AHRQ Patient Safety Network - What's New This Week

Tabla de contenidos del documento: (original se abre desde acceso al pié)

Audiovisual
- Healthcare 411: medication safety toolkit.
Bethesda, MD; Agency for Healthcare Research and Quality. February 25, 2009.

Book/Report
- Safe Practices 2009.
National Quality Forum. Washington DC: National Quality Forum; 2009.

- Serious and Sentinel Events Reported By District Health Boards—2007/08.
The Quality Improvement Committee. Wellington, New Zealand; 2009. ISBN 9780478319118.

Journal Article

Commentary
- Diagnostic errors—The next frontier for patient safety. Newman-Toker DE, Pronovost PJ. JAMA. 2009;301:1060-1062.

- Practice advisory on anesthetic care for magnetic resonance imaging: a report by the American Society of Anesthesiologists Task Force on Anesthetic Care for Magnetic Resonance Imaging. Anesthesiology. 2009;110:459-479.

- The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks and benefits. Streiff MB, Haut ER. JAMA. 2009;301:1063-1065.

Study
- Competence and certification of registered nurses and safety of patients in intensive care units. Kendall-Gallagher D, Blegen MA. Am J Crit Care. 2009;18:106-113.

- Evaluation of the contributions of an electronic web-based reporting system: enabling action. Levtzion-Korach O, Alcalai H, Orav EJ, et al. J Patient Saf. 2009;5:9-15.

- Impact of a comprehensive patient safety strategy on obstetric adverse events. Pettker CM, Thung SF, Norwitz ER, et al. Am J Obstet Gynecol. 2009 Feb 26; [Epub ahead of print].

- Intensive care units, communication between nurses and physicians, and patients' outcomes. Manojlovich M, Antonakos CL, Ronis DL. Am J Crit Care. 2009;18:21-30.

- Knowledge-based errors in anesthesia: a paired, controlled trial of learning and retention. Goldhaber-Fiebert SN, Goldhaber-Fiebert JD, Rosow CE. Can J Anaesth. 2009;56:35-45.

- Medical errors in orthopaedics. Results of an AAOS member survey. Wong DA, Herndon JH, Canale ST, et al. J Bone Joint Surg Am. 2009;91:547-557.

- Nursing time devoted to medication administration in long-term care: clinical, safety, and resource implications. Thomson MS, Gruneir A, Lee M, et al. J Am Geriatr Soc. 2009;57:266-272.

- Patient safety climate in primary care: age matters. Holden LM, Watts DD, Hinton WP. J Patient Saf. 2009;5:23-28.

- The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium. Cravero JP, Beach ML, Blike GT, Gallagher SM, Hertzog J; Pediatric Sedation Research Consortium. Anesth Analg. 2009;108:795-804.

Meeting/Conference
- New York Meeting/Conference
- Crucial Conversations in Healthcare: Advancing Patient Safety & Avoiding Adverse Events.
AIG Healthcare and The National Patient Safety Foundation. April 7, 2009; St. Vincent's Hospital and Medical Center, New York, NY.

Newspaper/Magazine Article

- A life-changing case for doctors in training. Lerner BH. New York Times. March 2, 2009:5D.

- Finding a way to ask doctors tough questions. Landro L. Wall Street Journal. March 4, 2009:D1.

- IT vulnerabilities highlighted by errors, malfunctions at veterans' medical centers.
Kuehn BM. JAMA. 2009;301:919-920.

Press Release/Announcement
- Risk of burns during MRI scans from transdermal drug patches with metallic backings.
MedWatch Safety Alert [US Food and Drug Administration Web site]. March 5, 2009.

abrir aquí para acceder a los documentos originales en idioma inglés (algunos de ellos se suministran sólo por suscripción):
- AHRQ Patient Safety Network - What's New This Week