Surg. 2009;209:47-54.

Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire.
Kaplan LJ, Maerz LL, Schuster K, et al. J Trauma. 2009;67:173-179.

 Meeting/Conference

Maryland Meeting/Conference
First Annual Meeting of AHRQ-listed Patient Safety Organizations.
Agency for Healthcare Research and Quality. September 16-18, 2009; John M. Eisenberg Building, Rockville, MD.

 Newspaper/Magazine Article

Newspaper/Magazine Article
A success story in American health care: eliminating infections and saving lives in Michigan.
Herzer K, Seshamani M. HealthReform.Gov. July 2009.

Can protecting patients be made recession-proof?
O'Reilly KB. American Medical News. July 20, 2009.

Making hospitals accountable.
Peters PG Jr. Regulation. Summer 2009;32:30-36.

Nurse accidentally kills premature son of swine flu victim in Spain.
Tremlett G. Guardian.co.uk; July 13, 2009.

VA radiation errors laid to offline computer.
McCullough M, Goldstein J. Philadelphia Inquirer. July 19, 2009;National:A01.

 Tools/Toolkit

Fact Sheet/FAQs
Questions Are the Answer! Seven Questions Every Board Member Should Ask About Patient Safety.
London, UK: National Patient Safety Agency; June 2009.

Patient Safety Curriculum: Linking Risk Management and Patient Safety.
American Society of Healthcare Risk Management. August 10-13, 2009; Swissotel Chicago, Chicago, IL.

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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