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AHRQ Patient Safety Network ► 26th Annual IHI National Forum on Quality Improvement in Health Care.

AHRQ Patient Safety Network

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26th Annual IHI National Forum on Quality Improvement in Health Care.

Institute for Healthcare Improvement. December 7–10 2014; World Center Marriott, Orlando, FL.

This annual conference will offer pre-session site visits, minicourses, presentations, and interactive workshops exploring strategies to improve health care quality and safety. The meeting will host a multidisciplinary speaker roster and feature keynote sessions by Maureen BisognanoDr. Atul Gawande, Robin Roberts, and Dr. Donald Berwick

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Related Resources
NEWSPAPER/MAGAZINE ARTICLE
Approved: 2010 National Patient Safety Goals.
Jt Comm Perspect. October 2009;29:1, 20-31.
AUDIOVISUAL
"To Err Is Human" Report Retrospective and the Decade Ahead.
2009 NPSF Congress: Lucian Leape Institute Plenary. Boston, MA: National Patient Safety Foundation; May 21, 2009.
COMMENTARY
Viewing health care delivery as science: challenges, benefits, and policy implications.
Pronovost PJ, Goeschel CA. Health Serv Res. 2010;45:1508-1522.
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AHRQ Patient Safety Network: FDA Pharmacists Help Consumers Use Medicines Safely.

AHRQ Patient Safety Network

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FDA Pharmacists Help Consumers Use Medicines Safely.

Silver Spring, MD: United States Food and Drug Administration; October 31, 2014.

Studies have shown that pharmacist involvement can prevent medication errors. To help patients take their medications safely, this consumer update discusses pharmacists as participants in a government drug information center and reveals the top five questions submitted along with their corresponding answers.

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Related Resources
COMMENTARY
Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety
Alldredge BK, Koda-Kimble MA. AHRQ WebM&M [serial online]. April 2006.
NEWSPAPER/MAGAZINE ARTICLE
Practitioners agree on medication reconciliation value, but frustration and difficulties abound.
ISMP Medication Safety Alert! Acute Care Edition. July 13, 2006;11:1-2.
STUDY
Medication reconciliation for reducing drug-discrepancy adverse events.
Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.
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AHRQ Patient Safety Network: Pearls, Pitfalls, and Errors in Musculoskeletal Diagnosis.

AHRQ Patient Safety Network

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Pearls, Pitfalls, and Errors in Musculoskeletal Diagnosis.

Blankenbaker DG, ed. AJR Am J Roentgenol. 2014;203:476-593.

Articles in this special issue discuss common pitfalls in musculoskeletal imaging that can contribute to errors in trauma and extremity injury assessments, magnetic resonance imaging interpretation, and problems with ultrasound use.

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Related Resources
STUDY
Accuracy of radiographic readings in the emergency department.
Petinaux B, Bhat R, Boniface K, Aristizabal J. Am J Emerg Med. 2011;29:18-25.
STUDY
Diagnostic errors with inserted tubes, lines and catheters in children.
Fuentealba I, Taylor GA. Pediatr Radiol. 2012;42:1305-1315.
STUDY
Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors.
Kim YW, Mansfield LT. AJR Am J Roentgenol. 2014;202:465-470.
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