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What's New for 10/14/2009
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 Audiovisual

Audiovisual
Avoiding Medication Mistakes.
Fitzpatrick C. Consumer Updates. Silver Spring, MD: U.S. Food and Drug Administration. September 29, 2009.

 Book/Report

Book/Report
Practical Patient Safety.
Reynard J, Reynolds J, Stevenson P. Oxford, UK: Oxford University Press; 2009. ISBN: 9780199239931.

 Journal Article

Commentary
Implementing patient safety initiatives in rural hospitals.
Klingner J, Moscovice I, Tupper J, Coburn A, Wakefield M. J Rural Health. 2009;25:352-357.

Just culture: who gets to draw the line?
Dekker SWA. Cogn Technol Work. 2009;11:177-185.

Review
A critical review of the systems approach within patient safety research.
Waterson P. Ergonomics. 2009;52:1185-1195.

Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.
Semple SJ, Roughead EE. Aust New Zealand Health Policy. 2009;6:24.

Study
A review of significant events analysed in general practice: implications for the quality and safety of patient care.
McKay J, Bradley N, Lough M, Bowie P. BMC Fam Pract. 2009;10:61.

Active learning: when is more better? The case of resident physicians' medical errors.
Katz-Navon T, Naveh E, Stern Z. J Appl Psychol. 2009;94:1200-1209.

Bringing patients' own medications into an emergency department by ambulance: effect on prescribing accuracy when these patients are admitted to hospital.
Chan EW, Taylor SE, Marriott JL, Barger B. Med J Aust. 2009;191:374-377.

Comparing safety climate between two populations of hospitals in the United States.
Singer SJ, Hartmann CW, Hanchate A, et al. Health Serv Res. 2009;44:1563-1583.

Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests.
Hunt EA, Vera K, Diener-West M, et al. Resuscitation. 2009;80:819-825.

Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation center.
McCullough J, McKenna D, Kadidlo D, et al. Blood. 2009:114:1684-1688.

Pediatric adverse drug events in the outpatient setting: an 11-year national analysis.
Bourgeois FT, Mandl KD, Valim C, Shannon MW. Pediatrics. 2009;124:e744-e750.

The "July phenomenon": is trauma the exception?
Schroeppel TJ, Fischer PE, Magnotti LJ, Croce MA, Fabian TC. J Am Coll Surg. 2009;209:378-384.

The nature and causes of unintended events reported at ten emergency departments.
Smits M, Groenewegen PP, Timmermans DRM, van der Wal G, Wagner C. BMC Emerg Med. 2009;9:16.

Variation in hospital mortality associated with inpatient surgery.
Ghaferi AA, Birkmeyer JD, Dimick JB. N Engl J Med. 2009;361:1368-1375.

 Legislation/Regulation

Organizational Policy/Guidelines
Joint Policy Statement—Guidelines for Care of Children in the Emergency Department.
American Academy of Pediatrics Committee on Pediatric Emergency Medicine; American College of Emergency Physicians Pediatric Committee; Emergency Nurses Association Pediatric Committee. Pediatrics. 2009;124:1233-1243.

 Newspaper/Magazine Article

Newspaper/Magazine Article
Approved: 2010 National Patient Safety Goals.
Jt Comm Perspect. October 2009;29:1, 20-31.

When the doctor is distressed.
Chen PW. New York Times. October 1, 2009.

 Web Resource

Multi-use Website
Pillbox (beta).
Bethesda, MD: National Library of Medicine, U.S. Food and Drug Administration.

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