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What's New for 10/28/2009
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 Audiovisual

Audiovisual
Leadership WalkRound Films.
London, UK: National Patient Safety Agency, NHS Institute for Innovation and Improvement, The Health Foundation, Patient Safety First; 2009.

 Book/Report

Book/Report
Hospital Performance Report: a Consumer Report. New Jersey 2009.
Trenton, NJ: New Jersey Department of Health and Senior Services; September 2009.

 Journal Article

Commentary
Improving handoffs in the emergency department.
Cheung DS, Kelly JJ, Beach C, et al; for the American College of Emergency Physicians Section of Quality Improvement and Patient Safety. Ann Emerg Med. 2009 Oct 1; [Epub ahead of print].

ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:847-853.

Review
Approaching the evidence basis for aviation-derived teamwork training in medicine.
Zeltser MV, Nash DB. Am J Med Qual. 2009 Oct 2; [Epub ahead of print].

Safety and risk management interventions in hospitals: a systematic review of the literature.
Dückers M, Faber M, Cruijsberg J, Grol R, Schoonhoven L, Wensing M. Med Care Res Rev. 2009 Sep 16; [Epub ahead of print].

Technical mistakes during the acquisition of the electrocardiogram.
Garcí­a-Niebla J, Llontop-Garcí­a P, Valle-Racero JI, Serra-Autonell G, Batchvarov VN, de Luna AB. Ann Noninvasive Electrocardiol. 2009;14:389-403.

Study
A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims.
Simpson KR, Kortz CC, Knox E. Jt Comm J Qual Patient Saf. 2009;35:565-574.

Attitudes to patient safety amongst medical students and tutors: developing a reliable and valid measure.
Carruthers S, Lawton R, Sandars J, Howe A, Perry M. Med Teach. 2009;31:e370-e376.

Communication and information deficits in patients discharged to rehabilitation facilities: an evaluation of five acute care hospitals.
Gandara E, Moniz T, Ungar J, et al. J Hosp Med. 2009;4:E28-E33.

Do associations between staff and inpatient feedback have the potential for improving patient experience? An analysis of surveys in NHS acute trusts in England.
Raleigh VS, Hussey D, Seccombe I, Qi R. Qual Saf Health Care. 2009;18:347-354.

Family alert: implementing direct family activation of a pediatric rapid response team.
Ray EM, Smith R, Massie S, et al. Jt Comm J Qual Patient Saf. 2009;35:575-580.

Impact of duty-hour restriction on resident inpatient teaching.
Mazotti LA, Vidyarthi AR, Wachter RM, Auerbach AD, Katz PP. J Hosp Med. 2009;4:476-480.

Medication reconciliation in ambulatory care: attempts at improvement.
Nassaralla CL, Naessens JM, Hunt VL, et al. Qual Saf Health Care. 2009;18:402-407.

ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery.
Berry SA, Doll MC, McKinley KE, Casale AS, Bothe A Jr. Qual Saf Health Care. 2009;18:360-368.

Rate of undesirable events at beginning of academic year: retrospective cohort study.
Haller G, Myles PS, Taffé P, Perneger TV, Wu CL. BMJ. 2009;339:b3974.

Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation.
Steinberger DM, Douglas SV, Kirschbaum MS. Prog Transplant. 2009;19:208-215.

 Newspaper/Magazine Article

Newspaper/Magazine Article
10 years, 5 voices, 1 challenge.
Larkin H. Hosp Health Netw. October 21, 2009.

Four patients say Cedars-Sinai did not tell them they had received a radiation overdose.
Zarembo A. Los Angeles Times. October 15, 2009:A1.

 Special or Theme Issue

Special or Theme Issue
Obstetric Quality and Safety.
J Healthc Qual. 2009;31:3-52.

Peer Review: The Fundamental Background of Quality Management. ABQAURP's 32nd Annual Health Care Quality & Patient Safety Conference.
American Board of Quality Assurance and Utilization Review Physicians, Inc. November 7, 2009; Disney's BoardWalk Resort, Lake Buena Vista, FL.

Canadian Patient Safety Officer Course.
Canadian Patient Safety Institute. November 8-13, 2009; The Kingbridge Centre, King City (Toronto), Ontario.

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