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What’s New this Week
The latest annotated links to patient safety literature, news, and more.
Patient safety goals for the proposed Federal Health Information Technology Safety Center.
Sittig DF, Classen DC, Singh H. J Am Med Inform Assoc. 2014 Oct 20; [Epub ahead of print].
Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership.
Elwy AR, Bokhour BG, Maguire EM, et al. J Gen Intern Med. 2014 Oct 30; [Epub ahead of print].
The medical liability climate and prospects for reform.
Mello MM, Studdert DM, Kachalia A. JAMA. 2014 Oct 30; [Epub ahead of print].
Blink or think: can further reflection improve initial diagnostic impressions?
Hess BJ, Lipner RS, Thompson V, Holmboe ES, Graber ML. Acad Med. 2014 Nov 4; [Epub ahead of print].
A meta-analysis of the effectiveness of crew resource management training in acute care domains.
O'Dea A, O'Connor P, Keogh I. Postgrad Med J. 2014 Nov 4; [Epub ahead of print].
Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit.
Balasuriya L, Vyles D, Bakerman P, et al. J Patient Saf. 2014 Oct 31; [Epub ahead of print].
Learning from failure: the need for independent safety investigation in healthcare.
Macrae C, Vincent C. J R Soc Med. 2014;107:439-443.
Work-arounds observed by fourth-year nursing students.
Westphal J, Lancaster R, Park D. West J Nurs Res. 2014;36:1002-1018.
AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report.
Sorra J, Famolaro T, Yount N, Burns W, Liu H, Shyy M. Rockville, MD: Agency for Healthcare Research and Quality; November 2014. AHRQ Publication No. 15-0004-EF.
Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance Centres.
Bencheikh SR, Cousins D, Benabdallah G, et al. Geneva, Switzerland: World Health Organization; October 2014. ISBN: 9789241507943.
Strengthen your resolve: no unlabeled containers anywhere, ever!
ISMP Medication Safety Alert! Acute Care Edition. November 6, 2014;19:1-4.
SPECIAL OR THEME ISSUE
Pearls, Pitfalls, and Errors in Musculoskeletal Diagnosis.
Blankenbaker DG, ed. AJR Am J Roentgenol. 2014;203:476-593.
FDA Pharmacists Help Consumers Use Medicines Safely.
Silver Spring, MD: United States Food and Drug Administration; October 31, 2014.
SAFER Guides: What You Need to Know.
American Hospital Association. December 3, 2014. 3:00–4:00 PM (Eastern).
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Also of Note...
TeamSTEPPS in Primary Care: Master Training.
Agency for Healthcare Research and Quality, Health Research & Educational Trust. October 2014–February 2015.
ISMP Resurvey on the 2014–2015 Targeted Medication Safety Best Practices for Hospitals.
Horsham, PA: Institute for Safe Medication Practices; October 9, 2014.
26th Annual IHI National Forum on Quality Improvement in Health Care.
Institute for Healthcare Improvement. December 7–10 2014; World Center Marriott, Orlando, FL.
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