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What’s New this Week | 07/01/15
The latest annotated links to patient safety literature, news, and more.
JOURNAL ARTICLE
A patient-initiated voluntary online survey of adverse medical events: the perspective of 696 injured patients and families. Southwick FS, Cranley NM, Hallisy JA. BMJ Qual Saf. 2015 Jun 19; [Epub ahead of print].
Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings. Espin S, Carter C, Janes N, McAllister M. J Patient Saf. 2015 Jun 12; [Epub ahead of print].
Technology, cognition and error. Coiera E. BMJ Qual Saf. 2015;24:417-422.
Current issues in patient safety in surgery: a review. Kim FJ, da Silva RD, Gustafson D, Nogueira L, Harlin T, Paul DL. Patient Saf Surg. 2015;9:26.
Concepts for the development of a customizable checklist for use by patients. Fernando RJ, Shapiro FE, Rosenberg NM, Bader AM, Urman RD. J Patient Saf. 2015 Jun 10; [Epub ahead of print].
We thought we would be perfect: medication errors before and after the initiation of computerized physician order entry. Schwartzberg D, Ivanovic S, Patel S, Burjonrappa SC. J Surg Res. 2015 Apr 30; [Epub ahead of print].
Best practices: an electronic drug alert program to improve safety in an accountable care environment. Griesbach S, Lustig A, Malsin L, Carley B, Westrich KD, Dubois RW. J Manag Care Spec Pharm. 2015;21:330-336.
Measuring teamwork in health care settings: a review of survey instruments. Valentine MA, Nembhard IM, Edmondson AC. Med Care. 2015;53:e16-e30.
Piece of my mind. I'm sorry. Kahn JS. JAMA. 2015;313:2427-2428.
Effect of distractions on operative performance and ability to multitask—a case for deliberate practice. Ahmed A, Ahmad M, Stewart CM, Francis HW, Bhatti NI. Laryngoscope. 2015;125:837-841.
NEWSPAPER/MAGAZINE ARTICLE
When should surgeons stop operating? Whitehead N. National Public Radio. June 18, 2015.
When doctors don't talk to doctors. Bond A. New York Times. June 16, 2015.
BOOK/REPORT
Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS. Chicago, IL: Health Research & Educational Trust; June 2015.
MEETING/CONFERENCE
RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. National Patient Safety Foundation. July 15, 2015, 1:00–2:00 PM (Eastern).

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Also of Note...
TeamSTEPPS in Office-based Care. Agency for Healthcare Research and Quality, Health Research & Educational Trust. July 13–September 17, 2015.
2014 Serious Reportable Events in Massachusetts. Fillo KT. Bureau of Health Care Safety and Quality, Department of Public Health. Boston, MA: Commonwealth of Massachusetts; June 2015.
Partnering With Your Malpractice Insurance Program to Improve Safety in Surgery: TeamSTEPPS as Part of a Multifaceted Program TeamSTEPPS Webinar Series. Agency for Healthcare Research and Quality. July 8, 2015. 1:00–2:00 PM (Eastern).
2014 Annual Perspectives
By Urmimala Sarkar, MD, and Kaveh Shojania, MD
By Niraj Sehgal, MD, MPH
By Sumant Ranji, MD
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