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What’s New this Week
The latest annotated links to patient safety literature, news, and more.
Can staff and patient perspectives on hospital safety predict harm-free care? An analysis of staff and patient survey data and routinely collected outcomes.
Lawton R, O'Hara JK, Sheard L, et al. BMJ Qual Saf. 2015 Apr 10; [Epub ahead of print].
Accuracy of harm scores entered into an event reporting system.
Abbasi T, Adornetto-Garcia D, Johnston PA, Segovia JH, Summers B. J Nurs Adm. 2015;45:218-225.
How to make medication error reporting systems work—factors associated with their successful development and implementation.
Holmström AR, Laaksonen R, Airaksinen M. Health Policy. 2015 Mar 11; [Epub ahead of print].
National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths.
Hickey EJ, Nosikova Y, Pham-Hung E, et al. J Thorac Cardiovasc Surg. 2015;149:496-507.
Communication of vital signs at emergency department handoff: opportunities for improvement.
Venkatesh AK, Curley D, Chang Y, Liu SW. Ann Emerg Med. 2015 Mar 21; [Epub ahead of print].
Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents.
Johnson DP, Zimmerman K, Staples B, McGann KA, Frush K, Turner DA. Hosp Pediatr. 2015;5:154-158.
Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era.
Wang HF, Jin JF, Feng XQ, et al. Ther Clin Risk Manag. 2015;11:393-406.
Meet the cancer patient in room 52: his name is Joseph, but call him Joe.
Sun LH. Washington Post. April 8, 2015.
Understanding and Improving Diagnostic Safety in Ambulatory Care.
Rockville, MD: Agency for Healthcare Research and Quality; April 8, 2015. PA-15-179 and PA-15-180.
Results of the 2014 Leapfrog Hospital Survey: Computerized Physician Order Entry.
Washington, DC: Leapfrog Group; March 2015.
Asking the Right Questions to Improve Patient Experience and Safety.
Denver, CO: Healthgrades Operating Company, Inc; 2015.
ASHP guidelines on preventing medication errors with chemotherapy and biotherapy.
Goldspiel B, Hoffman JM, Griffith NL, et al. Am J Health Syst Pharm. 2015;72:e6-e35.
Expanding the Use of Barcode Medication Administration: Making a Difference in the Emergency Department (ED) and Other Outpatient Settings.
Institute for Safe Medication Practices. May 27, 2015; 1:30–3:00 PM (Eastern).
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Also of Note...
National Healthcare Quality and Disparities Reports.
Rockville, MD: Agency for Healthcare Research and Quality; April 2015. AHRQ Publication No. 15-0007.
TeamSTEPPS in Primary Care: Master Training.
Agency for Healthcare Research and Quality, Health Research & Educational Trust. May 14–September 17, 2015.
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2014 Annual Perspectives
By Urmimala Sarkar, MD, and Kaveh Shojania, MD
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