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The Collection
Annotated links to patient safety literature, news, and other resources.
The 25 most-viewed-items, updated weekly.
  1. COMMENTARY
    A cycle of redemption in a medical error disclosure and apology program.
    Carmack HJ. Qual Health Res. 2014;24:860-869.
  2. COMMENTARY
    Restoring trust in VA health care.
    Kizer KW, Jha AK. N Engl J Med. 2014;371:295-297.
  3. 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.
  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. STUDY
    Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis.
    Attenello FJ, Wen T, Cen SY, et al. BMJ. 2015;350:h1460.
  6. STUDY
    Unexpected death within 72 hours of emergency department visit: were those deaths preventable?
    Goulet H, Guerand V, Bloom B, et al. Crit Care. 2015;19:154.
  7. COMMENTARY
    Insensible losses: when the medical community forgets the family.
    Elias P. Health Aff (Millwood). 2015;34:707-710.
  8. STUDY
    Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration.
    Paull DE, Mazzia LM, Neily J, et al. Am J Surg. 2015 Mar 21; [Epub ahead of print].
  9. 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.
  10. STUDY
    Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis of five large-scale notifications.
    Wagner TH, Taylor T, Cowgill E, et al. BMJ Qual Saf. 2015;24:295-302.
  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. 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.
  13. STUDY
    "It is the left eye, right?"
    Pikkel D, Sharabi-Nov A, Pikkel J. Risk Manag Healthc Policy. 2014;7:77-80.
  14. 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.
  15. 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.
  16. STUDY
    Hospital safety scores: do grades really matter?
    Gonzalez AA, Ghaferi AA. JAMA Surg. 2014;149:413-414.
  17. BOOK/REPORT
    Hospital Reporting Program.
    Portland, OR: Oregon Patient Safety Commission.
  18. STUDY
    Adverse drug event–related emergency department visits associated with complex chronic conditions.
    Feinstein JA, Feudtner C, Kempe A. Pediatrics. 2014;133:e1575-e1585.
  19. MARYLAND MEETING/CONFERENCE
    CUSP Implementation Workshop.
    Armstrong Institute for Patient Safety and Quality. July 21, 2015; Constellation Energy Building Conference Center, Baltimore, MD.
  20. 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.
  21. 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.
  22. MULTI-USE WEBSITE
    OpenFDA.
    Silverspring, MD: US Food and Drug Administration.
  23. MULTI-USE WEBSITE
    National Patient Safety Goals.
    Oakbrook Terrace, IL: The Joint Commission; 2015.
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