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What's New for 9/23/2009
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 Book/Report

Book/Report
Josie's Story.
King S. New York, NY: Atlantic Monthly Press; 2009. ISBN: 9780802119209.

Patient safety and adverse events.
Adlassnig KP, Blobel B, Mantas J, Masic I, eds. Stud Health Technol Inform. 2009;150:497-566. In: Medical Informatics in a United and Healthy Europe. Washington, DC: IOS Press. ISBN: 9781607500445.

 Journal Article

Commentary
Anticoagulation patient safety goal compliance at a university health system: methods for achieving the goal.
Franco AC, Maxwell P, Green K, Barthol C. Hosp Pharm. 2009;44:776-780, 784.

Application of lean thinking to health care: issues and observations.
Joosten T, Bongers I, Janssen R. Int J Qual Health Care. 2009;21:341-347.

Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults.
Thornlow DK, Anderson R, Oddone E. Int J Nurs Stud. 2009;46:1528-1535.

Eight rights of safe electronic health record use.
Sittig DF, Singh H. JAMA. 2009;302:1111-1113.

What went right: lessons for the intensivist from the crew of US Airways Flight 1549.
Eisen LA, Savel RH. Chest. 2009;136:910-917.

Review
Medication errors in chemotherapy: incidence, types and involvement of patients in prevention. A review of the literature.
Schwappach DLB, Wernli M. Eur J Cancer Care (Engl). 2009 Aug 25; [Epub ahead of print].

Study
An empirical model to estimate the potential impact of medication safety alerts on patient safety, health care utilization, and cost in ambulatory care.
Weingart SN, Simchowitz B, Padolsky H, et al. Arch Intern Med. 2009;169;1465-1473.

Connected care: reducing errors through automated vital signs data upload.
Smith LB, Banner L, Lozano D, Olney CM, Friedman B. Comput Inform Nurs. 2009;27:318-323.

Development of a measure of patient safety event learning responses.
Ginsburg LR, Chuang YT, Norton PG, et al. Health Serv Res. 2009 Sep 2; [Epub ahead of print].

Information loss in emergency medical services handover of trauma patients.
Carter AJE, Davis KA, Evans LV, Cone DC. Prehosp Emerg Care. 2009;13:280-285.

Injury and death associated with incidents reported to the Patient Safety Net.
Reid M, Estacio R, Albert R. Am J Med Qual. 2009 Sep 4; [Epub ahead of print].

Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System?
Williams SD, Ashcroft DM. Int J Qual Health Care. 2009;21:316-320.

Professional commitment, patient safety, and patient-perceived care quality.
Teng CI, Dai YT, Shyu YIL, Wong MK, Chu TL, Tsai YH. J Nurs Scholarsh. 2009;41:301-309.

Simulation as a tool to improve the safety of pre-hospital anaesthesia—a pilot study.
Batchelder AJ, Steel A, Mackenzie R, Hormis AP, Daniels TS, Holding N. Anaesthesia. 2009;64:978-983.

 Newspaper/Magazine Article

Newspaper/Magazine Article
How has the current economy affected patient safety?
ISMP Medication Safety Alert! Acute Care Edition. September 10, 2009;14:1-2.

 Press Release/Announcement

Press Release/Announcement
Patient safety: healthcare acquired conditions and serious reportable events.
Washington, DC: National Quality Forum; September 2009.

 Web Resource

Multi-use Website
Joint Commission Center for Transforming Healthcare.
The Joint Commission.

Common formats for patient safety data collection and event reporting.
Agency for Healthcare Research and Quality. Fed Register. September 2, 2009;74:45457-45458.

Beyond the "5 Rights" of Medication Administration: A Safety Bolus for Nursing Leadership.
Institute for Safe Medication Practices. October 6, 2009; 1:30-3:00 PM (Eastern).

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