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What's New for 8/26/2009
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 Book/Report

Book/Report
Back to Basics.
Gima Z, Gosselar P, Levine A, Lincoln T, Ramirez A. Washington, DC: Public Citizen; August 6, 2009.

Every Patient Tells A Story: Medical Mysteries and the Art of Diagnosis.
Sanders L. New York, NY: Broadway Books; 2009. ISBN: 9780767922463.

 Journal Article

Commentary
Emergency response in outpatient oncology care: improving patient safety.
Schiavone R. Clin J Oncol Nurs. 2009;13:440-442.

ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2009;44:654-657.

Negotiating medical virtues: toward the development of a physician mistake disclosure model.
Hannawa AF. Health Commun. 2009;24:391-399.

Quality initiatives: developing a radiology quality and safety program: a primer.
Johnson CD, Krecke KN, Roberts RM, Denham C. Radiographics. 2009;29:951-959.

Review
Do calculation errors by nurses cause medication errors in clinical practice? A literature review.
Wright K. Nurse Educ Today. 2009 Aug 8; [Epub ahead of print].

Sleep deprivation: implications for obstetric practice in the United States.
Clark SL. Am J Obstet Gynecol. 2009;201:136.e1-e4.

Study
Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation.
Peute LW, Aarts J, Bakker PJM, Jaspers MWM. Int J Med Inform. 2009 Jul 27; [Epub ahead of print].

Computerized order entry with limited decision support to prevent prescription errors in a PICU.
Kadmon G, Bron-Harlev E, Nahum E, Schiller O, Haski G, Shonfeld T. Pediatrics. 2009;124:945-950.

Evaluation of preoperative and perioperative operating room briefings at the Hospital for Sick Children.
Khoshbin A, Lingard L, Wright JG. Can J Surg. 2009;52:309-315.

Intravenous infusion safety technology: return on investment.
Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.

Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level.
Smits M, Wagner C, Spreeuwenberg P, van der Wal G, Groenewegen PP. Qual Saf Health Care. 2009;18:292-296.

Medication overdoses leading to emergency department visits among children.
Schillie SF, Shehab N, Thomas KE, Budnitz DS. Am J Prev Med. 2009;37:181-187.

Patient safety, quality care, and service utilization with PLATO (Physician Leadership for Accurate and Timely Orders): a pilot study.
Brunt BA, Gifford IL. J Nurses Staff Dev. 2009;25:E11-E18.

Survey evaluation of the National Patient Safety Agency’s Root Cause Analysis training programme in England and Wales: knowledge, beliefs and reported practices.
Wallace LM, Spurgeon P, Adams S, Earll L, Bayley J. Qual Saf Health Care. 2009;18:288-291.

Wrong site surgery near misses and actual occurrences.
Blanco M, Clarke JR, Martindell D. AORN J. 2009;90:215-222.

 Meeting/Conference

Upcoming Meeting/Conference
Engaging Patients and Families and the Community as Partners in Patient Safety: Innovation and Best Practices.
Institute for Family-Centered Care. September 29, 2009; 1:00–2:30 PM (Eastern).

 Newspaper/Magazine Article

Newspaper/Magazine Article
How American health care killed my father.
Goldhill D. The Atlantic. September 2009.

Leading a culture of safety.
Sandrick K. Trustee. July/August 2009;62:6-10.

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.

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

Patient Safety Officer Executive Development Program.
Institute for Healthcare Improvement. September 10-16, 2009; The Charles Hotel, Cambridge, MA.

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