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05/14/08  
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Journal Articles

The wisdom and justice of not paying for "preventable complications."
Pronovost PJ, Goeschel CA, Wachter RM. JAMA. 2008;299:2197-2199.

Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital admission?
Bahl V, Thompson MA, Kau T-Y, Hu HM, Campbell DA Jr. Med Care. 2008;46:516-522.

Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety.
Koppel R, Wetterneck T, Telles JL, Karsh BT. J Am Med Inform Assoc. 2008 Apr 24; [Epub ahead of print].

Potentially inappropriate medication use in hospitalized elders.
Rothberg MB, Pekow PS, Liu F, et al. J Hosp Med. 2008;3:91-102.

Informatics opportunities: the intersection of patient safety and clinical informatics.
Kilbridge PM, Classen DC. J Am Med Inform Assoc. 2008 Apr 24; [Epub ahead of print].

Overconfidence as a cause of diagnostic error in medicine.
Berner ES, Graber ML. Am J Med. 2008;121(suppl 1):S2-S23.

Special or Theme Issues

Diagnostic Error: Is Overconfidence the Problem.
Graber ML, Berner ES, eds. Amer J Med. 2008;121(suppl 1):S1-S46.

Books/Reports

Pennsylvania Patient Safety Authority 2007 Annual Report.
Harrisburg, PA: Patient Safety Authority; April 29, 2008.

Audiovisuals

Billed for medical mistakes.
Stock S. I-Team Investigation. CBS4.com. May 1, 2008.

Web Resources

Hospital Survey on Patient Safety Culture Comparative Database.
Agency for Healthcare Research and Quality.

Newspapers/Magazine Articles

Some red rules shouldn't rule in hospitals.
ISMP Medication Safety Alert! Acute Care Edition. April 24, 2008;13:1-3.

Meetings/Conferences

Using Data Effectively to Manage the Risks to Medication Safety.
US Pharmacopeia, Institute for Safe Medication Practices. June 7, 2008; Red Lion Hotel, Seattle, WA. 

The Leapfrog Hospital Survey.
Leapfrog Group. Washington, DC.

From the Top: The Role of the Board in Quality and Safety.
Institute for Healthcare Improvement. May 29-30, 2008; Embassy Suites Chicago Downtown-Lakefront, Chicago, IL.

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Browse by Subject

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

Pie graph showing degree of EHR implementation in all practices.  11.5% -- Fully implemented, 12.7% --Implementation in progress, 14.2 -- Planned in next 12 months, 19.8% -- Planned in next 13-24 months, 41.8% -- Not implemented and no plans in next 24 months
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