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What’s New this Week | 05/16/12
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The latest annotated links to patient safety literature, news, and more.
JOURNAL ARTICLE
Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. Embi PJ, Leonard AC. J Am Med Inform Assoc. 2012 Apr 25; [Epub ahead of print].
Cognitive interventions to reduce diagnostic error: a narrative review. Graber ML, Kissam S, Payne VL, et al. BMJ Qual Saf. 2012 Apr 27; [Epub ahead of print].
Language barriers and understanding of hospital discharge instructions. Karliner LS, Auerbach A, Nápoles A, Schillinger D, Nickleach D, Pérez-Stable EJ. Med Care. 2012;50:283-289.
What did the doctor say? Health literacy and recall of medical instructions. McCarthy DM, Waite KR, Curtis LM, Engel KG, Baker DW, Wolf MS. Med Care. 2012;50:277-282.
Emergency department crowding and risk of preventable medical errors. Epstein SK, Huckins DS, Liu SW, et al. Intern Emerg Med. 2012;7:173-180.
Clinically missed cancer: how effectively can radiologists use computer-aided detection? Nishikawa RM, Schmidt RA, Linver MN, Edwards AV, Papaioannou J, Stull MA. AJR Am J Roentgenol. 2012;198:708-716.
BOOK/REPORT
Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy. Edmondson AC, Schein EH. San Franscisco, CA: Jossey-Bass; 2012. ISBN: 9780787970932.
Investigating the prevalence and causes of prescribing errors in general practice: The PRACtICe Study. Avery T, Barber N, Ghaleb M, et al. London, UK: General Medical Council; May 2, 2012.
AUDIOVISUAL
Surfing the Healthcare Tsunami: Bring Your Best Board. Austin, TX: Texas Medical Institute for Technology; 2012.
LEGISLATION/REGULATION
Protect Patients Against Preventable Harm from Improper Use of Single–dose⁄Single–use Vials. Atlanta, GA: Centers for Disease Control and Prevention; May 2, 2012.
MEETING/CONFERENCE
The Eleventh National Quality Colloquium. Harvard University. August 13–15, 2012; Harvard University, Cambridge, MA.

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Also of Note...
14th Annual NPSF Patient Safety Congress. National Patient Safety Foundation. May 23–25, 2012; Gaylord National Hotel & Convention Center, National Harbor, MD.
Patient Safety Congress 2012. The Health Foundation. May 28–30, 2012; The Gallery Suites, Birmingham, UK.
An Introduction to AHRQ PSNet
Robert M. Wachter, MD
Editor, AHRQ PSNet
Patient Safety Primers
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Learn about key concepts in patient safety with our primers
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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.
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Did You Know?
Most ED cases referred to a physician review committe in an urban hospital ED involved three or more contributing factors.