U.S. Department of Health & Human Services
What’s New this Week
The latest annotated links to patient safety literature, news, and more.
Multifaceted interventions improve adherence to the surgical checklist.
Putnam LR, Levy SM, Sajid M, et al. Surgery. 2014;156:336-344.
Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy.
Parsons JK, Messer K, Palazzi K, Stroup S, Chang D. JAMA Surg. 2014 Jul 2; [Epub ahead of print].
Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care.
Forrester SH, Hepp Z, Roth JA, Wirtz HS, Devine EB. Value Health. 2014;17:340-349.
Clinical questions raised by clinicians at the point of care: a systematic review.
Del Fiol G, Workman TE, Gorman PN. JAMA Intern Med. 2014;174:710-718.
Are amended surgical pathology reports getting to the correct responsible care provider?
Parkash V, Domfeh A, Cohen P, et al. Am J Clin Pathol. 2014;142:58-63.
Changing our culture: adopting the military aviation safety system.
Kerber CW. J Neurointerv Surg. 2014;6:332-341
Use of a novel, modified fishbone diagram to analyze diagnostic errors.
Reilly JB, Myers JS, Salvador D, Trowbridge RL. Diagnosis. 2014;1:167-171.
Avoiding potential harm by improving appropriateness of urinary catheter use in 18 emergency departments.
Fakih MG, Heavens M, Grotemeyer J, Szpunar SM, Groves C, Hendrich A. Ann Emerg Med. 2014;63:761-768.
Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool.
Chapman SM, Fitzsimons J, Davey N, Lachman P. BMJ Open. 2014;4:e005066.
Identifying patient safety problems during team rounds: an ethnographic study.
Lamba AR, Linn K, Fletcher KE. BMJ Qual Saf. 2014;23:667-669.
An avoidable death of a three-year-old child from sepsis.
London, UK: Parliamentary and Health Service Ombudsman; June 24, 2014.
Drug shortages: the scary reality of a world without meds.
Eban K. Reader's Digest. June 2014.
Survey suggests possible downward trend in identifying key drugs/drug classes as high-alert medications.
ISMP Medication Safety Alert! Acute Care Edition. July 3, 2014;19:1-3,5-6.
Antimicrobial Stewardship Toolkit.
Chicago, IL: American Hospital Association Physician Leadership Forum; July 2014.
Master of Science in Healthcare Quality and Safety.
Philadelphia, PA: Thomas Jefferson University School of Population Health.
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Also of Note...
The Safety and Quality Transformation of Vidant Health: Best Practices for Your Organization.
National Patient Safety Foundation. July 23, 2014; 4:00–5:00 PM (Eastern).
The 6th International Conference on Patient- and Family-Centered Care: Partnerships for Quality & Safety.
Institute for Patient- and Family-Centered Care. August 6–8, 2014. Westin Bayshore Vancouver, Vancouver, British Columbia, Canada.
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