AHRQ Patient Safety Network http://psnet.ahrq.gov/ A continuously updated, annotated, and carefully selected collection of patient safety news, literature, tools, and resources. en-us AHRQ Patient Safety Network http://psnet.ahrq.gov/ http://psnet.ahrq.gov/mailimg/mast_psnetmail.gif The evolution of patient safety. http://psnet.ahrq.gov/resource.aspx?resourceID=24919&rss=yes Chassin M. Hosp Health Netw. August 13, 2012. Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis. http://psnet.ahrq.gov/resource.aspx?resourceID=24909&rss=yes Freundlich RE, Grondin L, Tremper KK, Saran KA, Kheterpal S. BMJ Qual Saf. 2012 Jul 7; [Epub ahead of print]. Implementing a nurse-shadowing program for first-year medical students to improve interprofessional collaborations on health care teams. http://psnet.ahrq.gov/resource.aspx?resourceID=24910&rss=yes Jain A, Luo E, Yang J, Purkiss J, White C. Acad Med. 2012 Jul 25; [Epub ahead of print]. Improving care transitions: optimizing medication reconciliation. http://psnet.ahrq.gov/resource.aspx?resourceID=24915&rss=yes American Pharmacists Association, American Society of Health-System Pharmacists. J Am Pharm Assoc. 2012;52:e43-e52. Medical devices and patient safety. http://psnet.ahrq.gov/resource.aspx?resourceID=24912&rss=yes Mattox E. Crit Care Nurse. August 2012;32:60-68. The Veterans Affairs National Quality Scholars Program: a model for interprofessional education in quality and safety. http://psnet.ahrq.gov/resource.aspx?resourceID=24911&rss=yes Patrician PA, Dolansky MA, Pair V, et al. J Nurs Care Qual. 2012 Aug 3; [Epub ahead of print]. Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study. http://psnet.ahrq.gov/resource.aspx?resourceID=24905&rss=yes Matlow AG, Baker GR, Flintoft V, et al. CMAJ. 2012 Aug 7; [Epub ahead of print]. Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) patients admitted on weekends. http://psnet.ahrq.gov/resource.aspx?resourceID=24904&rss=yes Schneider EB, Hirani SA, Hambridge HL, et al. J Surg Res. 2012 Jul 7; [Epub ahead of print]. Do micropauses prevent surgeon's fatigue and loss of accuracy associated with prolonged surgery?: An experimental prospective study. http://psnet.ahrq.gov/resource.aspx?resourceID=24884&rss=yes Dorion D, Darveau S. Ann Surg. 2012 Jul 20; [Epub ahead of print]. Errors during the preparation of drug infusions: a randomized controlled trial. http://psnet.ahrq.gov/resource.aspx?resourceID=24796&rss=yes Adapa RM, Mani V, Murray LJ, et al. Br J Anaesth. 2012 Jul 31; [Epub ahead of print]. Nurse–pharmacist collaboration on medication reconciliation prevents potential harm. http://psnet.ahrq.gov/resource.aspx?resourceID=24895&rss=yes Feldman LS, Costa LL, Feroli ER Jr, et al. J Hosp Med. 2012;7:396-401. Preventing patient harms through systems of care. http://psnet.ahrq.gov/resource.aspx?resourceID=24922&rss=yes Pronovost PJ, Bo-Linn GW. JAMA. 2012;308:769-770. Reduction in pediatric identification band errors: a quality collaborative. http://psnet.ahrq.gov/resource.aspx?resourceID=24903&rss=yes Phillips SC, Saysana M, Worley S, Hain PD. Pediatrics. 2012;129:e1587-e1593. Self-reported uptake of recommendations after dissemination of medication incident alerts. http://psnet.ahrq.gov/resource.aspx?resourceID=24906&rss=yes Cheung KC, Wensing M, Bouvy ML, De Smet PA, van den Bemt PM. BMJ Qual Saf. 2012 Jul 24; [Epub ahead of print]. Standardized postoperative handover process improves outcomes in the intensive care unit: a model for operational sustainability and improved team performance. http://psnet.ahrq.gov/resource.aspx?resourceID=24908&rss=yes Agarwal HS, Saville BR, Slayton JM, et al. Crit Care Med. 2012;40:2109-2115. Team safety and innovation by learning from errors in long-term care settings. http://psnet.ahrq.gov/resource.aspx?resourceID=24907&rss=yes Buljac-Samardžić M, van Woerkom M, Paauwe J. Health Care Manag Rev. 2012;37:280-291. Using a risk assessment approach to determine which factors influence whether partially bilingual physicians rely on their non-English language skills or call an interpreter. http://psnet.ahrq.gov/resource.aspx?resourceID=24902&rss=yes Maul L, Regenstein M, Andres E, Wright R, Wynia MK. Jt Comm J Qual Patient Saf. 2012;38:328-336. Most adverse events at hospitals still go unreported. http://psnet.ahrq.gov/resource.aspx?resourceID=24913&rss=yes Shaw G. The Hospitalist. August 2012. AHRQ 2012 Annual Conference. http://psnet.ahrq.gov/resource.aspx?resourceID=24250&rss=yes Agency for Healthcare Research and Quality. September 9–12, 2012; Bethesda North Marriott Hotel & Conference Center, Bethesda, MD. Hospital Reporting Program. http://psnet.ahrq.gov/resource.aspx?resourceID=19098&rss=yes Portland, OR: Oregon Patient Safety Commission. John M. Eisenberg Patient Safety and Quality Award. http://psnet.ahrq.gov/resource.aspx?resourceID=6865&rss=yes The Joint Commission and National Quality Forum.