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What’s New this Week
The latest annotated links to patient safety literature, news, and more.
Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care.
Mohr DC, Eaton JL, McPhaul KM, Hodgson MJ. J Patient Saf. 2015 Apr 22; [Epub ahead of print].
Safety incidents in the primary care office setting.
Rees P, Edwards A, Panesar S, et al. Pediatrics. 2015 May 4; [Epub ahead of print].
infection in the United States: a national study assessing preventive practices used and perceptions of practice evidence.
Saint S, Fowler KE, Krein SL, et al. Infect Control Hosp Epidemiol. 2015 Apr 21; [Epub ahead of print].
The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units.
Braddock CH III, Szaflarski N, Forsey L, Abel L, Hernandez-Boussard T, Morton J. J Gen Intern Med. 2015;30:425-433.
Post-discharge adverse events among urban and rural patients of an urban community hospital: a prospective cohort study.
Tsilimingras D, Schnipper J, Duke A, et al. J Gen Intern Med. 2015 Mar 31; [Epub ahead of print].
A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery.
Johnston MJ, Arora S, King D, et al. Surgery. 2015;157:752-763.
Among the elderly, many mental illnesses go undiagnosed.
Bor JS. Health Aff (Millwood). 2015;34:727-731.
Development of an "infusion pump safety score".
Carlson R, Johnson B, Ensign RH II. Am J Health Syst Pharm. 2015;72:777-779.
Failures in communication through documents and documentation across the perioperative pathway.
Braaf S, Riley R, Manias E. J Clin Nurs. 2015 May 4; [Epub ahead of print].
Vital Signs: Core Metrics for Health and Health Care Progress.
Blumenthal D, Malphrus E, McGinnis JM, eds. Committee on Core Metrics for Better Health at Lower Cost, Institute of Medicine. Washington, DC: National Academies Press; 2015. ISBN: 9780309324939.
Overkill: An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it?
Gawande A. New Yorker. May 11, 2015.
Patient Centered Medical Home Resource Center: Quality and Safety.
Rockville, MD: Agency for Healthcare Research and Quality.
2014 National Healthcare Quality and Disparities Report: Chartbook on Patient Safety.
Rockville, MD: Agency for Healthcare Research and Quality; April 2015. AHRQ Publication No. 15-0007-2-EF.
Benefits of AHRQ Patient Safety Organizations (PSOs): Success Stories from Hospital PSO Members.
Agency for Healthcare Research and Quality. June 10, 2015; 2:00–3:00 PM (Eastern).
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Also of Note...
2015 AHRQ Research Conference.
Agency for Healthcare Research and Quality and AcademyHealth. October 4–6, 2015; Crystal Gateway Marriott Hotel and Convention Center, Crystal City, VA.
ISMP QuarterWatch Reports.
Horsham, PA: Institute for Safe Medication Practices.
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2014 Annual Perspectives
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