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The latest annotated links to patient safety literature, news, and more.
The next organizational challenge: finding and addressing diagnostic error.
Graber ML, Trowbridge R, Myers JS, Umscheid CA, Strull W, Kanter MH. Jt Comm J Qual Patient Saf. 2014;40:102-110.
Identification of serious and reportable events in home care: a Delphi survey to develop consensus.
Doran DM, Baker GR, Szabo C, McShane J, Carryer J. Int J Qual Health Care. 2014 Feb 11; [Epub ahead of print].
Speaking up for patient safety by hospital-based health care professionals: a literature review.
Okuyama A, Wagner C, Bijnen B. BMC Health Serv Res. 2014;14:61.
Failure events in transition of care for surgical patients.
Helling TS, Martin LC, Martin M, Mitchell ME. J Am Coll Surg. 2013 Dec 28; [Epub ahead of print].
Errors in after-hours phone consultations: a simulation study.
Joffe E, Turley JP, Hwang KO, Johnson TR, Johnson CW, Bernstam EV. BMJ Qual Saf. 2013 Dec 13; [Epub ahead of print].
Augmenting health care failure modes and effects analysis with simulation.
Nielsen DS, Dieckmann P, Mohr M, Mitchell AU, Østergaard D. Simul Healthc. 2014;9:48-55.
Between surveillance and subjectification: professionals and the governance of quality and patient safety in English hospitals.
Martin GP, Leslie M, Minion J, Willars J, Dixon-Woods M. Soc Sci Med. 2013;99:80-88.
Elective surgical patients' narratives of hospitalization: the co-construction of safety.
Doherty C, Saunders MN. Soc Sci Med. 2013;98:29-36.
"Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care.
Singh R, Hickner J, Mold J, Singh G. J Patient Saf. 2014;10:20-28.
Learning from every death.
Huddleston JM, Diedrich DA, Kinsey GC, Enzler MJ, Manning DM. J Patient Saf. 2014;10:6-12.
What do nursing students learn about patient safety? An integrative literature review.
Tella S, Liukka M, Jamookeeah D, Smith NJ, Partanen P, Turunen H. J Nurs Educ. 2014;53:7-13.
Quality and safety in pediatric hematology/oncology.
Mueller BU. Pediatr Blood Cancer. 2014 Jan 31; [Epub ahead of print].
Medication reconciliation: getting started with IT.
Lefeber J. Patient Saf Qual Healthc. January/February 2014;11:26-28,30-31.
Clinical Uncertainty in Primary Care: The Challenge of Collaborative Engagement.
Sommers LS, Launer J, eds. New York, NY: Springer; 2013. ISBN: 9781461468110.
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications.
Alexandria, VA: Department of Defense, Office of the Inspector General; February 21, 2014. Report No. DODIG-2014-040.
Common formats for patient safety data collection and event reporting.
Federal Register. Rockville, MD: Agency for Healthcare Research and Quality. February 18, 2014;79:9214-9215.
TeamSTEPPS National Conference.
Agency for Healthcare Research and Quality. June 11–12, 2014; Minneapolis Marriott City Center, Minneapolis, MN.
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Also of Note...
National Patient Safety Awareness Week.
National Patient Safety Foundation.
2014 Annual Patient Safety Conference.
Center for Patient Safety. March 21, 2014; Crowne Plaza, St. Louis Airport, Bridgeton, MO.
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