U.S. Department of Health & Human Services
What’s New this Week
The latest annotated links to patient safety literature, news, and more.
Developing and evaluating the success of a family activated medical emergency team: a quality improvement report.
Brady PW, Zix J, Brilli R, et al. BMJ Qual Saf. 2014 Dec 16; [Epub ahead of print].
Creating a high-reliability health care system: improving performance on core processes of care at Johns Hopkins Medicine.
Pronovost PJ, Armstrong CM, Demski R, et al. Acad Med. 2014 Dec 16; [Epub ahead of print].
Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients.
Hsu CC, Chou CY, Chou CL, et al. PLoS One. 2014;9:e114359.
Implementation of standardized dosing units for I.V. medications.
Jung B, Couldry R, Wilkinson S, Grauer D. Am J Health Syst Pharm. 2014;71:2153-2158.
Effort in human factors performance and decision making.
Wickens CD. Hum Factors. 2014;56:1329-1336.
Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review.
Hoffmann TC, Del Mar C. JAMA Intern Med. 2014 Dec 22; [Epub ahead of print].
A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients.
Cater SW, Luzum M, Serra AE, et al. J Emerg Med. 2014 Nov 20; [Epub ahead of print].
SPECIAL OR THEME ISSUE
Resident Duty Hours Across Borders: An International Perspective.
Imrie KR, Frank JR, Parshuram CS, eds. BMC Med Educ. 2014;14(suppl1):S1-S18.
The US has a drug shortage—and people are dying.
Koba M. Fortune. January 6, 2015.
Explicit and Standardized Prescription Medicine Instructions.
Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
Patient Safety Culture: Theory, Methods and Application.
Waterson P, ed. London, UK: Ashgate; 2014. ISBN: 9781409448143.
Addressing Medical Errors Due to Miscommunication: The I-PASS Program.
National Patient Safety Foundation. January 28, 2015. 1:00–2:00 PM (Eastern).
The Role of e-Prescribing in Health IT Safety: Challenges and Solutions.
Office of the National Coordinator for Health Information Technology and RTI International. January 30, 2015. 1:00–2:30 PM (Eastern).
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Also of Note...
20th Annual International Forum on Quality and Safety in Healthcare.
Institute for Healthcare Improvement, British Medical Journal. April 21–24, 2015; ExCel, London, England.
Patient Safety Certificate Program.
Armstrong Institute for Patient Safety and Quality. March 2–6, 2015; Constellation Energy Building, Baltimore, MD.
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