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What's New for 8/5/2009
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 Journal Article

Commentary
What are the critical success factors for team training in health care?
Salas E, Almeida SA, Salisbury M, et al. Jt Comm J Qual Patient Saf. 2009;35:398-405.

What's the difference between a hospital and a bottling factory?
Morton A, Cornwell J. BMJ. 2009;339:b2727. 

Review
Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists.
Kelly SP. Eye. 2009 July 3; [Epub ahead of print].

Study
A comparison of hospital adverse events identified by three widely used detection methods.
Naessens JM, Campbell CR, Huddleston JM, et al. Int J Qual Health Care. 2009;21:301-307.

Application of patient safety indicators internationally: a pilot study among seven countries.
Drösler SE, Klazinga NS, Romano PS, et al. Int J Qual Health Care. 2009;21:272-278. 

Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue.
Walley AY, Farrar D, Cheng DM, Alford DP, Samet JH. J Gen Intern Med. 2009 July 4; [Epub ahead of print].

Impact of a computerized physician order entry system on compliance with prescription accuracy requirements.
Mir C, Gadri A, Zelger GL, Pichon R, Pannatier A. Pharm World Sci. 2009 June 25; [Epub ahead of print].

Implementing standardized operating room briefings and debriefings at a large regional medical center.
Berenholtz SM, Schumacher K, Hayanga AJ, et al. Jt Comm J Qual Patient Saf. 2009;35:391-397.

Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy.
Serrano-Fabiá A, Albert-Marí A, Almenar-Cubells D, Jiménez-Torres NV. J Oncol Pharm Pract. 2009 July 17; [Epub ahead of print].

One-stop diagnostic breast clinics: how often are breast cancers missed?
Britton P, Duffy SW, Sinnatamby R, et al. Br J Cancer. 2009;100:1873-1878.

Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit.  
Flood KL, Carroll MB, Le CV, Brown CJ. Am J Geriatr Pharmacother. 2009;7:151-158.  

Rural hospital information technology implementation for safety and quality improvement: lessons learned.
Tietze MF, Williams J, Galimbertti M. Comput Inform Nurs. 2009;27:206-214.

The relationship between perceived practice quality and quality improvement activities and physician practice dissatisfaction, professional isolation, and work-life stress.
Quinn MA, Wilcox A, Orav EJ, Bates DW, Simon SR. Med Care. 2009;47:924-928.

Tracking with virtual slides: a tool to study diagnostic error in histopathology.
Treanor D, Lim CH, Magee D, Bulpitt A, Quirke P. Histopathology. 2009;55:37-45.

 Meeting/Conference

Minnesota Meeting/Conference
Hospitals and Communities Moving Forward with Patient- and Family-Centered Care. 
Institute for Family-Centered Care. October 26-29, 2009; The Hilton Minneapolis, Minneapolis, MN.

 Newspaper/Magazine Article

Newspaper/Magazine Article
Apologizing for medical mistakes, saying 'sorry' is paying off for doctors at U. of Michigan.
Goodman DN. Associated Press [Newser]. July 20, 2009.

Hospitals tally their avoidable mistakes.
Rein L. Washington Post. July 21, 2009:E1.

Seeking a safer surgery: some states crack down on doctors who perform unregulated outpatient procedures.
Landro L. Wall Street Journal. July 21, 2009:D1.

A 62-year-old woman with skin cancer who experienced wrong-site surgery.
Delbanco T. JAMA. 2009 July 7; [Epub ahead of print].

WHO Patient Safety Small Research Grants.
Geneva, Switzerland: WHO Patient Safety, World Health Organization.

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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