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11/18/09  
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Journal Articles

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.

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].

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.

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

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

Newspapers/Magazine Articles

Changing course.
DerGurahian J. Mod Healthc. November 2, 2009;39:6.

Web Resources

Safe Use Initiative.
US Food and Drug Administration.

Grants

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

Meetings/Conferences

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

44th ASHP Midyear Clinical Meeting and Exhibition.
American Society of Health-System Pharmacists. December 6-10, 2009; Venetian Hotels and Sands Expo Center, Las Vegas, NV. 

12th Annual ISMP Cheers Awards.
Institute for Safe Medication Practices. December 8, 2009; Bali Hai Golf Club, Las Vegas, NV.



Primers
Medication Reconciliation, Error Disclosure, Never Events, Rapid Response Systems, More...
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Safety Target
Medication errors, Diagnostic errors, Nosocomial infections, Post-operative surgical complications, More...

Approach to Improving Safety
Human factors engineering, Error reporting, Teamwork training, Culture of safety, Nurse staffing ratios, Regulation, More...

Error Types
Cognitive errors ("mistakes"), Non-cognitive errors ("slips & lapses"), Latent errors, More...

Clinical Area
Anesthesiology, Emergency medicine, Critical care nursing, Community pharmacy, More...

Target Audience
Physicians, Nurses, Risk managers, Educators, Policymakers, More...

Setting of Care
Intensive care units, Operating room, Children's hospitals, Ambulatory clinic or office, Residential facilities, More...


View ClassicsPatient Safety

Did You Know? View All DYKs

Surgeons experienced 50% fewer positioning errors with laparoscopic procedure equipment when they used a structured checklist.
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