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Slide Presentation of the 2007 Annual Meeting of AHRQ

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Effects of Traditional 24-hour Work Shifts on Physician and Patient Safety

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AHRQ 2007 Annual Conference: Improving Healthcare, Improving Lives Working Conditions, Organizational Culture, and Health Care Quality September 27, 2007

Christopher P. Landrigan, MD, MPH
Research Director, Children's Hospital Boston Inpatient Pediatrics Service Director, Sleep and Patient Safety Program, Brigham and Women's Hospital
Assistant Professor of Pediatrics and Medicine, Harvard Medical School

Notes:

Overview:
IOM report on adverse drug events, NYS UTCOS studies
controversy of numbers but certainly large problem
Medications as subset
Relationship of errors to adverse events
Bates Study
Our study
What can be done?
Blame free culture
Seeking system-wide solutions
CPOE
Clin Pharmacists
Investigating working conditions, outpatient errors
Take home messages:


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