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08/20/08  
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Journal Articles

Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety.
Frankel A, Grillo SP, Pittman M, et al. Health Serv Res. 2008 Jul 29; [Epub ahead of print].

Medication errors reported by US family physicians and their office staff.
Kuo GM, Phillips RL, Graham D, Hickner JM. Qual Saf Health Care. 2008;17:286-290. 

Inpatient suicide and suicide attempts in Veterans Affairs hospitals.
Mills PD, DeRosier JM, Ballot BA, Shepherd M, Bagian JP. Jt Comm J Qual Patient Saf. 2008;34:482-488.

Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients.
Errando CL, Sigl JC, Robles M, et al. Br J Anaesth. 2008;101:178-185.

Peer support: healthcare professionals supporting each other after adverse medical events.
van Pelt F. Qual Saf Health Care. 2008;17:249-252.

Safety skills for clinicians: an essential component of patient safety.
Taylor-Adams S, Smith A, Vincent C. J Patient Saf. 25 July 2008; [Epub ahead of print]. 

The competitive imperative of learning.
Edmondson AC. Harv Bus Rev. 2008;86:60-67, 160.

"Every error counts": a web-based incident reporting and learning system for general practice.
Hoffmann B, Beyer M, Rohe J, Gensichen J, Gerlach FM. Qual Saf Health Care. 2008;17:307-312.

Communicative competence of international nurses and patient safety and quality of care.
Xu Y. Home Health Care Manag Pract. 2008;20:430-432.

Books/Reports

Building a Culture of Patient Safety: Report of the Commission on Patient Safety and Quality Assurance.
Dublin, Ireland: Department of Health & Children, Commission on Patient Safety and Quality Assurance; 2008. ISBN: 9781406421835.

Tools/Toolkits

Survey on smart infusion pumps.
Horsham, PA: Institute for Safe Medication Practices; July 31, 2008.

Audiovisuals

The Evolution of the CAHPS Clinician & Group Survey: An Update from AHRQ's CAHPS Consortium. 
Agency for Healthcare Research and Quality CAHPS Consortium. September 25, 2008, 1:00–2:30 PM (Eastern).

AHRQ 2008 Annual Conference.
Agency for Healthcare Research and Quality. September 7-10, 2008; North Bethesda Marriott, Bethesda, MD. 

Using Data Effectively to Manage the Risks to Medication Safety.
US Pharmacopeia, Institute for Safe Medication Practices. September 12, 2008; USP Headquarters, Rockville, MD. 


Primers
Medication Reconciliation, Patient Disclosure, Never Events, Rapid Response Systems, More...
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Journal articles, Books and reports, Tools and toolkits, Upcoming meetings, More...


Browse by Origin/Sponsor
Federal Government, Department of Health and Human Services, Agency for Healthcare Research and Quality, United Kingdom, More...


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

Classification of incident reports submitted electronically
Source
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