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The latest annotated links to patient safety literature, news, and more.
Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle.
Starmer AJ, Sectish TC, Simon DW, et al. JAMA. 2013;310:2262-2270.
Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams.
Arriaga AF, Gawande AA, Raemer DB, et al; Harvard Surgical Safety Collaborative. Ann Surg. 2013 Nov 20; [Epub ahead of print].
Telemedicine consultations and medication errors in rural emergency departments.
Dharmar M, Kuppermann N, Romano PS, et al. Pediatrics. 2013 Nov 25; [Epub ahead of print].
Why do doctors make mistakes? A study of the role of salient distracting clinical features.
Mamede S, van Gog T, van den Berge K, van Saase J, Schmidt HG. Acad Med. 2013 Nov 25; [Epub ahead of print].
Predictors of completeness of patients' self-reported personal medication lists and discrepancies with clinic medication lists.
Lee KP, Nishimura K, Ngu B, Tieu L, Auerbach AD. Ann Pharmacother. 2013 Nov 13; [Epub ahead of print].
Case studies of patient safety research classics to build research capacity in low- and middle-income countries.
Andermann A, Wu AW, Lashoher A, et al. Jt Comm J Qual Patient Saf. 2013;39:553-560.
Developing a medical emergency team running sheet to improve clinical handoff and documentation.
Mardegan K, Heland M, Whitelock T, Millar R, Jones D. Jt Comm J Qual Patient Saf. 2013;39:570-575.
The costs of developing, implementing, and operating a safety learning system in community practice.
O'Beirne M, Reid R, Zwicker K, et al. J Patient Saf. 2013;9:211-218.
First annual review of data submitted to the ISMP National Vaccine Errors Reporting Program (VERP).
ISMP Medication Safety Alert! Acute Care Edition. November 28, 2013;18:1-5.
Patient Stories 2013: Time for Change.
Harrow, Middlesex, UK: The Patients Association; 2013.
Will medicine ever become safer?
Lundberg GD. Medscape Internal Medicine. November 26, 2013.
Call for Measures and Measure Concepts: Patient Safety.
Washington, DC: National Quality Forum; October 25, 2013.
The Patient Education Materials Assessment Tool (PEMAT) and User's Guide: An Instrument to Assess the Understandability and Actionability of Print and Audiovisual Patient Education Materials.
Rockville, MD: Agency for Healthcare Research and Quality; October 2013.
ASPEN parenteral nutrition safety consensus recommendations.
Ayers P, Adams S, Boullata J, et al. JPEN J Parenter Enteral Nutr. 2013 Nov 26; [Epub ahead of print].
Using the IHI Global Trigger Tool for Measuring Adverse Events.
Institute for Healthcare Improvement. February 18, March 4, and March 18, 2014.
The Quality, Safety, and Value Movements: Why Transforming the Delivery of Health Care is No Longer Elective.
National Patient Safety Foundation. January 7, 2014; 1:00–2:00 PM (Eastern).
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Also of Note...
Advances in Patient Safety through Simulation Research (R18).
Rockville, MD: Agency for Healthcare Research and Quality. PA-14-004.
CUSP Implementation Workshop.
Armstrong Institute for Patient Safety and Quality. January 7-8, 2014; Constellation Energy Building Conference Center, Baltimore, MD.
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