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What’s New this Week | 01/28/15
The latest annotated links to patient safety literature, news, and more.
BOOK/REPORT
Shining a Light: Safer Health Care Through Transparency. Boston, MA: National Patient Safety Foundation Lucian Leape Institute; January 2015.
JOURNAL ARTICLE
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].
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
Patient Safety. J Health Serv Res Policy. 2015;20(suppl 1):S1-S60.
NEWSPAPER/MAGAZINE ARTICLE
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.
TOOLS/TOOLKIT
Starter Kit for Alarm Fatigue. Philadelphia, PA: National Association of Clinical Nurse Specialists; January 2015.
MEETING/CONFERENCE
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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