U.S. Department of Health & Human Services
What’s New this Week
The latest annotated links to patient safety literature, news, and more.
Shining a Light: Safer Health Care Through Transparency.
Boston, MA: National Patient Safety Foundation Lucian Leape Institute; January 2015.
Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems.
Schiff GD, Amato MG, Eguale T, et al. BMJ Qual Saf. 2015 Jan 16; [Epub ahead of print].
A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program.
Reames BN, Krell RW, Campbell DA Jr, Dimick JB. JAMA Surg. 2015 Jan 14; [Epub ahead of print].
Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework.
Singh H, Sittig DF. BMJ Qual Saf. 2015;24:103-110.
Influence of surgeon behavior on trainee willingness to speak up: a randomized controlled trial.
Barzallo Salazar MJ, Minkoff H, Bayya J, et al. J Am Coll Surg. 2014;219:1001-1007.
Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study.
Hudson CCC, McDonald B, Hudson JKC, Tran D, Boodhwani M. J Cardiothorac Vasc Anesth. 2014 Nov 24; [Epub ahead of print].
Rapid response systems and collective (in)competence: an exploratory analysis of intraprofessional and interprofessional activation factors.
Kitto S, Marshall SD, McMillan SE, et al. J Interprof Care. 2014 Nov 28; [Epub ahead of print].
SPECIAL OR THEME ISSUE
J Health Serv Res Policy. 2015;20(suppl 1):S1-S60.
FDA begins inquiry after death and illness from saline bags meant for training.
Tavernise S. New York Times. January 15, 2015.
Technology and error-prevention strategies: why are we still overlooking the IV room?
ISMP Medication Safety Alert! Acute Care Edition. January 15, 2015;20:1-4.
Starter Kit for Alarm Fatigue.
Philadelphia, PA: National Association of Clinical Nurse Specialists; January 2015.
Board Engagement in Quality Improvement and Patient Safety.
STEEEP Global Institute. February 5–6, 2015. STEEEP Academy Training Facility, Dallas, TX.
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Also of Note...
National Patient Safety Goals.
Oakbrook Terrace, IL: The Joint Commission; 2015.
National and State Healthcare-Associated Infections Progress Report.
Avery L, Bennett R, Brinsley-Rainisch K, et al. Atlanta, GA: Centers for Disease Control and Prevention; January 2015.
TeamSTEPPS National Conference.
Agency for Healthcare Research and Quality. June 16–18, 2015; Denver, Colorado.
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