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What’s New this Week | 03/04/15
The latest annotated links to patient safety literature, news, and more.
The quality of hospital work environments and missed nursing care is linked to heart failure readmissions: a cross-sectional study of US hospitals. Brooks Carthon JM, Lasater KB, Sloane DM, Kutney-Lee A. BMJ Qual Saf. 2015 Feb 11; [Epub ahead of print].
Diagnostic errors in the pediatric and neonatal ICU: a systematic review. Custer JW, Winters BD, Goode V, et al. Pediatr Crit Care Med. 2015;16:29-36.
Psychological safety and error reporting within Veterans Health Administration hospitals. Derickson R, Fishman J, Osatuke K, Teclaw R, Ramsel D. J Patient Saf. 2015;11:60-66.
Improving resident morning sign-out by use of daily events reports. Nabors C, Patel D, Khera S, et al. J Patient Saf. 2015;11:36-41.
Impact of incorporating pharmacy claims data into electronic medication reconciliation. Phansalkar S, Her QL, Tucker AD, et al. Am J Health Syst Pharm. 2015;72:212-217.
Design of endoscopic retrograde cholangiopancreatography (ERCP) duodenoscopes may impede effective cleaning. FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; February 23, 2015.
Exploring the Potential Use of Safety Cases in Health Care. Safety Cases Working Group. London, UK: Health Foundation; 2015.
For Colorado mom, story of daughter's hospital death is key to others' safety. Daley J. Colorado Public Radio. February 17, 2015.
Safety considerations to mitigate the risks of misconnections with small-bore connectors intended for enteral applications. Rockville, MD: Center for Devices and Radiological Health, US Food and Drug Administration; February 11, 2015.
AHRQ Health Services Research Projects: Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R01). US Department of Health and Human Services; February 13, 2015. Program Announcement No. RFA-HS-15-002.
Patient Safety Congress and Awards. Health Service Journal and the Nursing Times. July 6–7, 2015; ICC, Birmingham, UK.
Patients and Families as Partners: United in Safety. National Patient Safety Foundation. March 12, 2015; 1:00–2:00 PM (Eastern).
Evolution of Anticoagulants and the Effects on Patient Safety. Institute for Safe Medication Practices. March 19, 2015; 1:30–3:00 PM (Eastern).

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Also of Note...
National Patient Safety Awareness Week. National Patient Safety Foundation.
Patient Safety Learning Laboratories: Innovative Design and Development to Improve Healthcare Delivery Systems (P30). Rockville, MD: Agency for Healthcare Research and Quality; February 5, 2015. Funding Opportunity Announcement No. RFA-HS-15-001.
The Fourth World Congress of Clinical Safety. International Association of Risk Management in Medicine. September 28–30, 2015. Schlos Schonbrunn Apothekertrakt, Vienna, Austria.
2014 Annual Perspectives

 Diagnostic Errors
By Urmimala Sarkar, MD, and Kaveh Shojania, MD

 Handoffs and Transitions
By Niraj Sehgal, MD, MPH

 Safety and Medical Education
By Sumant Ranji, MD

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