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What's New for 9/30/2009
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 Award

Award Recipient
2009 John M. Eisenberg Patient Safety and Quality Award recipients.
Joint Commission. September 21, 2009.

 Grant

Grant Recipient
The Robert Wood Johnson Foundation awards $1.5 million to identify ways to keep patients safe and improve quality.
Interdisciplinary Nursing Quality Research Initiative. Princeton, NJ: Robert Wood Johnson Foundation; September 17, 2009.

 Journal Article

Commentary
Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue.
Young JQ, Wachter RM. JAMA. 2009;302:1327-1329.

Caution: coloured medication and the colour blind.
Cole BL, Harris RW. Lancet. 2009;374:720.

Disclosing harmful medical errors to patients: tackling three tough cases.
Gallagher TH, Bell SK, Smith KM, Mello MM, McDonald TB. Chest. 2009;136:897-903.

Practice, rehearsal, and performance: an approach for simulation-based surgical and procedure training.
Kneebone RL. JAMA. 2009;302:1336-1338.

Review
Hospitalist handoffs: a systematic review and task force recommendations.
Arora VM, Manjarrez E, Dressler DD, Basaviah P, Halasyamani L, Kripalani S. J Hosp Med. 2009;4:433-440.

Nurses' role in detecting deterioration in ward patients: systematic literature review.
Odell M, Victor C, Oliver D. J Adv Nurs. 2009;65:1992-2006.

Study
Assessing clinical handover between paramedics and the trauma team.
Evans SM, Murray A, Patrick I, Fitzgerald M, Smith S, Andrianopoulos N, Cameron P. Injury. 2009 Sep 6; [Epub ahead of print].

Association of resident fatigue and distress with perceived medical errors.
West CP, Tan AD, Habermann TM, Sloan JA, Shanafelt TD. JAMA. 2009;302:1294-1300.

Computerized decision support to reduce potentially inappropriate prescribing to older emergency department patients: a randomized, controlled trial.
Terrell KM, Perkins AJ, Dexter PR, Hui SL, Callahan CM, Miller DK. J Am Geriatr Soc. 2009;57:1388-1394.

Enhanced end-of-life care associated with deploying a rapid response team: a pilot study.
Vazquez R, Gheorghe C, Grigoriyan A, Palvinskaya T, Amoateng-Adjepong Y, Manthous CA. J Hosp Med. 2009;4:449-452.

Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals.
Jha AK, Chan DC, Ridgway AB, Franz C, Bates DW. Health Aff (Millwood). 2009;28:1475-1484.

Medicare's policy not to pay for treating hospital-acquired conditions: the impact.
McNair PD, Luft HS, Bindman AB. Health Aff (Millwood). 2009;28:1485-1493.

 Newspaper/Magazine Article

Newspaper/Magazine Article
From tragedy to advocacy.
DerGurahian J. Mod Healthc. September 7, 2009;39:6-7, 12, 1.

Safe patient outcomes occur with timely, standardized communication of critical values.
PA-PSRS Patient Safety Advisory. September 2009;6:93-97.

The harm in pharmacy misfills.
Young A. The Atlanta Journal-Constitution; September 20, 2009:B1.

Why don't doctors wash their hands more?
Chen PW. New York Times. September 17, 2009.

Without a trace(r)… your organization may be at increased risk for a 'never event.'
Kemper C, Boos G, Moore C. Jt Comm Perspect Patient Saf. 2009;9:1, 3-6, 13-17.

 Press Release/Announcement

Press Release/Announcement
AHRQ announces intent to publish grant and contract solicitations for patient safety and medical liability reform demonstration projects.
Rockville, MD: Agency for Healthcare Research and Quality; September 17, 2009. AHRQ publication NOT-HS-09-013.

2010 American Hospital Association McKesson Quest for Quality Prize.
American Hospital Association, McKesson Corporation, McKesson Foundation. 

"Talk About Prescriptions." 
National Council on Patient Information and Education.

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