Scanning the Headlines: Patient Safety (Archive) 2007


Updated on July 8, 2009

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Rohde, K.  Failure Modes and Effects Analysis.  Templates and Tools to Improve Patient Safety.  Marblehead, MA:  HCPro, Inc., 2007.  (WX 157 R737f 2007).

Kopp, B., and others. Cost implications of and potential adverse events prevented by interventions of a critical care pharmacist.  American Journal of Health-System Pharmacy.  64(23):2483-2487, Dec. 1, 2007.

Elnour, A., Ellahham, N., and Qassas, H.  Implementation of medication error reporting through med safe tool:  the clinical pharmacists and the inpatient nursing staff collaborative approach.  Journal of Patient Safety.  3(4):177-183, Dec. 2007.

Marella, W., and others.  Health care consumers' inclination to engage in selected patient safety practices:  a survey of adulst in Pennsylvania.  Journal of Patient Safety.  3(4):184-189, Dec. 2007.

Witte, D., and Dundes, L.  Prescription for error:  defects in a community retail pharmacy.  Journal of Patient Safety.  3(4):190-194, Dec. 2007.

Diaz-Navarlaz, T., and others.  Benefits of direct observation in medication administration to detect errors.  Journal of Patient Safety.  3(4):200-207, Dec. 2007.

Bitan, Y., and Nunnally, M.  Can a log of infusion device events be used to understand infusion accidents?  Journal of Patient Safety.  3(4):208, Dec. 2007.

National Harm Study Pilot.  Cambridge, MA:  Institute for Healthcare Improvement, Dec. 2007.

Tzeng, H., and Yin, C.  Height of hospital beds and inpatient falls.  Journal of Nursing Administration.  37(12):537-538, Dec. 2007.

Rosenthal, J., and Takach, M.   2007 guide to state adverse event reporting systemsState Health Policy Monitor (National Academy for State Health Policy). 1:(5)1-6, Dec. 2007. 

Counting MRSA Cases: an Evaluation of Recent Evidence.  Extending the cure.   [Robert Wood Johnson Foundation].  Policy Brief 3, Dec. 2007. 

Rollins, G.  Final five:  ASCs told to target patient safety.  H & HN.  Hospital and Health Networks.  81(12):53-56, Dec. 2007.

Griffin, V., and Madigan, C.  Incorporating patient safety initiatives into nursing practice.  Nurse Leader.  5(6):34-37, Dec. 2007.

A time-out tool helps to improve compliance at the patient's bedside.   OR Manager.  23(12):16, Dec. 2007

Dramatic results achieved with MRSA initiative. Healthcare Benchmarks and Quality Improvement.  14(12):136-138, Dec. 2007.

Color wristband program seeks to reduce errors.  Healthcare Benchmarks and Quality Improvement.  14(12):138-139, Dec. 2007.

Mastal, M., Joshi, M., and Schulke, K.  Nursing leadership:  championing quality and patient safety in the boardroom.  Nursing Economics.  25(6):323-332, Nov./Dec. 2007.

Spetz, J., Jacobs, J., and Hatler, C.  Cost effectiveness of a medical vigilance system to reduce patient falls.  Nursing Economics.  25(6):333-338, Nov./Dec. 2007.

Chuang, Y., Ginsburg, L., and Berta, W.  Learning from preventable adverse events in health care organizations:  development of a multilevel model of learning and propositions.  Health Care Management Review.  32(4):330-340, Oct./Dec. 2007.

Song, L., and Chila, N.  Risk analysis of falls in an assisted living community.  Quality Management in Health Care.  16(4):336-341, Oct./Dec. 2007

Gamm, L., and Bolin, J.  Organizational technologies for transforming care.  Journal of Ambulatory Care Management.  30(4):291-301, Oct./Dec. 2007.

Pronovost, P., Berenholtz, S., and Needham, D.   A framework for health care organizations to develop and evaluate a safety scorecard.    JAMA.  Journal of the American Medical Association.  298(17):2063-2065, Nov. 7, 2007.

Tracking medication errors.   Joint Commission Perspectives on Patient Safety.  7(11):1, 3-4 Nov. 2007.

The safest hospital alliance.    Joint Commission Perspectives on Patient Safety.  7(11):10-11, Nov. 2007.

The states take action:  hospital infection reporting and control.  Extending the cure.  [Robert Wood Johnson Foundation].  Policy Brief 2, Nov. 2007.

Cusick, C.  A latex-safe environment is in everyone's best interest.  Materials Management in Healthcare.  16(11):24-26, Nov. 2007.

Clarke, J.  A roadmap to safe surgical care:  a view from Pennsylvania.  Bulletin.   92(11):28-31, Nov. 2007.

Carpenter, D.  'Never' Land.  H & HN.  Hospitals and Health Networks.  81(11):35-38, Nov. 2007.

The Leapfrog Group:  HAI prevention efforts still have a long way to go.  Healthcare Benchmarks and Quality Improvement.   14(11):121-125, Nov. 2007.

O'Reilly, K.  Hospitals look to improve informed consent process.  American Medical News.  50(43):11-12, Nov. 19, 2007.

Abbreviations formally linked to medication errors.  Healthcare Benchmarks and Quality Improvement.   14(11):126-128, Nov. 2007.

Study:  temporary nurses not a threat to quality.  Healthcare Benchmarks and Quality Improvement.  14(11):128-130, Nov. 2007.

Hospitals still lag in developing safe practices.  Healthcare Benchmarks and Quality Improvement.   14(11):130-132, Nov. 2007.

Ulrich, R.S., and Zhu, X.  Medical complications of intra-hospital patient transports: implications for architectural design.  HERD. Health Environments Research & Design.  1(1):31-43, Fall 2007.

Drug diversion in healthcare:  risks and prevention.  Risk Management Reporter.  26(5):1, 3-10, Oct. 2007.

Safety advocates seek to end confusion over color-coded wristbands.  H & HN.  Hospital and Health Networks.  81(10):14-16, Oct. 2007.

The payoff:  preventing errors medication management.  H & HN.  Hospital and Health Networks.  81(10):57-60, Oct. 2007.

Akridge, J.  Reinforcing needlestick prevention through a culture of safety.  Healthcare Purchasing News.  31(10):34-38, Oct. 2007.

Cultural understanding yields patient safety dividends.  Healthcare Benchmarks and Quality Improvement.  14(10):insert 1-2, Oct. 2007.

Collaboration accelerates safety improvements.  Healthcare Benchmarks and Quality Improvement.  14(10):115-116, Oct. 2007.

Smith, R., and others.  Medicaid markets and pediatric patient safety in hospitals.  Health Services Research.  42(5):1981-1998, Oct. 2007.

Preventing medication errors associated with drug suffixes.  Joint Commission Perspectives on Patient Safety.  7(10):1, 3-4, Oct. 2007.

PET/CT and patient safety.  Joint Commission Perspectives on Patient Safety.  7(10):5-6, 9, Oct. 2007.

Strategies for complying with the time-out before surgery requirements.  Joint Commission Perspectives on Patient Safety.  7(10):7-9, Oct. 2007.

Stone, P., and others.  Effect of guideline implementation on costs of hand hygiene.  Nursing Economics.  25(5):279-284, Sept./Oct. 2007.

Marella, W.  Why worry about near misses?  Patient Safety and Quality Healthcare.  4(5):22-26, Sept./Oct. 2007.

Vanderveen, T., Lewis, S., and Almeida, S.  Reducing complexity:  a strategic approach to optimizing the medication use process for all medications.  Patient Safety and Quality Healthcare.  4(5):28-32, Sept./Oct. 2007.

Shostek, K.  Critical care safety essentials.  Patient Safety and Quality Healthcare.  4(5):38-42, Sept./Oct. 2007.

Langford, V., and Rollins, V.  Building a culture of safety.  Patient Safety and Quality Healthcare.  4(5):44-48, Sept./Oct. 2007.

Dekker, S., and Laursen, T.  From punitive action to confidential reporting.  Patient Safety and Quality Healthcare.  4(5):50-56, Sept./Oct. 2007.

Clancy, C.  Emergency pharmacists:  a new road to medication safety.  Patient Safety and Quality Healthcare.  4(5):8-11, Sept./Oct. 2007.

Falzerta, L.  Improving communication in healthcare.  Patient Safety and Quality Healthcare.  4(5):18-20, Sept./Oct. 2007.

Gearon, C.  Collaborative improves monitoring of vaccine safety.  AHIP Coverage.  48(5):16-24, Sept./Oct. 2007.

Kowalczyk, L.  Many Mass. hospitals will pay for errors.  The Boston Globe.  Sept. 17, 2007.

Rivkin, A.  Admissions to a medical intensive care unit related to adverse drug reactions.  American Journal of Health-System Pharmacy.  64(17):1840-1843, Sept. 1, 2007.

Transforming Hospitals: Designing for Safety and Quality.  AHRQ Publication No. 07-0076-1.  Rockville, MD:  Agency for Healthcare Research and Quality, Sept. 2007.

Part II.  Maintaining expert teams.  Joint Commission Perspectives on Patient Safety.  7(9);1, 3-4, Sept. 2007.

Study:  medical errors cause distress for physicians.    Joint Commission Perspectives on Patient Safety.  7(9);2, Sept. 2007.

Preventing pediatric medication errors.    Joint Commission Perspectives on Patient Safety.  7(9);5-6, Sept. 2007.

A global perspective on hand hygiene.    Joint Commission Perspectives on Patient Safety.  7(9);7-8, Sept. 2007.

An innovative curriculum in patient safety and quality improvement.   Joint Commission Perspectives on Patient Safety.  7(9);9-10, Sept. 2007.

Reduce the risk of skin tears.    Joint Commission Perspectives on Patient Safety.  7(9);11, Sept. 2007.

Wristband color standard adopted in Ohio.  OR Manager.  23(9):32, Sept. 2007.

Runy, L.  How one hospital is cutting serious safety events.  H & HN.  Hospitals and Health Networks.  81(9):27, Sept. 2007.

McGiffert, L.  Forcing hospitals to focus on infections.  H & HN.  Hospitals and Health Networks.  81(9):22-24, Sept. 2007.

Weinstock, M.  Can your nurses stop a surgeon?  H & HN.  Hospitals and Health Networks.  81(9):38-46, Sept. 2007.

Butler, K. and others.  Clinical excellence series:  eliminating adverse drug events at Ascension Health.  Joint Commission Journal on Quality and Patient Safety.  33(9):527-535, Sept. 2007.

Federico, F.  5 million lives campaign:  preventing harm from high-alert medications.  Joint Commission Journal on Quality and Patient Safety.  33(9):537-542, Sept. 2007.

Meisel, S., Phelps, P., and Meisel, M.  5 million lives campaign:  case study:  reducing narcotic oversedation across an integrated health system.    Joint Commission Journal on Quality and Patient Safety.  33(9):543-548, Sept. 2007.

Berenholtz, S., and others.  Performance measures:  developing quality measures for sepsis care in the ICU.  Joint Commission Journal on Quality and Patient Safety.  33(9):559-568, Sept. 2007.

Whittington, J.  Rapid responses systems:  the stories:  using an automated risk assessment report to identify patients at risk for clinical deterioration.  Joint Commission Journal on Quality and Patient Safety.  33(9):569-574, Sept. 2007.

Brunetti, L., Santell, J., and Hicks, R.  USP medication safety forum:  the impact of abbreviations on patient safety.  Joint Commission Journal on Quality and Patient Safety.  33(9):576-583, Sept. 2007.

Belkin, N.  Do barrier drapes reduce surgical site infections?    Bulletin of the American College of Surgeons.  92(9):15-17, Sept. 2007. 

Mulder, D.  Minimizing mistakes:  Beloit Memorial Hospital is focused on bedside bar coding to help eliminate medication errors.  Healthcare Informatics.  24(9):52-53, Sept. 2007.

Printezis, A., and Gopalakrishnan, M.  Current pulse:  can a production system reduce medical errors in health care?  Quality Management in Health Care.   16(3):226-238, July/Sept. 2007.

Boehringer, P., and others.  Improving the quality of the order-writing process for inpatient orders in a teaching hospital.  Quality Management in Health Care.   16(3):215-218, July/Sept. 2007.

Sparling, K., and others.  Financial impact of failing to prevent surgical site infections.  Quality Management in Health Care.   16(3):219-225, July/Sept. 2007.

Williams, E., and others.  The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care:  results from the MEMO study.  Health Care Management Review.  32(3):203-212, July/Sept. 2007.

Hansen, D.  Medical error reporting system still a year off.  American Medical News.  50(31):6, Aug. 20, 2007.

Adams, D.  Medical errors significant source of stress for doctors.  American Medical News.  50(30):12, Aug. 13, 2007.

The Joint Commission says the goal for medication reconciliation is unchanged.  ED Management.  19(8):suppl. 1-3, Aug. 2007.

Waterman, A., and others.  The emotional impact of medical errors on practicing physicians in the United States and Canada.  Joint Commission Journal on Quality and Patient Safety.  33(8):467-476, Aug. 2007.

Vohra, P., and others.  Housestaff and medical student attitudes toward medical errors and adverse events.  Joint Commission Journal on Quality and Patient Safety.  33(8):493-501, Aug. 2007.

Wahls, T., Haugen, T., and Cram, P.  The continuing problem of missed test results in an integrated health system with an advanced electronic medical record.  Joint Commission Journal on Quality and Patient Safety.  33(8):485-492, Aug. 2007.

McCannon, J., Hackbarth, A., and Griffin, F.  Miles to go:  an introduction to the 5 million lives campaign.  Joint Commission Journal on Quality and Patient Safety.  33(8):477-484, Aug. 2007.

CMS  unveils proposed list of 'no-payment' conditions.  Healthcare Benchmarks and Quality Improvement.  14(8):85-88, Aug. 2007.

Joint Commission Accreditation "key predictor" of hospital patient safety system implementation.  Joint Commission Perspectives.  27(8):1, 10, Aug. 2007.

Special report!  Helpful solutions for meeting the 2008 national patient safety goals.  Joint Commission Perspectives on Patient Safety.  7(8):1-5, 10-11, Aug. 2007.

Improving anticoagulant safety.  Joint Commission Perspectives on Patient Safety.  7(8):6-7, Aug. 2007.

Improving early recognition and response to patient changes.    Joint Commission Perspectives on Patient Safety.  7(8):8-9, Aug. 2007.

Bierstein, K.  Preventing wrong site surgery.  American Society of Anesthesiologists Newsletter.  71(8):21, Aug. 2007.

Universal protocol won't change for now.  OR Manager.  23(8):5, Aug. 2007.

No single step prevents wrong surgery.  OR Manager.  23(8):7, Aug. 2007.

New major study on surgical outcomes.  OR Manager.  23(8):21-22, Aug. 2007.

Study indicates physicians experience stress following medical errors, desire more support.  Medical Liability Monitor.  32(8):1, 7, Aug. 2007.

Jessee, W.  Technology can mitigate errors, but it's no panacea.  MGMA Connexion.  7(7):5-6, Aug. 2007.

Boynton, B.  Structured communication for hand offs:  a shift toward collaboration with senders and receivers or critical information.  Nurse Leader.  5(4):18-20, Aug. 2007.

Transforming care at the bedside:  a doorway to empowerment.  Nurse Leader.  5(4):50-53, Aug. 2007.

Becker, D.  Do hospitals provide lower quality care on weekends?  Health Services Research.  42(4):1589-1612, Aug. 2007.

Stichler, J.  Enhancing safety with facility design.  Journal of Nursing Administration.  37(7/8):319-323, July/Aug. 2007.

Tzeng, H., and Yin, C.  Using family visitors, sitters, or volunteers to prevent inpatient falls.  Journal of Nursing Administration.  37(7/8):329-334, July/Aug. 2007

Aiken, L., and others.  Supplemental nurse staffing in hospitals and quality of care.  Journal of Nursing Administration.  37(7/8):335-342, July/Aug. 2007

Keeler, H., and Cramer, M.  A policy analysis of federal registered nurses safe staffing legislation.  Journal of Nursing Administration.  37(7/8):350-356, July/Aug. 2007

Jacoby, R.  Substandard care:  an overlooked risk area?  Journal of Health Care Compliance.  9(4):51-52, July/Aug. 2007.

Maxfield, D., and Sears, S.  Breaking the cycle of fear.  Physician Executive.  33(4):6-10, July/Aug. 2007.

Pawar, M.  Creating and sustaining a blame-free culture:  a foundation for process improvement.  Physician Executive.  33(4):12-19, July/Aug. 2007.

2007 Study of Injectable Medication Errors.  Silver Spring, MD:  American Nurses Association, Summer 2007.

Longo, D.  Rural hospital patient safety systems implementation in two states.  Journal of Rural Health.  23(3):189-197, Summer 2007.

Hankin, C., and others.  Adverse events involving intravenous patient-controlled analgesia.  American Journal of Health-System Pharmacy.  64(14):1492-1499, July 15, 2007.

Cohen, M.  The Institute of Medicine report, preventing medication errors:  another good day.  American Journal of Health-System Pharmacy.  64(Suppl.):S1-S2, July 15, 2007.

Adams, D.  Safety and quality suffer under strained systems.  American Medical News.  50(26):1-2, July 9, 2007.

Costello, J., Torowicz, D., and Yeh, T.  Effects of a pharmacist-led pediatrics medication safety team on medication-error reporting.  American Journal of Health-System Pharmacy.  64(13):1422-1426, July 1, 2007.

Oswald, S., and Caldwell, R.  Dispensing error rate after implementation of an automated pharmacy carousel system.  American Journal of Health-System Pharmacy.  64(13):1427-1431, July 1, 2007.

Elixhauser, A., and Steiner, C.  Infections with methicillin-resistant staphylococcus aureus (MRSA) in U.S. hospitals, 1993-2005HCUP Statistical Brief.   35:1-10, July 2007.

MacKenzie, K.  Infection control sounding board.  HealthLeaders.  10(7):14, July 2007.

Reducing the risk of errors involving digital imaging.  Joint Commission Perspectives on Patient Safety.  7(7):11, July 2007.

Lancaster, A., and others.  Preventing falls and eliminating injury at Ascension Health.  Joint Commission Journal on Quality and Patient Safety.  33(7):367-375, July 2007.

Furman, C., and Caplan, R.  Applying the Toyota production system:  using a patient safety alert system to reduce error.  Joint Commission Journal on Quality and Patient Safety.  33(7):376-386, July 2007.

Lafata, J., and others.  What do medical records tell us about potentially harmful co-prescribing?  Joint Commission Journal on Quality and Patient Safety.  33(7):395-400, July 2007.

Lehmann, D., and others.  Every error a treasure:  improving medication use with a nonpunitive reporting system.   Joint Commission Journal on Quality and Patient Safety.  33(7):401-407, July 2007.

Patient safety solutions preamble - May 2007.  Joint Commission Journal on Quality and Patient Safety.  33(7):427-433, July 2007.

'Just culture' strikes a balance for safety.  OR Manager.  23(7):5, July 2007.

Nurses, physicians get behind effort to introduce preoperative briefings.  OR Manager.  23(7):1, 7, 9, July 2007.

Debriefings are an early-warning system.  OR Manager.  23(7):10, July 2007.

Timeout:  it's as easy as apple pie!  OR Manager.  23(7):14, July 2007.

The Joint Commission announces the 2008 national patient safety goals and requirements.  Joint Commission Perspectives.  27(7):1, 9-22, July 2007.

Edwards, J., and others.  National healthcare safety network (NHSN) report, data summary for 2006, issued June 2007American Journal of Infection Control.  35:290-301, June 2007.

Tregunno, D., Jeffs, L., and Campbell, H.  Keeping patients safe.  Journal of Nursing Administration.  37(6);269-271, June 2007.

Denham, C.  Trust:  The 5 rights of the second victim.  Journal of Patient Safety.  3(2):107-119, June 2007.

Greenwald, J., Denham, C., and Jack, B.  The hospital discharge:  a review of a high risk care transition with highlights of a reengineered discharge process.  Journal of Patient Safety.  3(2):97-106, June 2007.

Pinakiewicz, D., and others.  Second Annual Nnursing Leadership Congress:  "Building the Foundation for a Culture of Safety" conference proceedings.  Journal of Patient Safety.  3(2):67-74, June 2007.

Phelps, E.  The role of the clinician and healthcare facility in medical device safety--adverse medical device event reporting.  Teaching Hospitals and Academic Medical Centers.  5(2)8-11, June 2007.

Pennsylvania Patient Safety Reporting System.  Doing the "right" things to correct wrong-site surgeryPatient Safety Advisory.  4(2):1-40, June 2007.

Schutz, A., Counte, M., and Meurer, S.  Development of a patient safety culture measurement tool for ambulatory health care settings:  analysis of content validity.  Health Care Management Science.  10(2):139-149, June 2007.

Pappas, S.  Improving patient safety and nurse engagement with a dedicated education unit.  Nurse Leader.  5(3):40-43, June 2007.

Fragmented care heightens error risk for surgical patients.  H & HN.  Hospitals and Health Networks.  81(6):32, June 2007.

Evaluating MRI safety for specific populations.  Joint Commission Perspectives on Patient Safety.  7(6):5, 6, 11, June 2007.

Different Roles, Same Goal:  Risk and Quality Management Partnering for Patient Safety.  Chicago:  American Society for Healthcare Risk Management, June 2007.

Greene, J.  Hospitals weigh benefits of 'no hidden patient' design.  Health Facilities Management.  20(6):5-6, June 2007.

Kanal, E., and others.  ACR Guidance Document for Safe MR Practices:  2007.   Leesburg, VA:  American Roentgen Ray Society, June 2007.

Data reveal 90% of ADEs not administration errors.  Healthcare Benchmarks and Quality Improvement.  14(6):70-72, June 2007.

Longo, D., and others.  Hospital patient safety:  characteristics of best-performing hospitals.  Journal of Healthcare Management.  52(3):188-204, May/June 2007.

Witt, J.  Telemedicine extends healing ministry and offers innovative "patient safety net".  Health Progress.  88(3):64-65, May/June 2007.

Steiger, B.  Doctors say many obstacles block paths to patient safety.  Physician Executive.  33(3):6-14, May/June 2007.

Shannon, D.  Challenges in patient safety and quality:  replacing discouragement with hope.  Physician Executive.  33(3):16-17, May/June 2007.

Mellman, D.  The reality of the hospital:  physician leaders in harm's way.  Physician Executive.  33(3):22-23, May/June 2007.

Shostek, K.  Developing a culture of safety in ambulatory care settings.  Journal of Ambulatory Care Management.  30(2):105-113, Apr./June 2007.

Naesssens, J., and others.  When should a multicampus hospital be considered a single entity for public reporting on patient safety issues?  Quality Management in Health Care.  16(2):153-165, Apr./June 2007.

Wurster, A., and others.  The patient safety leadership academy at the University of Pennsylvania:  the first cohort's learning experience.  Quality Management in Health Care.  16(2):166-173, Apr./June 2007.

Wyszewianski, L., and others.  Does implementation of evidence-based guidelines follow the available evidence?  implementation of hypertension guidelines at Veterans Affairs Medical Center.   Quality Management in Health Care.  16(2):174-181, Apr./June 2007.

Devins, E., and others.  Charcterization of prescribing errors in an internal medicine clinic.  American Journal of Health-System Pharmacy.  64(10):1062-1070, May 15, 2007.

Kuiper, S., and others.  Medication errors inpatient pharmacy operations and technologies for improvement.  American Journal of Health-System Pharmacy.  64(9):955-959, May 1, 2007.

Hospital Survey (H-CAHPS) Component.  Rockville, MD:  Agency for Healthcare Research and Quality, May 2007. 

The Joint Commission releases Improving America's Hospitals:  a report on quality and safety.  Joint Commissions Perspectives.  27(5):1, 3, May 2007.

Surgeon leads effort for safer surgery.  OR Manager.  23(5):9-10, May 2007.

Kids at highest risk of periop med errors.  OR Manager.  23(5):11, 13, May 2007.

Ewing, H., and others.  Eliminating perioperative adverse events at Ascension Health.  Joint Commission Journal on Quality and Patient Safety.  33(5):256-266, May. 2007.

Varkey, P., Cunningham, J., and Bisping, S.  Improving medication reconciliation in the outpatient setting. Joint Commission Journal on Quality and Patient Safety.  33(5):286-292, May. 2007

Cochran, G., and others.  Errors prevented by and associated with bar-code medication administration systems.  Joint Commission Journal on Quality and Patient Safety.  33(5):293-300, May. 2007

Barlow, R.  When self help requires a critical assist.  Healthcare Purchasing News.  31(5):30-31, May. 2007.

Errors associated with new technology.  Joint Commission Perspectives on Patient Safety.  7(5):5-6, May 2007.

Using double-checks effectively.  Joint Commission Perspectives on Patient Safety.  7(5):7-8, May 2007.

Ensuring safe IV contrast administration.  Joint Commission Perspectives on Patient Safety.  7(5):9-10, May 2007.

Infection connection:  arming against wounds to foster healing.  Healthcare Purchasing News.  31(5):32-35, May. 2007.

Mistake-Proofing the Design of Health Care Processes.  Rockville, MD:  Agency for Healthcare Research and Quality, May 2007.

Kosnik, L., Reed, L., and McCasky, T.  Achieving patient safety goals through the successful marriage of culture and technology.  VOICE of Nursing Leadership.  5(3):6, 7, 17, May 2007.

Codes and standards.  Health Facilities Management.  20(5):41-45, May 2007.

Fry, D., and Fry, R.  Understanding what it takes to stop surgical site infections.  Materials Management in Health Care.  16(50):26-30, May 2007.

Footwear and Safety.  Marietta, GA: Georgia Hospital Association, Spring 2007.

Singh, R., and others.  Prioritizing threats to patient safety in rural primary care.  Journal of Rural Health.  23(2):173-178, Spring 2007.

Magid, S., and others.  Employing clinical decision support to attain our strategic goal:  the safe care of the surgical patient.  Journal of Healthcare Information Management.  21(2):18-25, Spring 2007.

Patient Safety Authority:  2006 Annual Report.  Harrisburg, PA:  Patient Safety Authority, Apr. 30, 2007.

Elixhauser, A., and Owens, P.  Adverse Drug Events in U.S. Hospitals, 2004HCUP Statistical Brief 29,  Apr. 2007.

Prince, S., and Herrin, D.  The role of information technology in healthcare communications, efficiency, and patient safety.  Journal of Nursing Administration.  37(4):184-187, Apr. 2007.

Improving diagnostic accuracy.  Joint Commission Perspectives on Patient Safety.  7(4):1, 3, 4, Apr. 2007.

Transforming care at the bedside.  Joint Commission Perspectives on Patient Safety.  7(4):5-6, Apr. 2007.

Peterson, D.  Automating infection surveillance efforts.  Materials Management in Health Care.  16(4):17-19, Apr. 2007.

Dunn, P.  Save lives now.  H & HN.  Hospitals and Health Networks.  81(4):42-48, Apr. 2007.

Minnesota's reporting on errors helps ORs fine-tune patient safety.  OR Manager.  23(4):1, 7, Apr. 2007.

Number of retained objects falls after count practices reinforced.  OR Manager.  23(4):8, Apr. 2007.

Two-minute briefing may reduce wrong-site surgeries.  Healthcare Benchmarks and Quality Improvement.  14(4):41-43, Apr. 2007.

Klevens, R., and others.  Estimating health care-associated infections and deaths in U.S. hospitals, 2002.  Public Health Reports.  122:160-166, Mar./Apr. 2007.

Beilfuss, A.  Planning for safety.  Healthcare Consultant and Operations News.  5(2):15, Mar./Apr. 2007.

Kesselheim, A., and Mello, M.  Confidentially laws and secrecy in medical research:  improving public access to data on drug safety.  Health Affairs.  26(2):483-491, Mar./Apr. 2007.

Short, A.  The role of the chief executive officer in maximizing patient safety.  Healthcare Executive.  22(2):20-26, Mar./Apr. 2007.

Litch, B.  How the use of improves reliability, quality and safety.  Healthcare Executive.  22(2):12-18, Mar./Apr. 2007.

O'Reilly, K.  Online tool helps assess safety procedures.  American Medical News.  50(9):15-16, Mar. 5, 2007.

Nilsen, E., and Fotis, M.  Developing a model to determine the effects of adverse drug events in hospital inpatients.  American Journal of Health-System Pharmacy.   64(5):521-525, Mar. 1, 2007.

Weant, K., Cook, A., and Armistead, J.  Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry. American Journal of Health-System Pharmacy.   64(5):526-530, Mar. 1, 2007.

Paoletti, R., and others.  Using bar-code technology and medication observation methodology for safer medication administration.  American Journal of Health-System Pharmacy.   64(5):536-543, Mar. 1, 2007.

Preop briefings gain momentum as a strategy for patient safety.  OR Manager.  23(3):1, Mar. 2007.

Pronovost, P., and others.  Using incident reporting to improve patient safety:  a conceptual model.  Journal of Patient Safety.  3(1):27-33, Mar. 2007.

Carayon, P., and others.  Evaluation of nurse interaction with bar code medication administration technology in the work environment.  Journal of Patient Safety.  3(1):34-42, Mar. 2007.

Kaul, A., and McCulloch, P.  Patient harm in general surgery--a prospective study.  Journal of Patient Safety.  3(1):22-26, Mar. 2007.

Yu, F., and Houston, T.  Do "most wired" hospitals deliver better care?  Joint Commission Journal on Quality and Patient Safety.  33(3):136-144, Mar. 2007.

Tolchin, S., and others.  Eliminating preventable death at Ascension Health.  Joint Commission Journal on Quality and Patient Safety.  33(3):145-154, Mar. 2007.

Stankos, M., and Schwarz, B.  Evidence-based design in healthcare: a theoretical dilemmaInterdisciplinary Design and Research e-Journal.  1(1):1-15, Jan. 2007.

Griffin, F.  IHI Global Trigger Tool for Measuring Adverse Events.  Cambridge, MA:  Institute for Healthcare Improvement,  2007.

Bagalio, S.  When systems fail:  improving care through technology can create risk.  Journal of Healthcare Risk Management.   27(4):13-18, 2007.

Palmieri, P., Peterson, L., and Ford, E.  Technological iatrogenesis:  new risks force heightened management awareness.  Journal of Healthcare Risk Management.   27(4):19-24, 2007.

Mandated nurse staffing ratios in California: a comparison of staffing and nursing-sensitive outcomes pre- and postregulationPolicy, Politics and Nursing Practice.  8(4):238-250, 2007.

Smith, L., and Berry, D.  Partnering with technology to reduce OB losses.  Journal of Healthcare Risk Management.   27(4):25-30, 2007.

Mayfield, S. SAFE Tool. Systemic Assessment of Flow and Error.  American Hospital Association Quality Center, 2007.

Modernization of patient safety event reporting:  surveillance and benchmarking.  Journal of Healthcare Risk Management.   27(4):39-45, 2007.

Ohio Bands of Safety.  Columbus, OH:  Ohio Patient Safety Institute, 2007.  (Ref WX 185 O37 2007).

American Society for Healthcare Risk Management.  Different Roles, Same Goal: Risk and Quality Management Partnering for Patient Safety.  Chicago: ASHRM, 2007.  (WX 157 D569 2007).

Compliance Strategies for the Universal Protocol.  Oakbrook Terrace, IL:  Joint Commission Resources, 2007.  (WX 153 C737 2007).

Bisognano, M., and Lloyd, R.  10 Powerful Ideas for Improving Patient Care: Book 3.  Chicago: Health Administration Press, 2007.  (W 84.1 B622z 2007).

Grout, J.  Mistake-Proofing the Design of Health Care Processes.  Rockville, MD: Agency for Healthcare Research and Quality, 2007.  (WB 100 G882m 2007).

Joint Commission.  “What Did the Doctor Say?”: Improving Health Literacy to Protect Patient Safety.  Oakbrook Terrace, IL: The Joint Commission, 2007.  (WA 590 W555 2007).

Good Practices in Preventing Patient Falls:  A Collection of Case Studies.  Oakbrook Terrace, IL:  Joint Commission Resources, 2007.  (WX 185 G646 2007).

Improving Hand-Off Communication.  Oakbrook Terrace, IL:  Joint Commission Resources, 2007.  (WX 173 I34h 2007).

Infection Prevention and Control.  Current Research and Practice.  Oakbrook Terrace, IL:  Joint Commission Resources, 2007.  (WX 167 I43p 2007).

Trends in Patient Safety Technologies.   New York:  Vendome Group, 2007.  (Ref WB 100 T794 2007).

Cima, L., and Clarke, S., editors.  The Nurse's Role in Medication Safety.  Oakbrook Terrace, IL:  Joint Commission Resources, 2007.  (WB 100 N877 2007).

Critical Care Safety:  Essentials for ICU Patient Care and Technology.  Plymouth Meeting, PA:  ECRI Institute, 2007.  (WX 218 C934s 2007).

 

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