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| Commentary |
Improving measurement in clinical handover.
Jeffcott SA, Evans SM, Cameron PA, Chin GSM, Ibrahim JE. Qual Saf Health Care. 2009;18:272-277. |
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Reality check for checklists.
Bosk CL, Dixon-Woods M, Goeschel CA, Pronovost PJ. Lancet. 2009;374:444-445. |
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The competent surgeon: individual accountability in the era of "systems" failure.
Whittemore AD. Ann Surg. 2009 July 29; [Epub ahead of print]. |
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Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites.
Cook J, D'Amato C, Garrett G, Ruhnau-Gee B, Hyde L, Novak N. J AHIMA. 2009;80:62-64. |
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| Review |
Patient safety: Part I. Patient safety and the dermatologist.
Elston DM, Taylor JS, Coldiron B, et al. J Am Acad Dermatol. 2009;61:179-190. |
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Patient safety: Part II. Opportunities for improvement in patient safety.
Elston DM, Stratman E, Johnson-Jahangir H, et al. J Am Acad Dermatol. 2009;61:193-205. |
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| Study |
Afraid in the hospital: parental concern for errors during a child's hospitalization.
Tarini BA, Lozano P, Christakis DA. J Hosp Med. 2009 Aug 3; [Epub ahead of print]. |
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Effect of medication reconciliation with and without patient counseling on the number of pharmaceutical interventions among patients discharged from the hospital.
Karapinar-Çarkit F, Borgsteede SD, Zoer J, Smit HJ, Egberts ACG, van den Bemt PMLA. Ann Pharmacother. 2009;43:1001-1010. |
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Frequency and severity of harm of medication errors related to the parenteral nutrition process in a large university teaching hospital.
Sacks GS, Rough S, Kudsk KA. Pharmacotherapy. 2009;29:966-974. |
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Management of anesthesia equipment failure: a simulation-based resident skill assessment.
Waldrop WB, Murray DJ, Boulet JR, Kras JF. Anesth Analg. 2009;109:426-433. |
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Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors.
Meyer E, Underwood RS, Padmanabhan V. Arch Pathol Lab Med. 2009;133:1297-1300. |
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Pediatric patient safety in emergency departments: unit characteristics and staff perceptions.
Shaw KN, Ruddy RM, Olsen CS, et al; for Pediatric Emergency Care Applied Research Network. Pediatrics. 2009;124:485-493. |
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Systematic video game training in surgical novices improves performance in virtual reality endoscopic surgical simulators: a prospective randomized study.
Schlickum MK, Hedman L, Enochsson L, Kjellin A, Felländer-Tsai L. World J Surg. 2009 Aug 1; [Epub ahead of print]. |
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Use of simulation-based education to reduce catheter-related bloodstream infections.
Barsuk JH, Cohen ER, Feinglass J, McGaghie WC, Wayne DB. Arch Intern Med. 2009;169:1420-1423. |
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What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff.
Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Qual Saf Health Care. 2009;18:248-255. |
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| Newspaper/Magazine Article |
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| Newspaper/Magazine Article |
Are patients in part to blame when doctors miss the diagnosis?
Chen PW. New York Times. August 7, 2009. |
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Patients, beware: 731 nurses reveal what to watch out for in the hospital.
Consumer Reports Health. September 2009. |
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| Press Release/Announcement |
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| Press Release/Announcement |
Call for Presentations: 2010 Annual Conference on Quality and Patient Safety.
Oakbrook Terrace, IL: The Joint Commission. August 12, 2009. |
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|
| Toolkit |
Speak Up: Prevent Errors in Your Child's Care.
Oakbrook Terrace, IL: The Joint Commission; August 2009. |
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|
| Multi-use Website |
Dead by Mistake.
Crowley CF, Nalder E. New York, NY: Hearst Digital News; August 2009. |
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