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| Audiovisual |
Seattle Children's admits mistake led to boy's death.
Feldman D, Moore K. KING TV. Seattle, WA. September 29, 2009. |
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| Commentary |
Balancing "no blame" with accountability in patient safety.
Wachter RM, Pronovost PJ. N Engl J Med. 2009;361:1401-1406. |
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ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2009;44:730-733. |
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One system's journey in creating a disclosure and apology program.
Peto RR, Tenerowicz LM, Benjamin EM, Morsi DS, Burger PK. Jt Comm J Qual Patient Saf. 2009;35:487-496, AP1-AP4. |
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Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing: a case study.
Nanji KC, Cina J, Patel N, Churchill W, Gandhi TK, Poon EG. J Am Med Inform Assoc. 2009;16:645-650. |
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| Review |
Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review.
Reckmann MH, Westbrook JI, Koh Y, Lo C, Day RO. J Am Med Inform Assoc. 2009;16:613-623. |
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| Study |
Clinicians' assessments of electronic medication safety alerts in ambulatory care.
Weingart SN, Simchowitz B, Shiman L, et al. Arch Intern Med. 2009;169:1627-1632. |
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Computerized surveillance for adverse drug events in a pediatric hospital.
Kilbridge PM, Noirot LA, Reichley RM, et al. J Am Med Inform Assoc. 2009;16:607-612. |
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Engaging the patient as observer to promote hand hygiene compliance in ambulatory care.
Bittle MJ, LaMarche S. Jt Comm J Qual Patient Saf. 2009;35:519-525, AP1-AP3. |
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Radiology errors: are we learning from our mistakes?
Mankad K, Hoey ETD, Jones JB, Tirukonda P, Smith JT. Clin Radiol. 2009;64:988-993. |
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Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team.
Konrad D, Jäderling G, Bell M, Granath F, Ekbom A, Martling CR. Intensive Care Med. 2009 Sep 17; [Epub ahead of print]. |
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Relationship between call light use and response time and inpatient falls in acute care settings.
Tzeng HM, Yin CY. J Clin Nurs. 2009 Sep 4; [Epub ahead of print]. |
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Resident duty-hour reform associated with increased morbidity following hip fracture.
Browne JA, Cook C, Olson SA, Bolognesi MP. J Bone Joint Surg Am. 2009;91:2079-2085. |
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Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic medical records achieving their potential?
Singh H, Thomas EJ, Mani S, et al. Arch Intern Med. 2009;169:1578-1586. |
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| Newspaper/Magazine Article |
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| Newspaper/Magazine Article |
Physician leadership is key to creating a safer, more reliable health care system.
Silbaugh BR, Leider HL. Physician Exec. Sept-Oct 2009;35:12, 14-16. |
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Putting safety on the curriculum.
Ellis O. BMJ. 2009;339:b3725. |
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| Press Release/Announcement |
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| Press Release/Announcement |
Tamiflu (oseltamivir) for Oral Suspension: Potential Medication Errors.
MedWatch Safety Alert. Silver Spring, MD: U.S. Food and Drug Administration; September 25, 2009. |
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| Special or Theme Issue |
Diagnostic Error in Medicine.
Berner ES, Graber ML, eds. Adv Health Sci Educ Theory Pract. 2009;14(suppl 1):1-112. |
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| Multi-use Website |
Comments on the Common Formats.
Washington, DC: National Quality Forum. |
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