AHRQ Patient Safety Network - What's New This Week

TABLA de DESCRIPCIÓN DE CONTENIDOS:

- Book/Report
Book/Report
* Hospital Report Card: Ontario 2009. Esmail N, Hazel M. Studies in Health Care Policy. Fraser Institute. Calgary, Alberta, Canada; March 2009. ISSN: 1918-2082.


- Journal Article
* Commentary
** Current status of the monitoring of medication practice. Cousins D. Am J Health Syst Pharm. 2009;66:S49-S56.

** Measurement of quality and assurance of safety in the critically ill. Pronovost PJ, Sexton JB, Pharn JC, Goeschel CA, Winters BD, Miller MR. Clin Chest Med. 2009;30:169-179.


- Study
*** A pilot study examining undesirable events among emergency department–boarded patients awaiting inpatient beds. Liu SW, Thomas SH, Gordon JA, Hamedani AG, Weissman JS. Ann Emerg Med. 2009 Mar 19; [Epub ahead of print].

*** Do patient safety events increase readmissions? Friedman B, Encinosa W, Jiang HJ, Mutter R. Med Care. 2009 Mar 23; [Epub ahead of print].

*** Drug-related problems in medical wards with a computerized physician order entry system.
Bedouch P, Allenet B, Grass A, et al. J Clin Pharm Ther. 2009;34:187-195.

*** Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. Okon TR, Lutz PS, Liang H. J Pain Symptom Manage. 2009 Mar 9; [Epub ahead of print].

*** Managing intraoperative stress: what do surgeons want from a crisis training program?
Arora S, Sevdalis N, Nestel D, Tierney T, Woloshynowych M, Kneebone R. Am J Surg. 2009;197:537-543.

*** Mortality related to anaesthesia in France: analysis of deaths related to airway complications. Auroy Y, Benhamou D, Péquignot F, Bovet M, Jougla E, Lienhart A. Anaesthesia. 2009;64:366-370.

*** Rating recommendations for consumers about patient safety: sense, common sense, or nonsense? Weingart SN, Morway L, Brouillard D, et al. Jt Comm J Qual Patient Saf. 2009;35:206-215.

*** Rescue me: saving the vulnerable non-ICU patient population. Bader MK, Neal B, Johnson L, et al. Jt Comm J Qual Patient Saf. 2009;35:199-205.

*** The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level: analysis of administrative data. Van den Heede K, Lesaffre E, Diya L, et al. Int J Nurs Stud. 2009 Feb 6; [Epub ahead of print].

*** Use of electronic health records in US hospitals. Jha AK, Desroches CM, Campbell EG, et al. N Engl J Med. 2009 Mar 25; [Epub ahead of print].


- Meeting/Conference

**** Massachusetts Meeting/Conference - The Eighth National Quality Colloquium.
Harvard University. August 17-20, 2009; Annenberg Hall, Cambridge, MA.

**** Upcoming Meeting/Conference - Creating a Patient and Family Advisory Council.
Institute for Family-Centered Care. April 28, 2009; 1:00–2:30 PM (Eastern).


- Newspaper/Magazine Article
* Newspaper/Magazine Article
***** Doctor dozed during surgery, report says Beth Israel faulted in case. Kowalczyk L. Boston Globe. March 25, 2009;Metro:1.

***** Engaging as partners in patient safety: the experience of librarians. Zipperer L, Sykes J. Patient Saf Qual Healthc. March/April 2009;6:28-30,32-33.

***** Fatal outcome after inadvertent injection of topical epinephrine. ISMP Medication Safety Alert! Acute Care Edition. March 26, 2009;14:1-2.

***** Spell it out: ensuring compliance with do-not-use abbreviation policies. Jt Comm Perspect Patient Saf. April 2009;9:1-3,13-15.


- Press Release/Announcement
* Press Release/Announcement
****** Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens. FDA Alert [US Food and Drug Administration Web site]. March 19, 2009.

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AHRQ Patient Safety Network - What's New This Week