U.S. Department of Health & Human Services
What’s New this Week
The latest annotated links to patient safety literature, news, and more.
Outcomes of daytime procedures performed by attending surgeons after night work.
Govindarajan A, Urbach DR, Kumar M, et al. N Engl J Med. 2015;373:845-853.
Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes.
Verghese A, Charlton B, Kassirer JP, Ramsey M, Ioannidis JPA. Am J Med. 2015 Jul 2; [Epub ahead of print].
Community-, healthcare-, and hospital-acquired severe sepsis hospitalizations in the University HealthSystem Consortium.
Page DB, Donnelly JP, Wang HE. Crit Care Med. 2015;43:1945-1951.
Effect of a real-time pediatric ICU safety bundle dashboard on quality improvement measures.
Shaw SJ, Jacobs B, Stockwell DC, Futterman C, Spaeder MC. Jt Comm J Qual Patient Saf. 2015;41:414-420.
Emotional harm from disrespect: the neglected preventable harm.
Sokol-Hessner L, Folcarelli PH, Sands KEF. BMJ Qual Saf. 2015;24:550-553.
Reflecting on diagnostic errors: taking a second look is not enough.
Monteiro SD, Sherbino J, Patel A, Mazzetti I, Norman GR, Howey E. J Gen Intern Med. 2015;30:1270-1274.
Clinical communities at Johns Hopkins Medicine: an emerging approach to quality improvement.
Gould LJ, Wachter PA, Aboumatar H, et al. Jt Comm J Qual Patient Saf. 2015;41:387-381.
Tackling communication barriers between long-term care facility and emergency department transfers to improve medication safety in older adults.
Callinan SM, Brandt NJ. J Gerontol Nurs. 2015;41:8-13.
Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign.
Zheng K, Ciemins EL, Lanham HJ, Lindberg C. Rockville, MD: Agency for Healthcare Research and Quality; July 2015. AHRQ Publication No. 15-0058-EF.
Health Literacy: Past, Present, and Future: Workshop Summary.
Alper J; Roundtable on Health Literacy; Board on Population Health and Public Health Practice; Institute of Medicine. Washington, DC: National Academies of Sciences, Engineering, and Medicine; 2015. ISBN: 9780309371544.
Hospitals, medical groups start to worry about skills of older doctors.
Cavanaugh M, Clark C, Bazzo D. KPBS Midday Edition. August 18, 2015.
Hospitals slow to adopt patient apology policies.
Rice S. Modern Healthc. August 15, 2015.
Patient Safety Summit.
Johns Hopkins Medicine. October 2, 2015; Turner Auditorium and Turner Concourse, East Baltimore Campus, Johns Hopkins University, Baltimore, MD.
View All What’s New items
Also of Note...
A Roadmap for a National Health IT Safety Collaboratory.
Office of the National Coordinator for Health Information Technology and RTI International. September 10, 2015. 1:00–2:30 PM (Eastern).
Guidelines for Adult IV Push Medications.
Horsham, PA: The Institute for Safe Medication Practices; July 2015.
Subscribe to the Newsletter
2014 Annual Perspectives
By Urmimala Sarkar, MD, and Kaveh Shojania, MD
Handoffs and Transitions
By Niraj Sehgal, MD, MPH
Safety and Medical Education
By Sumant Ranji, MD
Patient Safety Primers
Learn about key concepts in patient safety with our primers
Safety Hazard Detection
View more primers
Did You Know?
See Source Data
View previous ‘DYK’ entries
The world’s most robust collection of patient safety information: annotated links to journal articles, news, reports, tools, Web sites, and more—tagged for easy searching and browsing.
Browse The Collection
From the Collection:
The most influential journal articles, books, and resources.
View the Classics
The 25 most-viewed-items, updated weekly.
View the Most Popular
Education and Training Programs
Database of patient safety training programs.
View the Programs
Terms & Conditions
Produced for the
Agency for Healthcare Research and Quality
team of editors
University of California, San Francisco
with guidance from a prominent
Technical Expert/Advisory Panel
. The AHRQ PSNet site was designed and implemented by Silverchair.