AHRQ Patient Safety Network

What’s New this Week | 05/15/13

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The latest annotated links to patient safety literature, news, and more.

JOURNAL ARTICLE

Medication errors in the home: a multisite study of children with cancer. Walsh KE, Roblin DW, Weingart SN, et al. Pediatrics. 2013;131:e1405-e1414.

Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture. Bowman C, Neeman N, Sehgal NL. Acad Med. 2013 Apr 24; [Epub ahead of print].

Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool. Leung AA, Keohane C, Lipsitz S, et al. J Am Med Inform Assoc. 2013 Apr 18; [Epub ahead of print].

Interruptions in emergency department work: an observational and interview study. Berg LM, Källberg AS, Göransson KE, Östergren J, Florin J, Ehrenberg A. BMJ Qual Saf. 2013 Apr 12; [Epub ahead of print].

Assessing patient safety culture in hospitals across countries. Wagner C, Smits M, Sorra J, Huang CC. Int J Qual Health Care. 2013 Apr 9; [Epub ahead of print].

Toward the modelling of safety violations in healthcare systems. Catchpole K. BMJ Qual Saf. 2013 Apr 11; [Epub ahead of print].

Reducing errors in emergency surgery. Watters DA, Truskett PG. ANZ J Surg. 2013 Apr 26; [Epub ahead of print].

Close calls in patient safety: should we be paying closer attention? Wu AW, Marks CM. CMAJ. 2013 Apr 16; [Epub ahead of print].

Effect of a systems intervention on the quality and safety of patient handoffs in an internal medicine residency program. Graham KL, Marcantonio ER, Huang GC, Yang J, Davis RB, Smith CC. J Gen Intern Med. 2013 Apr 18; [Epub ahead of print].

Clinical dilemmas and a review of strategies to manage drug shortages. Rider AE, Templet DJ, Daley MJ, Shuman C, Smith LV. J Pharm Pract. 2013 Apr 3; [Epub ahead of print].

Clinical pharmacy interventions in paediatric electronic prescriptions. Maat B, Au YS, Bollen CW, van Vught AJ, Egberts TC, Rademaker CM. Arch Dis Child. 2013;98:222-227.

Prospective memory in the ICU: the effect of visual cues on task execution in a representative simulation. Grundgeiger T, Sanderson PM, Beltran Orihuela C, et al. Ergonomics. 2013;56:579-589.

NEWSPAPER/MAGAZINE ARTICLE

Medical errors leave devastating impact on families, professionals. Bernhard B. St. Louis Post-Dispatch. May 5, 2013:A10.

U.S. to delete data on life-threatening mistakes from website. Babcock CR. Bloomberg News. May 1, 2013.

PRESS RELEASE/ANNOUNCEMENT

Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; May 6, 2013.

MEETING/CONFERENCE

The Science of Safety in Healthcare. Johns Hopkins University. Coursera.org. June 3–July 1, 2013.

Medication Safety Collaborative. American Society of Health-System Pharmacists. June 2–5, 2013; Minneapolis Convention Center, Minneapolis, MN.

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Also of Note...

TeamStepps National Conference. Agency for Healthcare Research and Quality. June 12–13, 2013; The Fairmont Dallas, Dallas, TX.

ISMP Medication Safety Intensive. Institute for Safe Medication Practices. June 13–14, 2013; Maggiano's, Philadelphia, PA.

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