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| Audiovisual |
"To Err Is Human" Report Retrospective and the Decade Ahead.
2009 NPSF Congress: Lucian Leape Institute Plenary. Boston, MA: National Patient Safety Foundation; May 21, 2009. |
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| Commentary |
Disclosing medical errors to patients: a challenge for health care professionals and institutions.
Levinson W. Patient Educ Couns. 2009;76:296-299. |
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Misgivings.
Farlow B. Hastings Cent Rep. 2009;39:19-21. |
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Quality and safety initiatives in the future practice of surgery: meeting patient demands for enhanced professionalism.
Russell TR. Surg Today. 2009;39:739-745. |
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The OR and a "just culture."
Hamlin L. AORN J. 2009;90:495-498. |
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| Review |
Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature.
Garfield S, Barber N, Walley P, Willson A, Eliasson L. BMC Med. 2009;7:50. |
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| Study |
AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses.
Blegen MA, Gearhart S, O'Brien R, Sehgal NL, Alldredge BK. J Patient Saf. 2009;5:139-144. |
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Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people.
Barber ND, Alldred DP, Raynor DK, et al. Qual Saf Health Care. 2009;18:341-346. |
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Disclosing clinical adverse events to patients: can practice inform policy?
Sorensen R, Iedema R, Piper D, Manias E, Williams A, Tuckett A. Health Expect. 2009 Oct 5; [Epub ahead of print]. |
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Enhancing medication use safety: benefits of learning from your peers.
Kazandjian VA, Ogunbo S, Wicker KG, Vaida AJ, Pipesh F. Qual Saf Health Care. 2009;18:331-335. |
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Global oximetry: an international anaesthesia quality improvement project.
Walker IA, Merry AF, Wilson IH, et al; for the GO Project teams. Anaesthesia. 2009;64:1051-1060. |
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Misleading one detail: a preventable mode of diagnostic error?
Arzy S, Brezis M, Khoury S, Simon SR, Ben-Hur T. J Eval Clin Pract. 2009;15:804-806. |
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Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient safety implications.
Kane JM, Preze E. J Nurs Care Qual. 2009;24:354-361. |
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Risks of complications by attending physicians after performing nighttime procedures.
Rothschild JM, Keohane CA, Rogers S, et al. JAMA. 2009;302:1565-1572. |
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The content and context of change of shift report on medical and surgical units.
Staggers N, Jennings BM. J Nurs Adm. 2009;39:393-398. |
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The natural history of recovery for the healthcare provider "second victim" after adverse patient events.
Scott SD, Hirschinger LE, Cox KR, McCoig M, Brandt J, Hall LW. Qual Saf Health Care. 2009;18:325-330. |
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Unintended exposure in radiotherapy: identification of prominent causes.
Boadu M, Rehani MM. Radiother Oncol. 2009 Sep 25; [Epub ahead of print]. |
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| Press Release/Announcement |
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| Press Release/Announcement |
CT brain perfusion scans safety investigation: initial notification.
MedWatch Safety Alert. Rockville, MD: US Food and Drug Administration; October 9, 2009. |
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Relenza (zanamivir) inhalation powder.
MedWatch Safety Alert. Rockville, MD: US Food and Drug Administration; October 9, 2009. |
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