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What’s New this Week
The latest annotated links to patient safety literature, news, and more.
Promoting Patient Safety Through Effective Health Information Technology Risk Management.
Schneider EC, Ridgely MS, Meeker D, Hunter LE, Khodyakov D, Rudin R. RAND Health. Washington, DC: Office of the National Coordinator for Health Information Technology; May 2014. RR-654-DHHSNCH.
Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study.
Johnston M, Arora S, King D, Stroman L, Darzi A. Surgery. 2014;155:989-994.
A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks, and improvement strategies?
Dietz AS, Pronovost PJ, Mendez-Tellez PA, et al. J Crit Care. 2014 Jun 4; [Epub ahead of print].
Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients.
Smeulers M, Lucas C, Vermeulen H. Cochrane Database Syst Rev. 2014;6:CD009979.
Identifying facilitators and barriers for patient safety in a medicine label design system using patient simulation and interviews.
Dieckmann P, Clemmensen MH, Sørensen TK, Kunstek P, Hellebek A. J Patient Saf. 2014 May 14; [Epub ahead of print].
Parents' perspective on safety in neonatal intensive care: a mixed-methods study.
Lyndon A, Jacobson CH, Fagan KM, Wisner K, Franck LS. BMJ Qual Saf. 2014 Jun 26; [Epub ahead of print].
From harm to hope and purposeful action: what could we do after Francis?
Woodhead T, Lachman P, Mountford J, Botwinick L, Peden C, Stewart K. BMJ Qual Saf. 2014;23:619-623.
Improving risk management: from lame excuses to principled practice.
Paté-Cornell E, Cox LA Jr. Risk Anal. 2014 Jul 2; [Epub ahead of print].
Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system.
Backman C, Forster AJ, Vanderloo S. Int J Qual Health Care. 2014 May 20; [Epub ahead of print].
Incidence of adverse events in an integrated US healthcare system: a retrospective observational study of 82,784 surgical hospitalizations.
Zeeshan MF, Dembe AE, Seiber EE, Lu B. Patient Saf Surg. 2014;8:23.
ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2013.
Pedersen CA, Schneider PJ, Scheckelhoff DJ. Am J Health Syst Pharm. 2014;71:924-942.
Multifaceted initiative to reduce "alarm fatigue" on cardiac unit reduces alarms and increases nurse and patient satisfaction.
Agency for Healthcare Research and Quality. Health Care Innovations Exchange. June 18, 2014.
Do doctors understand test results?
Kremer W. BBC News Magazine. July 6, 2014.
Managing risk at the point-of-care: preventing errors.
Njoroge S, Nichols JH. Clinical Laboratory News. July 2014.
Minnesota Alliance for Patient Safety 2014 Conference: Safe Care. Everywhere.
Minnesota Alliance for Patient Safety. October 22–24, 2014; Minneapolis Marriott Northwest, Brooklyn Park, MN.
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Also of Note...
Evaluating Quality Improvement and Patient Safety Projects.
Johns Hopkins Medicine, Armstrong Institute for Patient Safety. August 12–14, 2014. Constellation Energy Building, Baltimore, MD.
26th Annual IHI National Forum on Quality Improvement in Health Care.
Institute for Healthcare Improvement. December 7–10 2014; World Center Marriott, Orlando, FL.
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