Scanning the Headlines: Patient Safety (Archive) 2006


Updated on July 8, 2009

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Links to full-text articles are provided where available.
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Pronovost, P., and others.  An intervention to decrease catheter-related bloodstream infections in the ICU.  New England Journal of Medicine.  355:2725-2732, Dec. 28, 2006.

With infections on rise, hospital tactics vary.  The Wall Street Journal Online.  Dec. 26, 2006.

Landon, B., and others.  Quality of care for the treatment of acute medical conditions in US hospitals.  Archives of Internal Medicine.  166(22):2511-2517, Dec. 11/25, 2006.

Werner, R., and Bradlow, E.  Relationship between Medicare's hospital compare performance measures and mortality rates.  Journal of the American Medical Association.  296(22):2694-2702, Dec. 13, 2006.

Wickham, V., and others.  Bar-coded patient ID:  review an organizational approach to vendor selection.  Nursing Management.  37(12):22-26, Dec. 2006.

Krupala, J., Friedrichs, M., and Davis, J.  Infuse safety, one pump at a time.  Nursing Management.  37(12):38-40, Dec. 2006.

Gillean, J., and others.  A search for the "holy grail" of health care:  a correlation between quality and profitability.  Healthcare Financial Managehment.  60(12):114-121, Dec. 2006.

Withrow, S.  The 8 dimensions of quality.  Healthcare Financial Management.  60(12):86-91, Dec. 2006.

Meek, J., and Tinney, S.  Computerize your infection surveillance for improved patient care--and savings.  Healthcare Financial Management.  60(12):108-112, Dec. 2006.

Williams, J.  Making the grade with pay for performance.  Healthcare Financial Management.  60(12):79-85, Dec. 2006.

Ward, W., Spragens, L., and Smithson, K.  Building the business case for clinical quality.  Healthcare Financial Management.  60(12):92-98, Dec. 2006.

Kilbridge, P., and others.  The national quality forum safe practice standard for computerized physician order entry:  updating a critical patient safety practice.  Journal of Patient Safety.  2(4):183-190, Dec. 2006.

Scanlon, M., and others.  Targeted chart review of pediatric patient safety events identified by the agency for healthcare research and quality's patient safety indicators methodology.   Journal of Patient Safety.  2(4):191-197, Dec. 2006.

Moody, R., and others.  Creating safety culture on nursing units:  human performance and organizational system factors that make a difference.  Journal of Patient Safety.  2(4):198-206, Dec. 2006.

Galt, K., and others.  Description and evaluation of an interprofessional patient safety course for health professions and related sciences students.  Journal of Patient Safety.  2(4):207-216, Dec. 2006.

Carruthers, I., and Phillip, P.  Safety First:  a Report for Patients, Clinicians and Healthcare Managers.  London, UK:  National Patient Safety Agency, Dec. 2006.

Santell, J.  Technological methods used to prevent errors aren't infallible.  Materials Management in Healthcare.  15(12):26-30, Dec. 2006.

Menachemi, N., and others. Managed care penetration and other factors affecting computerized physician order entry in the ambulatory setting.  American Journal of Managed Care.  12(12):738-744, Dec. 2006.

Greene, J.  Under-mined.  Hospitals and Health Networks.  80(12):38-44, Dec. 2006.

Kerfoot, K., and others.  The power of collaboration with patient safety programs.  Journal of Nursing Administration.  36(12):582-588, Dec. 2006.

What does the ruling mean for hospitals?  Managing the Margin.  4(12):4, Dec. 2006.

Egger, N.  Perilous prescriptions. The Hospitalist.  10(12):15-16, 18, Dec. 2006.

Human factors, education help sharpen the OR count process.  OR Manager.  22(12):1,7, 9, 11, Dec. 2006.

Preventing spread of 'super bugs' in the ambulatory surgery setting.  OR Manager.  22(12):1, 23-26, Dec. 2006.

Five commandments of the count.  OR Manager.  22(12):10-11, Dec. 2006.

Could technology help in OR counting?  OR Manager.  22(12):12-13, Dec. 2006.

Avoiding allergic reactions.  Joint Commission Perspectives on Patient Safety.  6(12):1, 7-8, Dec. 2006.

Even legible handwriting can cause harm.  Joint Commission Perspectives on Patient Safety.  6(12):3-4, Dec. 2006.

How to have a crucial conversation.  Joint Commission Perspectives on Patient Safety.  6(12):11, Dec. 2006.

Sattinger, A.  Problem docs:  disruptive behaviors and patient safety.  The Hospitalist.  10(12):39-41, Dec. 2006.

Schyve, P.  An interview with Donald Berwick.  Joint Commission Journal on Quality and Patient Safety.  32(12):661-666, Dec. 2006.

Bates, D.  An interview with Jerry Gurwitz.  Joint Commission Journal on Quality and Patient Safety.  32(12):667-671, Dec. 2006.

Apold, J., Daniels, T., and Sonneborn, M. Promoting collaboration and transparency in patient safety.  Joint Commission Journal on Quality and Patient Safety.  32(12):672-675, Dec. 2006.

Rabinowitz, A., and others.  Translating patient safety legislation into health care practice.  Joint Commission Journal on Quality and Patient Safety.  32(12):676-681, Dec. 2006.

Fox, J., and others.  A cooperative approach to standardizing care for patients with AMI or heart failure.  Joint Commission Journal on Quality and Patient Safety.  32(12):682-687, Dec. 2006.

Hansen, L.  Evaluating sample Medications in primary care:  a practice-based research network study.  Joint Commission Journal on Quality and Patient Safety.  32(12):688-692, Dec. 2006.

Casey, M., and others.  Prioritizing patient safety interventions in small and rural hospitals.  Joint Commission Journal on Quality and Patient Safety.  32(12):693-702, Dec. 2006.

Evans, J.  Medication storage safety:  we can never be too careful.  QR Today.  6(12):40-41, Dec. 2006.

December 2006 Patient Safety Initiative Updates: Review of Retained Objects and Lost Specimens.  Ewing, NJ:  New Jersey Department of Health and Senior Services, Dec. 2006.

Serb, C.  Medication and delivery.  Health Care's Most Wired Magazine.  5(1):22-28, Winter 2006.

Napper, J., and Napper, T.  CRTM raises the bar for patient safety and staff productivity.  Radiology Management.  28(6):36-40, Nov./Dec. 2006.

Hart, J., and Sweeney, G.  Integrating patient safety indicators into patient safety programs.  Journal for Healthcare Quality.  28(6):18-28, Nov./Dec. 2006.

Flores, D., and McDonald, M.  Joan M. Marren on home healthcare quality.  Journal for Healthcare Quality.  28(6):29-31, Nov./Dec. 2006.

Rudman, W., and others.  Teamwork and safety culture in small rural hospitals in Mississippi.  Patient Safety and Quality Healthcare.  3(6):46-49, Nov./Dec. 2006.

Moore, G.  Using clinical decision support to improve medication reconciliation.  Patient Safety and Quality Healthcare.  3(6):28-33, Nov./Dec. 2006.

Jacobs, J.  Improve patient safety.  Patient Safety and Quality Healthcare.  3(6):34-41, Nov./Dec. 2006.

Vaida, A., Pharm, D., and Zipperer, L.  Safe medication information delivery:  the role of the medical librarian.  Patient Safety and Quality Healthcare.  3(6):42-45, Nov./Dec. 2006.

Connor, J., and others.  Maximizing intensive care bed utilization while maintaining pediatric patient safety and quality of care.  Patient Safety and Quality Healthcare.  3(6):50-55, Nov./Dec. 2006.

Roberts, D.  What's next for patient safety policy?  Patient Safety and Quality Healthcare.  3(6):56-57, Nov./Dec. 2006.

Johnston, P.  Assessment of adverse drug events among patients in a tertiary care medical center.  American Journal of Health-System Pharmacy (AJHP).  63(22):2218-2227, Nov. 15, 2006.

Pittman, M.  Improving care in physician officesHospitals and Health Networks.  Web Exclusive.  Nov. 2, 2006.

DiConsiglio, J.  Back-to-basis measures save lives.  Hospital and Health Networks.  80(11):62-64, Nov. 2006.

Kramer, S.  Tiny tag team:  Danbury Hospital aims to keep its infants safe with bar-coded bands.  Healthcare Informatics.  23(11):56, Nov. 2006.

Wrong surgery more common than thought.  OR Manager.  22(11):5, Nov. 2006.

Rogoski, R.  Banking on safety.  Health Management Technology.  27(11):38-39, Nov. 2006.

Hermann, R., and others.  Aligning measurement-based quality improvement with implementation of evidence-based practice.  Administration and Policy in Mental Health and Mental Health Services Research.  33(6):636-645, Nov. 2006.

'No written claim' strategy can help avoid harmful reports about doctors to NPDB.  Healthcare Risk Management.  28(11):121-124, Nov. 2006.

Preemie deaths prompt special heparin caution.  Healthcare Risk Management.  28(11):130-131, Nov. 2006.

Cantrell, S.  Hand hygiene needs a hand up.  Healthcare Purchasing News.  30(11):30-34, Nov. 2006.

Making the right connection.  Joint Commission Perspectives on Patient Safety.  6(11):1, 3, 6, Nov. 2006.

Advice from change agents.  Joint Commission Perspectives on Patient Sa fety.  6(11):4-5, Nov. 2006.

Unprepared, uncoordinated, overcrowded.  Joint Commission Perspectives on Patient Safety.  6(11):7-8, Nov. 2006.

Creating a suicide risk management program.  Joint Commission Perspectives on Patient Safety.  6(11):9-10, Nov. 2006.

Ensuring the use of sterilized and disinfected equipment.  Joint Commission Perspectives on Patient Safety.  6(11):11, Nov. 2006.

Wang, M., and others.  Redesigning health systems for quality:  lessons from emerging practices.  Joint Commission Journal on Quality and Patient Safety.  32(11):599-611, Nov. 2006.

Berriel, D., and others.  Eliminating nosocomial infections at ascension health.  Joint Commission Journal on Quality and Patient Safety.  32(11):612-620, Nov. 2006.

Wachter, R., and Pronovost, P.  The 100,000 lives campaign:  a scientific and policy review.  Joint Commission Journal on Quality and Patient Safety.  32(11):621-627, Nov. 2006.

Berwick, D., Hackbarth, A., and McCannon, C.  IHI replies to "the 100,000 lives campaign:  a scientific and policy review".  Joint Commission Journal on Quality and Patient Safety.  32(11):628-630, Nov. 2006.

Noble, J.  The codman competition:  rewarding excellence in performance measurement, 1997-2006.  Joint Commission Journal on Quality and Patient Safety.  32(11):634-639, Nov. 2006.

Arora, V., and Johnson, J.  A model for building a standardized hand-off protocol.  Joint Commission Journal on Quality and Patient Safety.  32(11):646-655, Nov. 2006.

ICU uses 'bundles' to make huge improvements.  Healthcare Benchmarks and Quality Improvement.  13(11):124-125, Nov. 2006.

Med students can aid in safety improvement.  Healthcare Benchmarks and Quality Improvement.  13(11):127-128, Nov. 2006.

ACE aims to help lower performing facilities.  Healthcare Benchmarks and Quality Improvement.  13(11):128-129, Nov. 2006.

Casey, M., Moscovice, I., and Davidson, G.  Pharmacist staffing, technology use, and implementation of medication safety practices in rural hospitals.  Journal of Rural Health.  22(4):321-330, Fall 2006.

Gandhi, T., and others.  Missed and delayed diagnosis in the ambulatory setting:  a study of closed malpractice claims.  Annals of Internal Medicine.  145(7):488-196, Oct. 3, 2006.

Mewshaw, M., White, K., and Walrath, J.  Medical errors:  where are we now?  Nursing Management.  37(10):50-54, Oct. 2006.

Bad behavior in OR threatens patient safety, stresses teams.  OR Manager.  22(10):1, 19, Oct. 2006.

Hagland, M.  Bedside manners:  mobile computing goes bedside to increase safety at the point of care.  Healthcare Informatics.  23(10):32-36, Oct. 2006.

Kinman, J.  Sentinel events:  gearing up to fight the problem.  The Hospitalist.  10(10):36-37, Oct. 2006.

Alvarado, K., and others.  Transfer of accountability:  transforming shift handover to enhance patient safetyHealthcare Quarterly.  Special Issue, 9:75-79, Oct. 2006.

Rask, K., Schuessler, L., and Naylor, D.  A statewide voluntary patient safety initiative:  the Georgia experience.  Joint Commission Journal on Quality and Patient Safety.  32(10);564-572, Oct. 2006.

Resar, R., and others.  Methods, tools, and strategies:  a trigger tool to identify adverse events in the intensive care unit.  Joint Commission Journal on Quality and Patient Safety.  32(10);585-590, Oct. 2006.

Britto, M., and others.  Cincinnati Children's Hospital Medical Center:  transforming care for children and families. Joint Commission Journal on Quality and Patient Safety.  32(10);541-548, Oct. 2006.

Beard, C., and others.  Baptist Memorial Hospital for Women:  quality lifelines for a lifetime.  Joint Commission Journal on Quality and Patient Safety.  32(10);549-555, Oct. 2006.

Blair, R., editor.  And the winner is... everyone.  Health Management Technology.  27(10):46-52, Oct. 2006.

Knapp, C.  Bronson Methodist Hospital:  journey to excellence in quality and safety.  Joint Commission Journal on Quality and Patient Safety.  32(10);556-563, Oct. 2006.

Got MRSA?  APIC rallying ICPs to answer national prevalence survey.  Hospital Infection Control.  33(10):109-114, Oct. 2006.

MRSA active surveillance:  one size does not fit all.  Hospital Infection Control.  33(10):114-116, Oct. 2006.

Anderson, D.  Creating a culture of safety:  leadership, teams, and tools.  Nurse Leader.  4(5):38-41, Oct. 2006.

Panel:  totally redesign syringes to reduce needlesticks.  Materials Management in Health Care.   15(10):6-11, Oct. 2006.

Porto, G.  Dealing with repetitive error patterns.  Joint Commission Perspectives on Patient Safety.  6(10):5-6, 10, Oct. 2006.

Identifying patients using bar-code technology.  Joint Commission Perspectives on Patient Safety.  6(10):9-10, Oct. 2006.

Reducing the risk of laboratory errors. Joint Commission Perspectives on Patient Safety.  6(10):11, Oct. 2006.

Pawola, L.  Legislation to the rescue?  Patient Safety and Quality Healthcare.  3(5):6-7, Sept./Oct. 2006.

Chaiken, B.  The IOM's holistic approach to medication errors.  Patient Safety and Quality Healthcare.  3(5):8-10, Sept./Oct. 2006.

Gilk, T.  MRI suites:  safety outside the bore.  Patient Safety and Quality Healthcare.  3(5):16-21, Sept./Oct. 2006.

Hardy, J.  No hidden patient:  facility design for safety.  Patient Safety and Quality Healthcare.  3(5):22-24, Sept./Oct. 2006.

Halamika, J., and others.  E-prescribing in Massachusetts:  collaboration leads to success.  Patient Safety and Quality Healthcare.  3(5):26-30, Sept./Oct. 2006.

Robbins, D.  Healthcare cost and quality.  Patient Safety and Quality Healthcare.  3(5):54-55, Sept./Oct. 2006.

Kertesz, L.  Ratcheting up quality reporting.  AHIP Coverage.  47(5):10, 70-75, Sept./Oct. 2006.

Edlin, M.  A quest for better quality.  AHIP Coverage.  47(5):14-17, Sept./Oct. 2006.

Zhan, C., and others.  Medicare payment for selected adverse events:  building the business case for investing in patient safety.   Health Affairs.  25(5):1386-1393, Sept./Oct. 2006.

Pham, H., Coughlan, J., and O'Malley, A.  The impact of quality reporting programs on hospital operations.   Health Affairs.  25(5):1412-1422, Sept./Oct. 2006.

Evans, M.  The grade is:  66 out of 100.  Modern Healthcare.  36(38):6-7, Sept. 25, 2006.

West, C.  Association of perceived medical errors with resident distress and empathy.  JAMA.  296(9):1071-1078, Sept. 6, 2006.

Preventing adverse events caused by emergency electrical power failures.  Sentinel Event Alert.  Issue 37, Sept. 6, 2006.

White, K.  Be a best-in-class organization.  Nursing Management.  37(9):53, Sept. 2006.

Patient Safety Initiative.  2005 Summary Report.  Ewing, NJ:  New Jersey Department of Health and Senior Services, Sept. 2006.

Cantrell, S.  Infectionconnection preventing mosocomial infection:  help is available for pushing best practices forward.  Healthcare Purchasing News.  30(9):34, 36, 39-40, Sept. 2006.

Jacott, W.  No shortcuts.  The Hospitalist.  10(9):22-24, Sept. 2006.

Sattinger, A.  Things you can do to save lives.  The Hospitalist.  10(9):27-30, 32-36, Sept. 2006.

Draper, A., Evans, J., and Rohde, J.  It's all about teamwork.  Facility Care.  11(6):20-23, Sept. 2006.

Patients at this hospital have a 'ticket to ride'.  Healthcare Benchmarks and Quality Improvement.  13(9):102-104, Sept. 2006.

Safe lifting fits JCAHO fall prevention goal.  Hospital Employee Health.  25(9):103-104, Sept. 2006.

Study suggests wand device could reduce MedMal errors.  Medical Liability Monitor.  31(9):6, Sept. 2006.

Saving Lives, Reducing Costs Computerized Physician Order Entry Lessons Learned in Community Hospitals.  Westborough, MA:  Massachusetts Technology Collaborative, Sept. 2006.

Shannon, R., and others.  Using real-time problem solving to eliminate central line infections.  Joint Commission Journal on Quality and Patient Safety.  32(9):479-487, Sept. 2006.

Gibbon, W., and others.  Eliminating facility-acquired pressure ulcers at ascension health.  Joint Commission Journal on Quality and Patient Safety.  32(9):488-496, Sept. 2006.

Mann, S., and others.  Assessing quality in obstetrical care:  development of standardized measures.  Joint Commission Journal on Quality and Patient Safety.  32(9):497-505, Sept. 2006.

Barron, W., and others.  Implementing computerized provider order entry with an existing clinical information system.  Joint Commission Journal on Quality and Patient Safety.  32(9):506-516, Sept. 2006.

Stoeckle-Roberts, S., and others.  Closing gaps between evidence-based stroke care guidelines and practices with a collaborative quality improvement project.  Joint Commission Journal on Quality and Patient Safety.  32(9):517-527, Sept. 2006.

Dunwoody, C., Skledar, S., and Freeman, S.  Changes in patient-controlled analgesia following a meperidine overdose.  Joint Commission Journal on Quality and Patient Safety.  32(9):528-530, Sept. 2006.

Pines, J., and others.  Pay for performance for antibiotic timing in pneumonia:  caveat emptor.  Joint Commission Journal on Quality and Patient Safety.  32(9):531-535, Sept. 2006.

2006 Update on Consumers' Views of Patient Safety and Quality Information.  Menlo, CA:  Henry J. Kaiser Family Foundation, and Rockville, MD:  Agency for Healthcare Research and Quality, Sept. 2006.

Hagland, M.  Right patient, right dose...  Healthcare Informatics.  23(9):52-57, Sept. 2006.

Poon, E.G., and others.  Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy.  Annals of Internal Medicine.  145:426-434, Sept. 2006.

Scalise, D.  Save lives now 30 things you can do to eliminate infections.  Hospital and Health Networks.  80(9):32-40, Sept. 2006.

Page, L.  Surgical fire prevention is everyone's concern.  Materials Management in Health Care.  15(9):26-31, Sept. 2006.

Levinson, D.  Hospital Reporting of Deaths Related to Restraint and Seclusion.   Washington:  Department of Health and Human Services/Office of Inspector General, Sept. 2006.

An overview of the patient safety movement in healthcarePlastic Surgical Nursing.  26(3):116-120, July/Sept. 2006.

Grant, M., and others.  The safety culture in a children's hospital.  Journal of Nursing Care Quality.  221(3):223-229, July/Sept. 2006.

Nowinski, C.,  and Mullner, R.  Patient safety:  solutions in managed  care organizations?  Quality Management in Health Care.  15(3):130-136, July/Sept. 2006.

Schaffer, R.  First step to patient safety bar codes or CPOE?  Hospital and Health Networks.  Web Exclusive.  Aug. 2, 2006.

Sikri, S., and others.  Effect of a remote order scanning system on processing medication orders.  American Journal of Health-System Pharmacy.  63(15):1438-1441, Aug. 1, 2006.

Mills, P., and others.  Improving the bar-coded medication administration system at the Department of Veterans Affairs.  American Journal of Health-System Pharmacy.  63(15):1442-1447, Aug. 1, 2006.

Kelly, W., and Rucker, D.  Compelling features of a safe medication-use system.  American Journal of Health-System Pharmacy.   63(15):1461-1468, Aug. 1, 2006.

Schauberger, C., and Larson, P.  Implementing patient safety practices in small ambulatory care settings.  Joint Commission Journal on Quality and Patient Safety.  32(8):419-425, Aug. 2006.

Rose, J., and others.  A leadership framework for culture change in health care.  Joint Commission Journal on Quality and Patient Safety.  32(8):433-442, Aug. 2006.

Santell, J.  Medication errors involving neuromuscular blocking agents.  Joint Commission Journal on Quality and Patient Safety.  32(8):470-475, Aug. 2006.

Clinical communication and patient safety.  Hospital and Health Networks.  80(8):gatefold insert, Aug. 2006.

Who's guarding safety of human tissue?  OR Manager.  22(8):21, 23 , Aug. 2006.

Henriksen, K., and Dayton, E.  Public policy and research agenda.  Health Services Research.  41(4):1539-1554, Part II, Aug. 2006.

Battles, J., and others.  Sensemaking of patient safety risks and hazards.  Health Services Research.   41(4):1555-1575, Part II, Aug. 2006.

Baker, D., Day, R., and Salas, E.  Teamwork as an essential component of high-reliability organizations.  Health Services Research.   41(4):1576-1598, Part II, Aug. 2006.

Pronovost, P., and others.  Creating high reliability in health care organizations.  Health Services Research.   41(4):1599-1617, Part II, Aug. 2006.

Dixon, N., and Shofer, M.  Patterns, culture, and reliability.  Health Services Research.   41(4):1618-1632, Part II, Aug. 2006.

Rivard, P., Rosen, A., and Carroll, J.  Enhancing patient safety through organizational learning:  are patient sefety indicators a step in the right direction?  Health Services Research.   41(4):1633-1653, Part II, Aug. 2006.

Tamuz, M., and Harrison, M.  Improving patient safety in hospitals:  contributions of high-reliability theory and normal accident theory.  Health Services Research.  41(4):1654-1676, Part II, Aug. 2006.

Resar, R.  Making noncatastrophic health care processes reliable:  learning to walk before running in creating high-reliability organizations.  Health Services Research.   41(4):1677-1689, Part II, Aug. 2006.

Frankel, A., Leonard, M., and Denham, C.  Fair and just culture, team behavior and leadership engagement:  the tools to achieve high reliability.  Health Services Research.   41(4):1690-1709, Part II, Aug. 2006.

Organizations join forces against Joint Commission medication rules.  ED Management.  18(8):85-87, Aug. 2006.

Gillies, R., and others. The impact of health plan delivery system organization on clinical quality and patient satisfaction.  Health Services Research.  41(4):1181-1199, Part I, Aug. 2006.

Sherrod, M., and Good, J.  Crack the code of patient falls.  Nursing Management.  37(8):25-29, Aug. 2006.

'100,000 lives' campaign hits its target ahead of deadline.  Healthcare Benchmarks and Quality Improvement.  13(8):85-88, Aug. 2006.

Joint Commission releases 2007 NPSGs.  Healthcare Benchmarks and Quality Improvement.  13(8):89-90, Aug. 2006.

Rogoski, R.  Building a safety net.  Health Management Technology.  27(8):12-16, Aug. 2006.

Helpful solutions for meeting the 2007 national patient safety goals.  Joint Commission Perspectives on Patient Safety.  6(8):1-2, Aug. 2006.

Reducing the risk of suicide.  Joint Commission Perspectives on Patient Safety.  6(8):5-6, Aug. 2006.

Reducing the risk of home fires.  Joint Commission Perspectives on Patient Safety.  6(8):6, Aug. 2006.

Involving patients in their care.  Joint Commission Perspectives on Patient Safety.  6(8):7-8, Aug. 2006.

Improving handoff communications.  Joint Commission Perspectives on Patient Safety.   6(8):9-10, 15, Aug. 2006.

Haglund, M.  Safety when it counts:  patient safety moves forward in some hospitals but, seven years after the "quality chasm" report, progress is still spotty.  Healthcare Informatics.  23(8):30-34, Aug 2006.

Midget, J.  Infection protection:  surveillance technologies can help healthcare organizations better detect and respond to infections.  Healthcare Informatics.  23(8):46-50, Aug 2006.

Performing medication reconciliation in short-stay areas.  Joint Commission Perspectives on Patient Safety.   6(8):11-12, 15, Aug. 2006.

Reporting critical test results.  Joint Commission Perspectives on Patient Safety.   6(8):13-14, Aug. 2006.

Castro, A., Hagan, P., and Nelson, A.  Prioritizing safe patient handling.  Journal of Nursing Administration.  36(7/8):363-369, July/Aug. 2006.

Potylycki, M.  Nonpunitive medication error reporting.  Journal of Nursing Administration.  36(7/8):370-376, July/Aug. 2006.

Clancy, C.  Medication reconciliation:  progress realized, challenges ahead.  Patient Safety & Quality Healthcare.  3(2):6-8, July/Aug. 2006.

Pawola, L.  A short call could make the difference.  Patient Safety & Quality Healthcare.  3(2):12, July/Aug. 2006.

Porto, G., and Lauve, R.  A persistent threat to patient safety.  Patient Safety & Quality Healthcare.  3(2):16-24, July/Aug. 2006.

Borckardt, J., and others.  How unusal are the "unusal events" detected by control chart techniques in healthcare settings?  Journal for Healthcare Quality.  28(4):4-9, July/Aug. 2006.

Guinane, C.  Mikel Harry on Six Sigma in healthcare.  Journal for Healthcare Quality.  28(4):29-36, July/Aug. 2006.

Dagnone, R., and others  How do patients perceive electronic documentation at the bedside?  Journal for Healthcare Quality.  28(4):37-44, July/Aug. 2006.

Fracia, P., Minnich, M., and Fabius, R.  Patient safety checklist:  keys to successful implementation.  Physician Executive.  32(4):46-48, July/Aug. 2006.

Meyers, J.  HCA's perinatal safety initiative removes variation and improves outcomes.  Healthcare Executive.  21(4):26-29, July/Aug. 2006.

Mages, M.  Quality-driven healthcare.  Healthcare Executive.   21(4):60-62, July/Aug. 2006.

Rapid response terms:  ten essentials leaders need to know.  Healthcare Executive.  21(4):30-34, July/Aug. 2006.

Meyers, S.  Standardizing safety.  Trustee.  59(7):12-14, 21, July/Aug. 2006.

Bradley, E., and others.  Hospital quality for acute myocardial infraction.  Journal of the American Medical Association.  (JAMA).  296(1):72-78, July 5, 2006.

New patient safety goal:  involve your patients.  ED Management.  18(7):82, July 2006.

Pharm, S., and others.  Improving the safety of intrabenous admixtures:  lessons learned from a Pentostam® overdose.  Joint Commission Journal of Quality and Patient Safety.  32(7):366-372, July 2006.

Woods, J., and Shultz, J.  Using HFMEA  to assess potential for patient harm form tubing misconnections.  Joint Commission Journal of Quality and Patient Safety.  32(7):373-381, July 2006.

King, E., and others.  Getting doctors to report medical errors:  project DISCLOSE.  Joint Commission Journal of Quality and Patient Safety.  32(7):382-391, July 2006

Heuvel, J., and others.  Implementing Six Sigma in the Netherlands.  Joint Commission Journal of Quality and Patient Safety.   32(7):393-399, July 2006

Lezzoni, L.  Improving health care quality and safety for people with disabilities:  An interview with Lisa Lezzoni.  Joint Commission Journal of Quality and Patient Safety.  32(7):400-410, July 2006. 

Wrong-site surgeries seen as rare, preventable.  Healthcare Benchmarks and Quality Improvement.  18(7):79-81, July 2006.

Hospitals falling short on NQF's 30 'safe practices'.  Benchmarks and Quality Improvement.  18(7):82-83, July 2006.

Tubing misconnections a persistent and potentiallly deadly occurence.  Sentinel Event ALERT.  Issue 36, Apr. 3, 2006.  Joint Commission Journal of Quality and Patient Safety.  32(7):411-414, July 2006

The Joint Commission announces the 2007 national patient safety goals and requirements.  Joint Commission Perspectives.  26(7):1, 5, July 2006.

Seven-step risk assessments.  Joint Commission Perspectives on Patient Safety.  6(7):5-7, July 2006.

How hospitalists contribute to patient safety.  Joint Commission Perspectives on Patient Safety.  6(7):11, July 2006.

Briggs, E.  Partnering to save lives.  Rural Roads.  4(2):12-13, July 2006.

What do JCAHO surveyors look for in assessing the universal protocol?  OR Manager.  22(7):1, 7-9, July 2006.

Ensuring consistent time-out in a system.  OR Manager.  22(7):10-11, July 2006.

Using computer's data to guide OR QI.  OR Manager.   22(7):18, 21, July 2006.

Kaiser, N., and Sandhu, S.  The role of skin science in assuring hand hygiene compliance. Healthcare Purchasing News.   30(7):36-38, July 2006.

Kenefick, C., and others.  Breaking the silence for patient safety.  MLA News.  June/July 2006.

Columbus (ind.) regional hospital << reconciling safety.  Health Care's Most Wired Magazine.  5(3):36, Summer 2006.

Weber, T., and Ornstein, C.  20% of U.S. transplant centers are found to be substandard.  Los Angeles Times.  June 29, 2006.

Landro, L.  Hospitals combat errors at the 'hand -off'.  The Wall Street Journal.   Page D.  June 28, 2006.

Hospital initiative to cut errors finds about 122,300 lives saved.  Wall Street Journal.  June 15, 2006.

ED located next to ICU to bolster patient safety.  ED Management.   18(6):67-69, June 2006.

June 2006 Patient Safety Initiative Updates: Review of Imaging Process, Errors and Potential Solutions.  Ewing, NJ:  New Jersey Department of Health and Senior Services, June 2006.

McBride, D.  Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act.  Healthcare Financial Management.  60(6):84-88, June 2006.

Bry, K., Stettner, B., and Marks, J.  Patient safety:  through the eyes of your peers.  Nursing Management.  37(6):20-24, June 2006.

McBride, D., Greening, A., and Redmond, D.  Path to safety:  benefits of the 2005 patient safety and quality improvement act.  Healthcare Financial Management Association.  60(6):84-88, June 2006.

Blair, R.  Passing the "yo' mama" test.  Health Management Technology.  27(6):14-18, June 2006.

Designing a healing environment.  Health Facilities Management.  19(6):30-40, June 2006.

Are site-vertification protocols too complex?  OR Manager.  22(6):7, June 2006.

A safer alternative to safety scalpels?  OR Manager.  22(6):25, June 2006.

AORN updates sterilization guidelines.  OR Manager.  22(6):21-22, June 2006.

Is that patient's postoperative skin injury really a burn?  OR Manager.  22(6):22-23, June 2006.

Heneghan, K., Sachdeva, A., and McAninch, J.  Transformation to a system that supports full patient participation.  Bulletin.  91(6):11-19, June 2006.

Healy, G., Barker, J., and Madonna, G.  Error reduction through team leadership:  seven principles of CRM applied to surgery.  Bulletin.  91(6):24-26, June 2006.

Pryor, D., and others.  The clinical transformation of ascension health:  eliminating all preventable injuries and deaths.  Joint Commission Journal on Quality and Patient Safety.  32(6):299-308, June 2006.

Kowiatek, J., and others.  Assessing and monitoring override medications in automated dispensing devices. Joint Commission Journal on Quality and Patient Safety.  32(6):309-317, June 2006.

Stop going through the motions.  Joint Commision Perspectives on Patient Safety.  6(6):1-2, 8, June 2006.

Prescribing with caution.   Joint Commision Perspectives on Patient Safety.  6(6):7, June 2006.

AHA quality center:  new one-stop resource helps leaders improve quality.  HR Pulse.():16-23, Summer 2006.

Six Aims:  Institute of Medicine's report on quality still resonates.  HR Pulse.  ():24, Summer 2006.

Answer/evaluation form:  overcoming barriers to patient safety.  Nursing Economics.  24(3):149, May/June 2006.

Siegel, E., and Bennett, P.  Creating partnerships through patient safety awareness week.  Nursing Economics.  24(3):162-165, May/June 2006.

Hendrich, A.  Inpatient falls:  lessons from the field.  Patient Safety & Quality Healthcare.  3(3):26-30, May/June 2006.

Woods, M.  The dun factor:  how communication complicates the patient safety movement.  Patient Safety & Quality Healthcare.  3(3):40-44, May/June 2006.

Grinten, P.  Rhios aim to transform quality of care and patient safety.  Patient Safety & Quality Healthcare.  3(3):46-48, May/June 2006.

Feder, H.  Implementation of patient safety organizations expected by end of year.  Health Care Compliance.  8(3):49-52, May/June 2006.

Poole, D.  Medication reconciliation:  a necessity in promoting a safe hospital discharge.  Journal for Healthcare Quality.  28(3):12-19, May/June 2006.

Smith, T.  Honorees seek to improve patient safety.  Richmond Times Dispatch.  May 25, 2006.

Study: video games can help out surgical errors.  CNN.com, May 24, 2006.

Studdert,, D.and others.  Claims, errors, and compensation payments in medical malpractice litigation.  New England Journal of Medicine.  354(19):2024-2033, May 11, 2006.

Annas, G.  The patient's right to safety--improving the quality of care through litigation against hospitals.  New England Journal of Medicine.  354(19):2063-2066, May 11, 2006.

Gilmour, J.  Patient Safety, Medical Error and Tort Law: an International Comparison.  Boston, MA:  Health Policy Research Program, May, 2006.

May 2006 Patient Safety Initiative Alert: MRIs and Sandbags Filled with Metal Shot.  Ewing, NJ:  New Jersey Department of Health and Senior Services, May 2006.

10 Patient Safety Tips for Hospitals.  Rockville, MD:  Agency for Healthcare Research and Quality, May 2006.

ICU collaborative achieves majof reductions in hospital infections.  Healthcare Benchmarks and Quality Improvement.  13(5):49-52, May 2006.

NQF seeks measures for reporting of infections.  Healthcare Benchmarks and Quality Improvement.  13(5):52-54, May 2006.

Felt-Lisk, S.  New hospital information technology: is it helping to improve quality?  Issue Brief.  No. 3.  May 2006.

Code pink:  the frightening phenomenon of infant abductions in hospitals.  The Hospitalist.  10(5):43-47, May 2006.

Elder, N.  Patient safety in the physicians office setting.  AHRQ WebM&M.  May 2006.

Kanushal, R., and others.  The wild west: patient safety in office-based anesthesia.  AHRQ WebM&M.  May 2006.

Laschinger, H., and Leiter, M.  The impact of nursing work environments on patient safety outcomers.  Journal of Nursing Administration (JONA).  36(5):259-267, May 2006.

This ED uses simulators to reduce pediatric errors.  ED Management.  18(5):51-52, May 2006.

Anderson, J.  Avoid getting 'lost in translation' with six simple tips.  Healthcare Marketing Advisor.  7(5):4, May 2006.

Sheridan, D.  Labeling solutions and medications in sterile procedural settings.  Joint Commission Journal of Quality and Patient Safety.  32(5):276-282, May 2006.

Empower staff and improve patient safety.  Joint Commission Perspectives on Patient Safety.  6(5):9-10, May 2006.

Medication errors highest in radiology.  Joint Commission Perspectives on Patient Safety.   6(5):11, May 2006.

Keeping patients safe during a disaster.  Joint Commission Perspectives on Patient Safety.  6(5):1-3, May 2006.

Hampton, T.  Hospital bed entrapments.  Journal of the American Medical Association.  295(16):1889, Apr. 26, 2006.

Robeznieks. A.  High priority, low progress.  Modern Healthcare.  36(15):31-32, Apr. 10, 2006.

Kwaan, M.  Incidence, patterns, and prevention of wrong-site surgery.  Archives of Surgery.   141(4):353-358, Apr. 2006.

McCarthey, D., and Blumenthal, D.  Committed to safety: ten case studies on reducing harm to patients.  The Commonwealth Fund.  Apr. 2006.

Is your organization linguistically competent?  Joint Commission Perspectives on Patient Safety.  6(4):1, 2, 8, Apr. 2006.

The sound of patient safety.  Patient Safety.  6(4):3-4, Apr. 2006.

Lean thinking promotes patient safety.  Patient Safety.   6(4):11, Apr. 2006.

Overcoming barriers to quality.  Hospitals and Health Networks.  80(4):insert 1-9, Apr. 2006.

Josh, M., and Hines, S.  Getting the board on board:  engaging hospital boards in quality and patient safety.  Journal on Quality and Patient Safety.  32(4):179-187, Apr. 2006.

Kaldjian, L., Jones, E., and Rosenthal, G.  Facilitating and impeding factors for physicians' error disclosure:  a structured literature review.  Journal on Quality and Patient Safety.  32(4):188-198, Apr. 2006.

Turley, J., and others.  Operating manual-based usability evaluation of medical devices:  an effective patient safety screening method.  Journal on Quality and Patient Safety.   32(4):214-220, Apr. 2006.

Santell, J.  Reconciliation failures lead to medication errors.  Journal on Quality and Patient Safety.   32(4):225-229, Apr. 2006.

Using medication reconciliation to prevent errors.  Journal on Quality and Patient Safety.   32(4):230-232, Apr. 2006.

Kruger, N., Hutley, A., and Gustafson, M.  Framing patient safety initiatives.  Journal of Nursing Administration.  36(4):200-204, Apr. 2006.

Kwaan, M., and others.  Incidence, patterns, and prevention of wrong-site surgery.  Archives of Surgery.  141(4):353-357, Apr. 2006.

Creative approaches to handoffs help meet JCAHO's safety goal.  OR Manager.  22(4):1, Apr. 2006.

'Passing the baton' for smooth handoffs.  OR Manager.  22(4):13-14, Apr. 2006.

A shared tool strengthens handoffs.  OR Manager.  22(4):15, Apr. 2006.

ASC safety begins with patient selection.  OR Manager.   22(4):25-27, Apr. 2006.

Tips for introducting SBAR in the OR.  OR Manager.  22(4):12, Apr. 2006.

What does JCAHO expect for handoffs?  OR Manager.   22(4):11, Apr. 2006.

Crucial conversations:  a key for safety.  OR Manager.  22(4):7, 9, Apr. 2006.

Goth, G.  Raising the bar.  Healthcare Informatics.  23(4):38-41, Apr. 2006.

Health Grades Quality Study: Third Annual Patient Safety in American Hospitals Study.  Health Grades, Inc.  Apr. 2006.

Nestor, C.  Reducing medical drug errors.  Facilty Care.  11(2):18-19, Mar./Apr. 2006.

Piechowski, R.  Making CPOE work:  redesign workflows to optimize benefits.  Patient Safety & Quality Healthcare.   3(2):28-30, Mar./Apr. 2006.

McFadden, K., Stock, G., and Gowen, C.  Exploring strategies for reducing hospital errors.  Journal of Healthcare Management.  51(2):123-135, Mar./Apr. 2006.

Schoenbaum, S., and Segel, K.  Long-term solution to malpractice crises:  reduce harm to patients.  Physician Executive.  32(2):26-31, Mar./Apr. 2006.

Harmon, K.  Naval aviation safety and its application to medicine.  Patient Safety & Quality Healthcare.  3(2):20-26, Mar./Apr. 2006.

Piechowski, R.  Making CPOE work:  redesign workflows to optimize benefits.  Patient Safety & Quality Healthcare.  3(2):28-30, Mar./Apr. 2006.

The sound of patient safety.  Joint Commission Perspectives on Patient Safety.  6(4):3-4, Apr. 2006.

Lean thinking promotes patient safety.  Joint Commission Perspectives on Patient Safety.  6(4):11, Apr. 2006.

Leonard, M., and Frankel, A.  Make safety a priority create and maintain a culture of patient safety.  Healthcare Executive.  21(2):12-18, Mar./Apr. 2006.

Sherman, J.  Patient safety:  engaging medical staff.  Healthcare Executive.  21(2):20-23, Mar./Apr. 2006.

Bader, B.  Quality and patient safety:  Engaging your board to take the lead.  Healthcare Executive.  21(2):64-67, Mar./Apr. 2006.

Benner, P., and others. TERCAP: creating a national database on nursing errors.  Harvard Health Policy Review. 7(1):48-63, Spring 2006

Winterstein, A., and others.  Medication safety infrastructure in critical-access hospitals in Florida.  American Journal of Health-System Pharmacy.  63(5):442-450, Mar. 1, 2006.

Study of perioperative med errors provides clues for improving care.  OR Manager.  22(3):1, 8-9, Mar. 2006.

Cell phone use in OR could improve patient safety, a survey shows.  OR Manager.  22(3):7, Mar. 2006.

How patients are harmed by periop medication errors.  OR Manager.  22(3):9, Mar. 2006.

Strategies for preventing med errors.  OR Manager.  22(3):11, 13, Mar. 2006.

Barlow, R.  Up close:  hospitals must come clean about a dirty secret.  Healthcare Purchasing News.  30(3):16,19, Mar. 2006.

RID's 14 steps to reduce hospital infection risk.  Healthcare Purchasing News.  30(3):20, Mar. 2006.

RID's model hospital infection report card bill.  Healthcare Purchasing News.  30(3):22, Mar. 2006.

Ervin, N.  Does patient satisfaction contribute to nursing care quality?  Journal of Nursing Administration.  36(3):126-130, Mar. 2006.

Jones, S., and Moss, J.  Computerized provider order entry.  Journal of Nursing Administration.  36(3):136-139, Mar. 2006.

Newhouse, R.  Selecting measures for safety and quality improvement initiatives.  Journal of Nursing Administration.  36(3):109-113, Mar. 2006.

Barry, J.  The hovermatt system for patient transfer.  Journal of Nursing Administration.  36(3):114-117, Mar. 2006.

Pronovost, P., and others.  A web-based tool for the comprehensive unit-based safety program (CUSP).  Joint Commission Journal on Quality and Patient Safety.  32(3):119-129, Mar. 2006.

Robinson, D., Heigham, M., and Clark, J.  Using failure mode and effects analysis for safe administration of chemotherapy to hospitalized children with cancer.  Joint Commission Journal on Quality and Patient Safety.  32(3):161-166, Mar. 2006.

Haig, K., Sutton, S., and Whittington, J.  SBAR:  a shared mental model for improving communication between clinicians.  Joint Commission Journal on Quality and Patient Safety.  32(3):167-175, Mar. 2006.

Patients first:  commitment to continuous improvement in patient safety.  Joint Commission on Patient Safety.  6(3):7-8, Mar. 2006.

Preventing retained foreign objects.  Joint Commission on Patient Safety.  6(3):11, Mar. 2006.

Sentinel event:  using medication reconciliation to prevent errors.  Joint Commission Perspectives.  26(3):13-14, Mar. 2006.

Update:  sentinel events statistics.  Joint Commission Perspectives.  26(3):8, Mar. 2006.

Training from fighter pilots helps some hospitals decrease medical errors.  Healthcare Financial Management.  60(3):28, Mar. 2006.

Falik, M., and others.  Comparative effectiveness of health centers as regular source of care.  Journal of Ambulatory Care Management.  29(1):24-35, Jan./Mar. 2006.

Martin, R.  Federal, state, and public--private responses to medical error and patient safety:  an overview.  Health Lawyers Weekly.  Feb. 17, 2006.

Zhan, C., and others.  Potential benefits and problems with computerized prescriber order entry:  analysis of a voluntary medication error-reporting database.  American Journal of Health System Pharmacy.  63(4):353-358, Feb. 15, 2006.

Getting a grip on costs and usage of spinal implant technologies. OR Manager.  22(2):1, 8, 11, Feb. 2006.

Surgery strong on safety, but hospitals have long way to go.  OR Manager.  22(2):7, Feb. 2006.

Royal, S., and others.  Interventions in primary care to reduce medication related adverse events and hospital admissions:  systematic review and meta-analysis.  Quality & Safety in Health Care.  15(1):23-31, Feb. 2006.

Pick a CPOE that's right for your ED and hospital.  ED Management.  18(2):16-17, Feb. 2006.

Rothschild, J., and others.  Recovery from medical errors:  the critical care nursing safety net.  Joint Commission Journal on Quality and Patient Safety.  32(2):63-72, Feb. 2006.

Cina, J., and others.  How many hospital pharmacy medication dispensing errors go undetected?  Joint Commission Journal on Quality and Patient Safety.  32(2):73-80, Feb. 2006.

Gaynes, R., and Platt, R. Monitoring patient safety in health care:  building the case for surrogate measures.  Joint Commission Journal on Quality and Patient Safety.  32(2):95-101, Feb. 2006.

Pronovost, P., and others.  A practical tool to learn from defects in patient care.  Joint Commission Journal on Quality and Patient Safety.  32(2):102-108, Feb. 2006.

Healy, G., Barker, J., and Madonna, G.  Error reduction through team leadership:  applying aviation's CRM model in the OR.  Bulletin.  91(2):10-15, Feb. 2006.

Maviglia, S.  Delivering informed care.  Health Management Technology.  27(2):26-28, Feb. 2006.

Dickinson, R.  Blueprint for safety.  HealthLeaders.  9(2):14, Feb. 2006.

Baldwin, G.  Running stop signs.  HealthLeaders.  9(2):33-34, Feb. 2006.

Greene, J.  Information technology may not be 'it' for patient safety.  Trustee.  59(2):7-10, Feb. 2006.

Improving safety in rural hospitals.  Joint Commission Perspectives Patient Safety.  6(2):1-2, 4, Feb. 2006.

Part II:  evaluating the risk points in your medication management system.  Joint Commission Perspectives Patient Safety.  6(2):5, 8, Feb. 2006.

February 2006 Patient Safety Initiative Updates: Highlighting Falls and Review of Medication Errors.  Ewing, NJ:  New Jersey Department of Health and Senior Services, Feb. 2006.

Labeling in the laboratory.  Joint Commission Perspectives Patient Safety.  6(2):11, Feb. 2006

Haswell, P.  Improving safety in obstetrics with decision support and clinical it.  Patient Safety & Quality Healthcare.  3(1):40-42, Jan./Feb. 2006.

Ettel, D., and Wilson, C.  Medication errors:  focus on legibility.  Patient Safety & Quality Healthcare.  3(1):52-,54 Jan./Feb. 2006.

Kahlon, P.  Patient safety:  a collaborative, blame-free, team approach.  Radiology Management.  28(1):47-50, Jan./Feb. 2006.

Kee, L., and Cheramy, K.  Patient safety efforts at SSM health care.  Health Progress.  87(1):21, Jan./Feb. 2006.

Ballard, L.  Putting safety at the core.  Health Progress.  87(1):29-34, Jan./Feb. 2006.

Conlon, P., and Gartner, G.  A jury of our peers.  Health Progress.  87(1):39-42, Jan./Feb. 2006.

Using medication reconciliation to prevent errors.  Sentinnel Event Alert.  (35):Jan. 23, 2006.

Harris, G.  New regulations for drug labels aim to cut medical errors.  New York Times.  Jan. 18, 2006.

Cina, J., and others.  Medication errors in a pharmacy-based bar-code-repackaging center.  American Journal of Health-System Pharmacy (AJHP).  63(2):165-168, Jan. 15, 2006.

Schneider, P., and others.  Improving the safety of medication administration using an interactive CD-Rom program.  American Journal of Health-System Pharmacy.  63(1):59-64, Jan. 1, 2006.

ECRI Patient Safety Center.  Fatigue in Healthcare Workers.  HRC Supplement A: Risk Analysis Employment Issues 14. ECRI, Jan. 2006.

Are handoffs too 'automatic'? QI experts fear errors could rise.  Healthcare Benchmarks and Quality Improvement.  13(1):1-4, Jan. 2006.

Williamson, J.  Operating Room:  Surgical errors:  new products, protocols help slash the risks.  Healthcare Purchasing News.  30(1):22-24, Jan. 2006.

Hoff, T., and Sutcliffe, K.  Studying patient safety in health care organizations:  accentuate the qualitative.  Joint Commission Journal on Quality on Patient Safety.  32(1):5-15, Jan. 2006.

Rogers, G., and others.  Reconciling medications at admission:  safe practice recommendations and implementation strategies.  Joint Commission Journal on Quality on Patient Safety.  32(1):37-49, Jan. 2006.

Kaldy, J.  E-prescribing is e-slow.  The Hospitalist.  10(1):16-18, Jan. 2006.

Part I:  identifying risks in the medication use process.  Joint Commission Perspectives on Patient Safety.  6(1):3-4, 6, Jan. 2006.

Including patients in hospital management decisions.  Joint Commission Perspectives on Patient Safety.  6(1):9,11, Jan. 2006

Switching to single-dose containers.  Joint Commission Perspectives on Patient Safety.  6(1):10, Jan. 2006

Medical errors:  if you're not part of the solution, your're part of the problem.  MGMA Connexion.  6(1):20-21, Jan. 2006.

New VHA program aims to transform ORs into money-saving, life-saving operations.  Health Care Strategic Management.  24(1):6, Jan. 2006.

CPOE:  It's not a matter of if, but when, say the experts, so the time to prepare is now.  ED Management.  18(1):1-3, Jan. 2006.

Rozovsky, F., Gilk, T., and Latino, R.  Taking risky business out of the MRI suite.  Materials Management in Healthcare.  15(1):18-23, Jan. 2006.

Rollins, G.  Medication safety.  HealthLeaders.  9(1):41, Jan. 2006.

Force, M., and others.  Effective strategies to increase reporting of medication errors in hospitals.  Journal of Nursing Administration (JONA).  36(1):34-41, Jan. 2006.

Patient -safety programs improve, but more needs to be done, researchers say.  Hospitals & Health Networks.  80(1):61-72, Jan. 2006.

Serious Reportable Events in Healthcare 2006 Update.   Washington:  National Quality Forum, 2006.  (Ref WB 100 S485 2006).

Herndon, L., and Niemi, J.  A Systems Approach to Quality Improvement in Long-Term Care:  Safe Medication Practices Workbook.  Burlington, MA:  Massachusetts Coalition for the Prevention of Medical Errors (MASSPRO), 2006.

Teleki, S., and others.  Evaluation of the patient safety improvement corps.  Santa Monica, CA:  Rand Corporation, 2006.

Burrell, M.  Shift report:  improving a complex process to enhance patient safety.  Journal of Healthcare Risk Management.  26(4):9-14, 2006.

Schears, G.  New standards to improve catheter stabilization and patient and worker safety.  Journal of Healthcare Risk Management.  26(4):15-18, 2006.

Conway, J., and others.  Key learning from the Dana-Farber Cancer Institute's 10-year patient safety journey.  Boston, MA:  Dana-Farber Cancer Institute, 2006.

Gallagher, T., and others.  National safety:  risk managers' attitudes and experiences regarding patient safety and error disclosure.  Journal of Healthcare Risk Management.  26(3):11-16, 2006.

Maley, R., Turriff, S., and Kroll, S.  The proliferation of retail health clinics:  what risk managers need to know.  Journal of Healthcare Risk Management.  26(3):19-28, 2006.

Anderson, M., and others.  The business case for patient safety.  Healthcare Quarterly.  10(special issue):20-26, 2006.

Shaw, B., Taylor, W., and Roach, C.  Focus on clinical best practices, patient safety and operational efficiency.  Healthcare Quarterly.  10(special issue):50-57, 2006.

Mello, M., and others.  "Health courts" and accountability for patient safety.  Milbank Quarterly.  84(3), 2006.

Smith, A.  Barriers to accepting e-prescribing in the USA.  International Journal of Health Care Quality Assurance.  19(2 and 3):158-180, 2006.

Selden, S., Galvan, C., and Lamm, R.   Role of Medical Students in Preventing Patient Harm and Enhancing Patient Safety.  London, UK:  QSHC Online, 2006.

Gosfield, A., and Reinertsen, J.  Longwoods Review:  the 100,000 lives campaign:  crystallizing standards of care for hospitals.  Healthcare Quarterly.  4(2):1-5, 2006.

Reinertsen, J., and Baker, G.  A conversation about leadership and quality with James Reinertsen and G. Ross Baker.  Healthcare Quarterly.  4(2):10-12, 2006.

Manno, M., and others.  Patient-safety survey report.  Nursing2006.  36(5):1-11, 2006.

Frankel, A., editor.  Strategies for Building a Hospitalwide Culture of Safety.  Oakbrook Terrace, IL:  Joint Commission Resources, 2006.  (WX 185 S898c 2006).

Stelfox, H., and others.   The "to err is human" report and the patient safety.  Quality Safety in Health Care.  15(10):174-178, 2006.

Royal, S., and others.  Interventions in primary care to reduce medication related adverse events and hospital admissions: systematic review and meta-analysis.  Quality Safety in Health Care.  15(10):23-31, 2006.

Kilbridge, P., Welebob, E., and Classen, D.   Development of the leapforg methodology for evaluating hospital implemented inpatient computerized physician order entry systems.  Quality Safety in Health Care.  15(10):81-84, 2006.

Jeffs, L.  and others.  Case study:  reconciling the quality and safety gap through strategic planning.  Nursing Leadership.   19(2):32-40, 2006.

West, J.  Surgical 'never events':  how common are adverse occurrences?  Journal of Healthcare Risk Management.  26(1):15-21, 2006.

West, J.  Surgical 'never events':  how common are adverse occurrences?  Journal of Healthcare Risk Management.  26(1);15-21, 2006.

Murphy, T.  CCHSA client/patient safety culture assessment project:  lessons learned.  Healthcare Quarterly.   9(2):52-54, 2006.

A dialogue on quality and patient safety with Maureen Bisognano.  Nursing Leadership.  19(1):21-25, 2006.

Ferguson-Pare, M.  A sabbatical journey of discovery:  patient safety.  Nursing Leadership.  19(1):18-20, 2006.

Leatt, P., and others.  IT solutions for patient safety-best practices for successful implementation in healthcare.  Healthcare Quarterly.  9(1):94-104, 2006.

Wu, R., and others.  Implementation of a computerized physician order entry system of medications at the university health network-physicians' perspectives on the critical issues.  Healthcare Quarterly.  9(1):106-109, 2006.

Bisognano, M., and Plsek, P.  10 More Powerful Ideas for Improving Patient Care.  Chicago:  Health Administration Press, 2006.  (W 84.1 B622z 2006).

Pedersen, C., Schneider, P., and Scheckelhoff, D.  ASHP National Survey of Pharmacy Practice in Hospital Settings: Dispensing and Administration--2005. American Journal of Health-System Pharmacy.  63(4):327-45, 2006.

 

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