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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;24:264-271.
    Restoring trust in VA health care.
    Kizer KW, Jha AK. N Engl J Med. 2014;371:295-297.
    A cycle of redemption in a medical error disclosure and apology program.
    Carmack HJ. Qual Health Res. 2014;24:860-869.
    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.
    10 years in, why time out still matters.
    Guglielmi CL, Canacari EG, DuPree ES, et al. AORN J. 2014;99:783-794.
    RCA²: Improving Root Cause Analyses and Actions to Prevent Harm.
    Boston, MA: National Patient Safety Foundation; 2015.
  7. STUDY
    Preventability of voluntarily reported or trigger tool–identified medication errors in a pediatric institution by information technology: a retrospective cohort study.
    Stultz JS, Nahata MC. Drug Saf. 2015 May 27; [Epub ahead of print].
  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.
    National Patient Safety Goals.
    Oakbrook Terrace, IL: The Joint Commission; 2015.
  10. STUDY
    Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial.
    Haugen AS, Søfteland E, Almeland SK, et al. Ann Surg. 2015;261:821-828.
  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. STUDY
    Adverse drug event–related emergency department visits associated with complex chronic conditions.
    Feinstein JA, Feudtner C, Kempe A. Pediatrics. 2014;133:e1575-e1585.
  13. 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.
    CUSP Implementation Workshop.
    Armstrong Institute for Patient Safety and Quality. July 21, 2015; Constellation Energy Building Conference Center, Baltimore, MD.
  15. REVIEW
    Effects of interdisciplinary team care interventions on general medical wards: a systematic review.
    Pannick S, Davis R, Ashrafian, et al. JAMA Intern Med. 2015 Jun 15; [Epub ahead of print].
    Hospital Reporting Program.
    Portland, OR: Oregon Patient Safety Commission.
  17. STUDY
    "It is the left eye, right?"
    Pikkel D, Sharabi-Nov A, Pikkel J. Risk Manag Healthc Policy. 2014;7:77-80.
  18. 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.
  19. 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.
    Patient Safety and the "Just Culture": A Primer for Health Care Executives.
    Marx D. New York, NY: Columbia University; 2001.
  21. 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.
    Silverspring, MD: US Food and Drug Administration.
  23. 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.
  24. STUDY
    Hospital safety scores: do grades really matter?
    Gonzalez AA, Ghaferi AA. JAMA Surg. 2014;149:413-414.
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