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The Collection
Annotated links to patient safety literature, news, and other resources.
The 25 most-viewed-items, updated weekly.
  1. MULTI-USE WEBSITE
    National Patient Safety Goals.
    Oakbrook Terrace, IL: The Joint Commission; 2013.
  2. BOOK/REPORT 
    Patient Safety and the "Just Culture": A Primer for Health Care Executives.
    Marx D. New York, NY: Columbia University; 2001.
  3. BOOK/REPORT
    Patient Safety and Quality: An Evidence-Based Handbook for Nurses.
    Hughes RG, ed. Rockville, MD: Agency for Healthcare Research and Quality; 2008. AHRQ Publication No. 08-0043.  
  4. STUDY 
    Introduction of surgical safety checklists in Ontario, Canada.
    Urbach DR, Govindarajan A, Saskin R, Wilton AS, Baxter NN. N Engl J Med. 2014;370:1029-1038.
  5. NEWSPAPER/MAGAZINE ARTICLE
    Save a brain, make a checklist.
    Hamblin J. The Atlantic. March 17, 2014.
  6. BOOK/REPORT 
    The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Monitoring.
    Donabedian A. Ann Arbor, MI: Health Administration Press; 1980.
  7. STUDY
    We need to talk: an observational study of the impact of electronic medical record implementation on hospital communication.
    Taylor SP, Ledford R, Palmer V, Abel E. BMJ Qual Saf. 2014 Feb 6; [Epub ahead of print].
  8. STUDY
    Physician attitudes toward family-activated medical emergency teams for hospitalized children.
    Paciotti B, Roberts KE, Tibbetts KM, et al. Jt Comm J Qual Patient Saf. 2014;40:187-192.
  9. NEWSPAPER/MAGAZINE ARTICLE
    "Second victim" casualties and how physician leaders can help.
    MacLeod L. Physician Exec. Jan-Feb 2014;40:8-12.
  10. BOOK/REPORT 
    To Err Is Human: Building a Safer Health System.
    Kohn L, Corrigan J, Donaldson M, eds. Washington, DC: Committee on Quality of Health Care in America, Institute of Medicine. National Academies Press; 1999. ISBN: 9780309068376.
  11. BOOK/REPORT
    Safety Is Personal: Partnering With Patients and Families for the Safest Care.
    NPSF Lucian Leape Institute Roundtable on Consumer Engagement in Patient Safety. Boston, MA: National Patient Safety Foundation; March 2014.
  12. REVIEW
    The relationship between patient safety culture and patient outcomes: a systematic review.
    DiCuccio MH. J Patient Saf. 2014 Feb 27; [Epub ahead of print].
  13. STUDY
    Health care huddles: managing complexity to achieve high reliability.
    Provost SM, Lanham HJ, Leykum LK, McDaniel RR Jr, Pugh J. Health Care Manage Rev. 2014 Feb 28; [Epub ahead of print].
  14. COMMENTARY
    A just culture after Mid Staffordshire.
    Dekker SW, Hugh TB. BMJ Qual Saf. 2014 Feb 6; [Epub ahead of print].
  15. STUDY
    Vital signs: improving antibiotic use among hospitalized patients.
    Fridkin S, Baggs J, Fagan R, et al; National Center for Emerging and Zoonotic Infectious Diseases, CDC. MMWR Morb Mortal Wkly Rep. 2014;63:194-200.
  16. BOOK/REPORT
    Ten Years After Keeping Patients Safe: Have Nurses' Work Environments Been Transformed?
    Charting Nursing's Future. Princeton, NJ: Robert Wood Johnson Foundation. Washington, DC: George Washington University School of Nursing. March 14, 2014;22:1-8.
  17. STUDY
    Providers' perceptions of communication breakdowns in cancer care.
    Prouty CD, Mazor KM, Greene SM, et al. J Gen Intern Med. 2014 Mar 6; [Epub ahead of print].
  18. COMMENTARY
    The sterile cockpit: an effective approach to reducing medication errors?
    Federwisch M, Ramos H, Adams SC. Am J Nurs. 2014;114:47-55.
  19. COMMENTARY
    Patient safety: threats and solutions.
    McCaughan D, Kaufman G. Nurs Stand. 2013;27:48-55.
  20. BOOK/REPORT
    Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid.
    Dalton D, Williams N. London, UK: The Royal College of Surgeons of England; March 2014.
  21. STUDY
    Conditions that influence the impact of malpractice litigation risk on physicians' behavior regarding patient safety.
    Renkema E, Broekhuis M, Ahaus K. BMC Health Serv Res. 2014;14:38.
  22. STUDY
    Understanding safety culture in long-term care: a case study.
    Halligan MH, Zecevic A, Kothari AR, Salmoni AW, Orchard T. J Patient Saf. 2014 Jan 9; [Epub ahead of print].
  23. UPCOMING MEETING/CONFERENCE
    Safer Sign Out: A High-Reliability Tool for Emergency Physician Handoffs.
    National Patient Safety Foundation. April 23, 2014; 1:00–2:00 PM (Eastern).
  24. STUDY
    Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval.
    Kennerly DA, Kudyakov R, da Graca B, et al. Health Serv Res. 2014 Mar 13; [Epub ahead of print].
  25. MULTI-USE WEBSITE
    National Quality Forum.
    601 Thirteenth Street, NW, Suite 500 North, Washington, DC 20005.
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