U.S. Department of Health & Human Services
What’s New this Week
The latest annotated links to patient safety literature, news, and more.
Identifying hospital-wide harm: a set of ICD-9–CM-coded conditions associated with increased cost, length of stay, and risk of mortality.
Bankowitz RA, Doyle B, Duan M, Kroch E, Martin J. Am J Med Qual. 2014;29:373-380.
Evaluating ambulatory practice safety: the PROMISES Project administrators and practice staff surveys.
Singer SJ, Reyes Nieva H, Brede N, et al. Med Care. 2014 Nov 27; [Epub ahead of print].
Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study.
Russ S, Rout S, Caris J, et al. J Am Coll Surg. 2015;220:1-11.
Development and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions of patient safety competency.
Ginsburg LR, Tregunno D, Norton PG, et al. BMJ Qual Saf. 2014 Nov 14; [Epub ahead of print].
Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams.
Johnston MJ, King D, Arora S, et al. Am J Surg. 2015;209:45-51.
Debriefing in the emergency department after clinical events: a practical guide.
Kessler DO, Cheng A, Mullan PC. Ann Emerg Med. 2014 Nov 15; [Epub ahead of print].
Aviation tools to improve patient safety.
Ross J. J Perianesth Nurs. 2014;29:508-510.
The Public's Views on Medical Error in Massachusetts.
Boston, MA: Harvard School of Public Health; December 2014.
Facilitating Patient Understanding of Discharge Instructions: Workshop Summary.
Alper J, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: National Academies Press; December 2014. ISBN: 9780309307383.
Complaints About Acute Trusts 2013–14 and Q1 and Q2 2014–15.
London, UK: Parliamentary and Health Service Ombudsman; November 26, 2014.
Old and overmedicated: the real drug problem in nursing homes.
Jaffe I, Renincasa R. Morning Edition. National Public Radio. December 8–9, 2014.
ER doctor discusses role in Ebola patient's initial misdiagnosis.
Dunklin R, Thompson S. Dallas Morning News. December 6, 2014.
Investigating Patient Safety Events.
Health Quality Council of Alberta, University of Calgary, and the Ward of the 21st Century. February 24–26, 2015. Foothills Hospital Campus, University of Calgary, Calgary, Alberta, Canada.
View All What’s New items
Also of Note...
CUSP Implementation Workshop.
Armstrong Institute for Patient Safety and Quality. January 13, 2015; Constellation Energy Building Conference Center, Baltimore, MD.
Just Culture Certification Course.
Outcome Engenuity. January 13–15, 2015; South Carolina Hospital Association, Columbia, SC.
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.