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What’s New this Week
The latest annotated links to patient safety literature, news, and more.
More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety.
Hearing Before the Subcommittee on Primary Health and Aging, 113th Cong (July 17, 2014). (Testimony of John James, PhD; Ashish Jha, MD, MPH; Tejal Gandhi, MD, MPH; Peter Pronovost, MD, PhD; Joanne Disch, PhD, RN; Lisa McGiffert.)
Strategies to prevent healthcare-associated infections through hand hygiene.
Ellingson K, Haas JP, Aiello AE, et al. Infect Control Hosp Epidemiol. 2014;35:937-960.
Interventions to reduce pediatric medication errors: a systematic review.
Rinke ML, Bundy DG, Velasquez CA, et al. Pediatrics. 2014 Jul 14; [Epub ahead of print].
Unit of measurement used and parent medication dosing errors.
Yin HS, Dreyer BP, Ugboaja DC, et al. Pediatrics. 2014 Jul 14; [Epub ahead of print].
Exploration of an automated approach for receiving patient feedback after outpatient acute care visits.
Berner ES, Ray MN, Panjamapirom A, et al. J Gen Intern Med. 2014;29:1105-1112.
Resilience and resilience engineering in health care.
Fairbanks RJ, Wears RL, Woods DD, Hollnagel E, Plsek P, Cook RI. Jt Comm J Qual Patient Saf. 2014;40:376-383.
Effectiveness of the surgical safety checklist in correcting errors: a literature review applying Reason's Swiss cheese model.
Collins SJ, Newhouse R, Porter J, Talsma A. AORN J. 2014;100:65-79.
Diagnostic error in children presenting with acute medical illness to a community hospital.
Warrick C, Patel P, Hyer W, Neale G, Sevdalis N, Inwald D. Int J Qual Health Care. 2014 Jul 6; [Epub ahead of print].
The surgical safety checklist and teamwork coaching tools: a study of inter-rater reliability.
Huang LC, Conley D, Lipsitz S, et al. BMJ Qual Saf. 2014;23:639-650.
Using Lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose."
Ching JM, Williams BL, Idemoto LM, Blackmore CC. Jt Comm J Qual Patient Saf. 2014;40:341-350.
Hazards tied to medical records rush.
Rowland C. Boston Globe. July 20, 2014.
24-Hour inpatient pulse oximetry monitoring reduces rescue events and intensive care unit transfers.
Agency for Healthcare Research and Quality. Health Care Innovations Exchange. June 18, 2014.
With oral chemotherapy, we simply must do better!
ISMP Medication Safety Alert! Acute Care Edition. July 17, 2014;19:1-4.
SPECIAL OR THEME ISSUE
Special Issue on Patient Safety.
West J Nurs Res. 2014;36:851-946.
Online Patient Safety Certificate Program.
Armstrong Institute for Patient Safety and Quality.
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Also of Note...
The Leapfrog Hospital Survey.
Washington, DC: Leapfrog Group; 2014.
2014 American Hospital Association–McKesson Quest for Quality Prize.
Chicago, IL: American Hospital Association and Health Research & Educational Trust.
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