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The Collection
Annotated links to patient safety literature, news, and other resources.
The 25 most-viewed-items, updated weekly.
  1. STUDY
    Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems.
    Schiff GD, Amato MG, Eguale T, et al. BMJ Qual Saf. 2015 Jan 16; [Epub ahead of print].
    Patient Safety and the "Just Culture": A Primer for Health Care Executives.
    Marx D. New York, NY: Columbia University; 2001.
    National Patient Safety Goals.
    Oakbrook Terrace, IL: The Joint Commission; 2015.
    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.
    A cycle of redemption in a medical error disclosure and apology program.
    Carmack HJ. Qual Health Res. 2014;24:860-869.
    Restoring trust in VA health care.
    Kizer KW, Jha AK. N Engl J Med. 2014;371:295-297.
    Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hygiene.
    Davis R, Parand A, Pinto A, Buetow S. J Hosp Infect. 2015;89:141-162.
    10 years in, why time out still matters.
    Guglielmi CL, Canacari EG, DuPree ES, et al. AORN J. 2014;99:783-794.
  9. STUDY
    Association of hospital participation in a quality reporting program with surgical outcomes and expenditures for Medicare beneficiaries.
    Osborne NH, Nicholas LH, Ryan AM, Thumma JR, Dimick JB. JAMA. 2015;313:496-504.
  10. STUDY
    Associations between perceived crisis mode work climate and poor information exchange within hospitals.
    Patterson ME, Bogart MS, Starr KR. J Hosp Med. 2014 Dec 10; [Epub ahead of print].
  11. STUDY
    Underlying reasons associated with hospital readmission following surgery in the United States.
    Merkow RP, Ju MH, Chung JW, et al. JAMA. 2015;313:483-495.
  12. STUDY
    Patient safety skills in primary care: a national survey of GP educators.
    Ahmed M, Arora S, McKay J, et al. BMC Fam Pract. 2014;15:206.
  13. STUDY
    Diagnostic performance by medical students working individually or in teams.
    Hautz WE, Kämmer JE, Schauber SK, Spies CD, Gaissmaier W. JAMA. 2015;313:303-304.
  14. STUDY
    Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011.
    Magrabi F, Baker M, Sinha I, et al. Int J Med Inform. 2015;84:198-206.
  15. 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.
  16. STUDY
    The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture.
    Garrouste-Orgeas M, Perrin M, Soufir L, et al. Intensive Care Med. 2015 Jan 10; [Epub ahead of print].
    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.
  18. STUDY
    Reducing unacceptable missed doses: pharmacy assistant–supported medicine administration.
    Baqir W, Jones K, Horsley W, et al. Int J Pharm Pract. 2015 Jan 28; [Epub ahead of print].
    Case Studies in Patient Safety: Foundations for Core Competencies.
    Johnson JK, Haskell HW, Barach PR. Burlington, MA: Jones and Bartlett Learning; 2015. ISBN: 9781449681548.
    National Patient Safety Awareness Week.
    National Patient Safety Foundation.
    CUSP Implementation Workshop.
    Armstrong Institute for Patient Safety and Quality. April 7, 2015; Constellation Energy Building Conference Center, Baltimore, MD.
  22. 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.
  23. 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.
  24. 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.
  25. STUDY
    Adverse drug event–related emergency department visits associated with complex chronic conditions.
    Feinstein JA, Feudtner C, Kempe A. Pediatrics. 2014;133:e1575-e1585.
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