U.S. Department of Health & Human Services
What’s New this Week
The latest annotated links to patient safety literature, news, and more.
Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM.
Boyd AD, Yang YM, Li J, et al. J Am Med Inform Assoc. 2014 Sep 3; [Epub ahead of print].
Organizational, cultural, and psychological determinants of smart infusion pump work arounds: a study of 3 U.S. health systems.
Dunford BB, Perrigino M, Tucker SJ, et al. J Patient Saf. 2014 Aug 12; [Epub ahead of print].
The role of hospital managers in quality and patient safety: a systematic review.
Parand A, Dopson S, Renz A, Vincent C. BMJ Open. 2014;4:e005055.
Read-back improves information transfer in simulated clinical crises.
Boyd M, Cumin D, Lombard B, Torrie J, Civil N, Weller J. BMJ Qual Saf. 2014 Aug 11; [Epub ahead of print].
A review of the evidence of harm from self-tests.
Brown AN, Djimeu EW, Cameron DB. AIDS Behav. 2014;18(suppl 4):S445-S449.
Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education.
Allen S, Caton C, Cluver J, Mainous AG III, Clyburn B. Acad Med. 2014 Aug 12; [Epub ahead of print].
Medication errors: an overview for clinicians.
Wittich CM, Burkle CM, Lanier WL. Mayo Clin Proc. 2014;89:1116-1125.
Running a hospital patient safety campaign: a qualitative study.
Ozieranski P, Robins V, Minion J, et al. J Health Organ Manag. 2014;28:562-575.
Creating a fellowship curriculum in patient safety and quality.
Abookire SA, Gandhi TK, Kachalia A, et al. Am J Med Qual. 2014 Sep 2; [Epub ahead of print].
Optimizing the patient handoff between EMS and the emergency department.
Meisel ZF, Shea JA, Peacock NJ, et al. Ann Emerg Med. 2014 Aug 7; [Epub ahead of print].
Feds reverse course, will release hospital mistake data.
O'Donnell J. USA Today. September 7, 2014.
Hospitals often ignore policies on using qualified medical interpreters.
Rice S. Modern Healthc. August 30, 2014.
BMJ Quality Improvement Reports.
McKimm A, ed. London, UK: BMJ Publishing Group Ltd; 2014.
Improving Patient Safety with Human Factors Methods.
Armstrong Institute for Patient Safety and Quality. October 21–22, 2014. Constellation Energy Building, Baltimore, MD.
View All What’s New items
Also of Note...
John M. Eisenberg Patient Safety and Quality Award.
The Joint Commission and National Quality Forum.
Community Pharmacy Survey on Patient Safety Culture: Community Pharmacy Survey Toolkit.
Rockville, MD: Agency for Healthcare Research and Quality; July 2014.
Subscribe to the Newsletter
Patient Safety Primers
Learn about key concepts in patient safety with our primers
Safety Hazard Detection
View more primers
Did You Know?
See Source Data
View previous ‘DYK’ entries
The world’s most robust collection of patient safety information: annotated links to journal articles, news, reports, tools, Web sites, and more—tagged for easy searching and browsing.
Browse The Collection
From the Collection:
The most influential journal articles, books, and resources.
View the Classics
The 25 most-viewed-items, updated weekly.
View the Most Popular
Education and Training Programs
Database of patient safety training programs.
View the Programs
Terms & Conditions
Produced for the
Agency for Healthcare Research and Quality
team of editors
University of California, San Francisco
with guidance from a prominent
. The AHRQ PSNet site was designed and implemented by Silverchair.