U.S. Department of Health & Human Services
What’s New this Week
The latest annotated links to patient safety literature, news, and more.
Problem list completeness in electronic health records: a multi-site study and assessment of success factors.
Wright A, McCoy AB, Hickman TT, et al. Int J Med Inform. 2015 Jul 17; [Epub ahead of print].
Prevalence, nature, severity and risk factors for prescribing errors in hospital inpatients: prospective study in 20 UK hospitals.
Ashcroft DM, Lewis PJ, Tully MP, et al. Drug Saf. 2015 Jun 27; [Epub ahead of print].
Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries.
Hunter CA, Kirson NY, Desai U, Cummings AK, Faries DE, Birnbaum HG. Alzheimers Dement. 2015;11:887-895.
Reducing errors through discharge medication reconciliation by pharmacy services.
Bishop MA, Cohen BA, Billings LK, Thomas EV. Am J Health Syst Pharm. 2015;72(17 suppl 2):S120-S126.
Bedside shift-to-shift handoffs: a systematic review of the literature.
Mardis T, Mardis M, Davis J, et al. J Nurs Care Qual. 2015 Jul 17; [Epub ahead of print].
A piece of my mind. Writing the wrong.
Patel JJ. JAMA. 2015;314:671-672.
Blame the patient, blame the doctor or blame the system? A meta-synthesis of qualitative studies of patient safety in primary care.
Daker-White G, Hays R, McSharry J, et al. PLoS One. 2015;10:e0128329.
Nurse interrupted: development of a realistic medication administration simulation for undergraduate nurses.
Hayes C, Power T, Davidson PM, Daly J, Jackson D. Nurse Educ Today. 2015;3:981-986.
Obstetric safety and quality.
Pettker CM, Grobman WA. Obstet Gynecol. 2015;126:196-206.
How your hospital can make you sick.
Consumer Reports. July 29, 2015.
Preventing Falls With Injury.
Oakbrook Terrace, IL: Joint Commission Center for Transforming Healthcare; August 2015.
Teaching Clinical Reasoning.
Trowbridge RL Jr, Rencic JJ, Durning SJ, eds. Philadelphia, PA: American College of Physicians; 2015. ISBN: 9781938921056.
Safely Home: What Happens When People Leave Hospital Care Settings?
London, UK: Healthwatch England; July 2015.
SIDM Diagnostic Fellowship.
Society to Improve Diagnosis in Medicine.
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Also of Note...
Addressing Behaviors that Undermine a Culture of Safety, Reliability and Accountability.
TeamSTEPPS Webinar Series. Agency for Healthcare Research and Quality. September 9, 2015; 1:00–2:00 PM (Eastern).
MITSS HOPE Award.
Medically Induced Trauma Support Services.
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2014 Annual Perspectives
By Urmimala Sarkar, MD, and Kaveh Shojania, MD
Handoffs and Transitions
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