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What’s New this Week | 09/02/15
The latest annotated links to patient safety literature, news, and more.
JOURNAL ARTICLE
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].
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.
BOOK/REPORT
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.
AUDIOVISUAL
Hospitals, medical groups start to worry about skills of older doctors. Cavanaugh M, Clark C, Bazzo D. KPBS Midday Edition. August 18, 2015.
NEWSPAPER/MAGAZINE ARTICLE
Hospitals slow to adopt patient apology policies. Rice S. Modern Healthc. August 15, 2015.
MEETING/CONFERENCE
Patient Safety Summit. Johns Hopkins Medicine. October 2, 2015; Turner Auditorium and Turner Concourse, East Baltimore Campus, Johns Hopkins University, Baltimore, MD.

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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.
2014 Annual Perspectives
By Urmimala Sarkar, MD, and Kaveh Shojania, MD
By Niraj Sehgal, MD, MPH
By Sumant Ranji, MD
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