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What's New for 9/9/2009
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 Book/Report

Book/Report
Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease.
Cambridge, MA: New England Healthcare Institute; August 12, 2009.

 Journal Article

Commentary
Adverse events in medicine: easy to count, complicated to understand, and complex to prevent.
Amalberti R, Benhamou D, Auroy Y, Degos L. J Biomed Inform. 2009 Jul 15; [Epub ahead of print].

Radiology failure mode and effect analysis: what is it?
Abujudeh HH, Kaewlai R. Radiology. 2009;252:544-550.

Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving a labor and delivery ward.
Hamman WR, Beaudin-Seiler BM, Beaubien JM, et al. J Patient Saf. 2009;5:184-187.

Review
A model framework for patient safety training in chiropractic: a literature synthesis.
Zaugg B, Wangler M. J Manipulative Physiol Ther. 2009;32:493-499.

Study
"Canary measures" among the AHRQ Patient Safety Indicators.
Yu H, Greenberg MD, Haviland AM, Farley DO. Am J Med Qual. 2009 Aug 20; [Epub ahead of print].

Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors.
Hsiao AL, Shiffman RN. Jt Comm J Qual Patient Saf. 2009;35:467-474.

How improving practice relationships among clinicians and nonclinicians can improve quality in primary care.
Lanham HJ, McDaniel RR, Crabtree BF, et al. Jt Comm J Qual Patient Saf. 2009;35:457-466.

Identifying vulnerabilities in communication in the emergency department.
Redfern E, Brown R, Vincent CA. Emerg Med J. 2009;26:653-657.

Improving communication in the emergency department.
Redfern E, Brown R, Vincent CA. Emerg Med J. 2009;26:658-661.

Nurse–physician communication in the long-term care setting: perceived barriers and impact on patient safety.
Tjia J, Mazor KM, Field T, Meterko V, Spenard A, Gurwitz JH. J Patient Saf. 2009;5:145-152.

The role of advice in medication administration errors in the pediatric ambulatory setting.
Lemer C, Bates DW, Yoon C, Keohane C, Fitzmaurice G, Kaushal R. J Patient Saf. 2009;5:168-175.

Therapeutic errors involving adults in the community setting: nature, causes and outcomes.
Taylor DM, Robinson J, MacLeod D, MacBean CE, Braitberg G. Aust N Z J Public Health. 2009;33:388-394.

Using Medical Emergency Teams to detect preventable adverse events.
Iyengar A, Baxter A, Forster AJ. Crit Care. 2009;13:R126.

 Meeting/Conference

Canada Meeting/Conference
The Canadian Healthcare Safety Symposium 9.
Canadian Patient Safety Institute. October 22-24, 2009; Le Centre Sheraton Montréal, Montréal, Québec, Canada.

Upcoming Meeting/Conference
Important Condition and Common Safety Issues (Safe Practices 26-34).
Texas Medical Institute of Technology. September 17, 2009; 1:00-2:30 PM (Eastern).

 Newspaper/Magazine Article

Newspaper/Magazine Article
Medication mistakes that can kill.
Haiken M. Caring.com. August 17, 2009.

Patients get power of fast response.
Landro L. Wall Street Journal. September 1, 2009:D2.

 Special or Theme Issue

Special or Theme Issue
Pediatric Quality.
Feld LG, Jain S, eds. Pediatr Clin North Am. 2009;56:731-1034.

 Tools/Toolkit

Fact Sheet/FAQs
ISMP's List of Confused Drug Names.
Institute for Safe Medication Practices. 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.

The Joint Commission's Annual Conference on Quality and Patient Safety: Explore, Enhance, and Energize—Leadership for the Future.
The Joint Commission. September 14-16, 2009; Donald E. Stephens Convention Center, Rosemont, IL.

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).

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