Skip Navigation
The Collection
Annotated links to patient safety literature, news, and other resources.
The 25 most-viewed-items, updated weekly.
  1. COMMENTARY
    Restoring trust in VA health care.
    Kizer KW, Jha AK. N Engl J Med. 2014;371:295-297.
  2. REVIEW
    Discussing harm-causing errors with patients: an ethics primer for plastic surgeons.
    Vercler CJ, Buchman SR, Chung KC. Ann Plast Surg. 2015;74:140-144.
  3. COMMENTARY
    A cycle of redemption in a medical error disclosure and apology program.
    Carmack HJ. Qual Health Res. 2014;24:860-869.
  4. COMMENTARY
    10 years in, why time out still matters.
    Guglielmi CL, Canacari EG, DuPree ES, et al. AORN J. 2014;99:783-794.
  5. BOOK/REPORT 
    Patient Safety and the "Just Culture": A Primer for Health Care Executives.
    Marx D. New York, NY: Columbia University; 2001.
  6. MULTI-USE WEBSITE
    National Patient Safety Awareness Week.
    National Patient Safety Foundation.
  7. STUDY
    National hospital ratings systems share few common scores and may generate confusion instead of clarity.
    Austin JM, Jha AK, Romano PS, et al. Health Aff (Millwood). 2015;34:423-430.
  8. REVIEW
    Interventions employed to improve intrahospital handover: a systematic review.
    Robertson ER, Morgan L, Bird S, Catchpole K, McCulloch P. BMJ Qual Saf. 2014;23:600-607.
  9. MULTI-USE WEBSITE
    National Patient Safety Goals.
    Oakbrook Terrace, IL: The Joint Commission; 2015.
  10. REVIEW
    Look alike/sound alike drugs: a literature review on causes and solutions.
    Ciociano N, Bagnasco L. Int J Clin Pharm. 2014;36:233-242.
  11. STUDY
    Attitudes and practices related to clinical alarms.
    Funk M, Clark JT, Bauld TJ, Ott JC, Coss P. Am J Crit Care. 2014;23:e9-e18.
  12. MARYLAND MEETING/CONFERENCE
    CUSP Implementation Workshop.
    Armstrong Institute for Patient Safety and Quality. April 7, 2015; Constellation Energy Building Conference Center, Baltimore, MD.
  13. BOOK/REPORT
    Hospital Reporting Program.
    Portland, OR: Oregon Patient Safety Commission.
  14. STUDY
    'Saying it without words': a qualitative study of oncology staff's experiences with speaking up about safety concerns.
    Schwappach DL, Gehring K. BMJ Open. 2014;4:e004740.
  15. STUDY
    "It is the left eye, right?"
    Pikkel D, Sharabi-Nov A, Pikkel J. Risk Manag Healthc Policy. 2014;7:77-80.
  16. STUDY
    Adverse drug event–related emergency department visits associated with complex chronic conditions.
    Feinstein JA, Feudtner C, Kempe A. Pediatrics. 2014;133:e1575-e1585.
  17. STUDY
    Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest.
    Lammers RL, Willoughby-Byrwa M, Fales WD. Simul Healthc. 2014;9:174-183.
  18. STUDY
    Improved incident reporting following the implementation of a standardized emergency department peer review process.
    Reznek MA, Barton BA. Int J Qual Health Care. 2014;26:278-286.
  19. STUDY
    Hospital safety scores: do grades really matter?
    Gonzalez AA, Ghaferi AA. JAMA Surg. 2014;149:413-414.
  20. STUDY
    Investigating the long-term consequences of adverse medical events among older adults.
    Carter MW, Zhu M, Xiang J, Porell FW. Inj Prev. 2014;20:408-415.
  21. MULTI-USE WEBSITE
    OpenFDA.
    Silverspring, MD: US Food and Drug Administration.
  22. AWARD RECIPIENT
    2014 John M. Eisenberg Patient Safety and Quality Award Recipients Announced.
    Oakbrook, IL: Joint Commission; March 4, 2015.
  23. STUDY
    Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger-based automated adverse-event detection.
    Patregnani JT, Spaeder MC, Lemon V, Diab Y, Klugman D, Stockwell DC. Jt Comm J Qual Patient Saf. 2015;41:108-114.
white box