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What's New for 2/28/2007
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 Award

Award Announcement
Chairman's Medal and Socius Award Nominations.
National Patient Safety Foundation.  

 Journal Article

Commentary
From good intentions to successful implementation: the case of patient safety in Canada.
Thomas PG. Can Public Adm. 2006;49:415-426.

Language games and tragedy: The Bristol Royal Infirmary disaster revisited.
Kewell BJ. Health Risk Soc. 2006;8:359-377.

Root cause analysis.
Stecker MS. J Vasc Interv Radiol. 2007;18:5-8.

Review
Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care.
Kripalani S, LeFevre F, Phillips CO, Williams MV, Basaviah P, Baker DW. JAMA. 2007;297:831-841.

Study
A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions.
Karnon J, McIntosh A, Dean J, et al. Safety Sci. 2007;45:523-539.

Adverse events following an emergency department visit.
Forster AJ, Rose NGW, van Walraven C, Stiell I. Qual Saf Health Care 2007;16:17-22.

Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study.
Bowers L, Allan T, Simpson A, Nijman H, Warren J. Int J Soc Psychiatry. 2007;53:75-84.

Costs and benefits of an early-alert surveillance system for hospital inpatients.
Marchetti A, Jacobs J, Young M, Martin J, Rossiter R. Curr Med Res Opin. 2007;23:9-16.

Implementation of an electronic system for medication reconciliation.
Kramer JS, Hopkins PJ, Rosendale JC, et al. Am J Health Syst Pharm. 2007;64:404-422.

Improving general practice computer systems for patient safety: qualitative study of key stakeholders.
Avery AJ, Savelyich BSP, Sheikh A, Morris CJ, Bowler I, Teasdale S. Qual Saf Health Care. 2007;16:28-33.

Insufficient communication about medication use at the interface between hospital and primary care.
Glintborg B, Andersen SE, Dalhoff K. Qual Saf Health Care. 2007;16:34-39.

Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in paediatric critical care.
Vardi A, Efrati O, Levin I, et al. Resuscitation. 2007 Feb 6; [Epub ahead of print].

The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study.
Tipping B, Kalula S, Badri M. S Afr Med J. 2006;96:1255-1259.

The impact of video games on training surgeons in the 21st century.  
Rosser JC Jr, Lynch PJ, Cuddihy L, Gentile DA, Klonsky J, Merrell R. Arch Surg. 2007;142:181-186.

The objective medical emergency team activation criteria: a case-control study.
Cretikos M, Chen J, Hillman K, Bellomo R, Finfer S, Flabouris A, and the MERIT study investigators. Resuscitation. 2007 Jan 20; [Epub ahead of print].

The risk of adverse drug events and hospital-related morbidity and mortality among older adults with potentially inappropriate medication use.
Page RL 2nd, Ruscin JM. Am J Geriatr Pharmacother. 2006;4:297-305.

 Meeting/Conference

Nevada Meeting/Conference
Accountability: The Case for Transparency and Disclosure in Health Care.
The Risk Management and Patient Safety Institute. March 19-20, 2007; Bellagio Resort and Casino, Las Vegas, NV. 

 Newspaper/Magazine Article

Newspaper/Magazine Article
Decreasing inpatient mortality with rapid-response teams.
Austin J. Modern Physician. February 20, 2007.

Doctor administered fatal dose of calcium to baby, inquest told.
Morris S. Guardian. February 13, 2007.

Empowering families in emergencies.
Spath PL. Hospital & Health Networks. February 20, 2007.

Kaiser has aches, pains going digital.
Costello D. Los Angeles Times. February 15, 2007:A1.

 Web Resource

Multi-use Website
2007 National Patient Safety Awareness Week.
National Patient Safety Foundation. March 4-10, 2007.

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