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 Grant

Grant Announcement
Partnerships in Implementing Patient Safety II (R18).
Rockville, MD: Agency for Healthcare Research and Quality. PAR-10-022.

 Journal Article

Commentary
From a blame culture to a just culture in health care.
Khatri N, Brown GD, Hicks LL. Health Care Manage Rev. 2009;34:312-322.

Health literacy and quality: focus on chronic illness care and patient safety.
Rothman RL, Yin HS, Mulvaney S, Co JPT, Homer C, Lannon C. Pediatrics. 2009;124(suppl 3):S315-S326.

How long does it take to train a surgeon?
Purcell Jackson G, Tarpley JL. BMJ. 2009;339:b4260.

Review
Interventions to improve team effectiveness: a systematic review.
Buljac-Samardzic M, Dekker-van Doorn CM, van Wijngaarden JDH, van Wijk KP. Health Policy. 2009 Oct 24; [Epub ahead of print].

Study
Action research, simulation, team communication, and bringing the tacit into voice. Society for Simulation in Healthcare.
Forsythe L. Simul Healthc. 2009;4:143-148.

Diagnostic error in medicine: analysis of 583 physician-reported errors.
Schiff GD, Hasan O, Kim S, et al. Arch Intern Med. 2009;169:1881-1887.

Disclosure of hospital adverse events and its association with patients' ratings of the quality of care.
López L, Weissman JS, Schneider EC, Weingart SN, Cohen AP, Epstein AM. Arch Intern Med. 2009;169:1888-1894.

Hospital governance and the quality of care.
Jha AK, Epstein AM. Health Aff (Millwood). 2009 Nov 6; [Epub ahead of print].

Identifying organizational cultures that promote patient safety.
Singer SJ, Falwell A, Gaba DM, et al. Health Care Manage Rev. 2009;34:300-311.

Is there a relationship between high-quality performance in major teaching hospitals and residents' knowledge of quality and patient safety?
Pingleton SK, Horak BJ, Davis DA, Goldmann DA, Keroack MA, Dickler RM. Acad Med. 2009;84:1510-1515.

Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis.
Singh H, Daci K, Petersen LA, et al. Am J Gastroenterol. 2009;104:2543-2554.

Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training.
Paull DE, Mazzia LM, Izu BS, Neily J, Mills PD, Bagian JP. Am J Surg. 2009;198:675-678.

Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome.
Kreckler S, Catchpole KR, New SJ, Handa A, McCulloch PG. Ann Surg. 2009 Oct 21; [Epub ahead of print].

Testing the association between Patient Safety Indicators and hospital structural characteristics in VA and nonfederal hospitals.
Rivard PE, Elixhauser A, Christiansen CL, Zhao S, Rosen AK. Med Care Res Rev. 2009 Oct 30; [Epub ahead of print].

 Meeting/Conference

Arizona Meeting/Conference
Medication Safety in the Operating Room: Time for a New Paradigm.
Anesthesia Patient Safety Foundation. January 26, 2010; Royal Palms Resort and Spa, Phoenix, AZ.

Europe Meeting/Conference
Patient Safety Conference 2010.
GovNet Communications. February 4, 2010; QE II Conference Centre, London, UK.

 Newspaper/Magazine Article

Newspaper/Magazine Article
Changing course.
DerGurahian J. Mod Healthc. November 2, 2009;39:6.

Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions.
ISMP Medication Safety Alert! Acute Care Edition. November 5, 2009;14:1-3.

 Web Resource

Multi-use Website
Safe Use Initiative.
US Food and Drug Administration.

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