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What’s New this Week | 03/25/15
The latest annotated links to patient safety literature, news, and more.
Diagnostic concordance among pathologists interpreting breast biopsy specimens. Elmore JG, Longton GM, Carney PA, et al. JAMA. 2015;313:1122-1132.
Impact of computerized physician order entry alerts on prescribing in older patients. Lester PE, Rios-Rojas L, Islam S, Fazzari MJ, Gomolin IH. Drugs Aging. 2015;32:227-233.
Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting. Hewitt TA, Chreim S. BMJ Qual Saf. 2015 Mar 6; [Epub ahead of print].
Color-coded prefilled medication syringes decrease time to delivery and dosing error in simulated emergency department pediatric resuscitations. Moreira ME, Hernandez C, Stevens AD, et al. Ann Emerg Med. 2015 Feb 18; [Epub ahead of print].
The effect of hospitalist discontinuity on adverse events. O'Leary KJ, Turner J, Christensen N, et al. J Hosp Med. 2015;10:147-151.
Organisational reporting and learning systems: innovating inside and outside of the box. Sujan M, Furniss D. Clin Risk. Feb 27, 2015; [Epub ahead of print].
Wrong-site orthopedic operations on the extremities: the Pennsylvania experience. Clarke JR. PA-PSRS Patient Saf Advis. 2015;12:19-27.
Preventing Overdiagnosis. National Institutes of Health, National Cancer Institute. September 1–3, 2015; The National Institutes of Health, Natcher Building, Bethesda, MD.
Quality Improvement: It's Not Just For Health Care Professionals Anymore! Patients and Families as Effective Improvement Partners. Institute for Patient- and Family-Centered Care. April 15, 2015; 1:00–2:00 PM (Eastern).

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Also of Note...
TeamSTEPPS for Code Blue Teams: Piloting SBAR and CUS for Interprofessional Team Education. TeamSTEPPS Webinar Series. Agency for Healthcare Research and Quality. April 8, 2015. 1:00–2:00 PM (Eastern).
Patient Safety 2015. National Quality Forum.
2014 Annual Perspectives

 Diagnostic Errors
By Urmimala Sarkar, MD, and Kaveh Shojania, MD

 Handoffs and Transitions
By Niraj Sehgal, MD, MPH

 Safety and Medical Education
By Sumant Ranji, MD

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