What’s New this Week
to email newsletter
The latest annotated links to patient safety literature, news, and more.
Finding and fixing mistakes: do checklists work for clinicians with different levels of experience?
Sibbald M, De Bruin ABH, van Merrienboer JJG. Adv Health Sci Educ Theory Pract. 2013 Apr 27; [Epub ahead of print].
The effect of computerized provider order entry systems on clinical care and work processes in emergency departments: a systematic review of the quantitative literature.
Georgiou A, Prgomet M, Paoloni R, et al. Ann Emerg Med. 2013;61:644-653.
Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into complex relationships?
Philibert I, Nasca T, Brigham T, Shapiro J. Annu Rev Med. 2013;64:467-483.
The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development.
Myers JS, Tess A, Glasheen JJ, et al. Am J Med Qual. 2013 Apr 11; [Epub ahead of print].
Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study.
Mitchell EL, Lee DY, Arora S, et al. Acad Med. 2013 Apr 24; [Epub ahead of print].
The science of human factors: separating fact from fiction.
Russ AL, Fairbanks RJ, Karsh BT, Militello LG, Saleem JJ, Wears RL. BMJ Qual Saf. 2013 Apr 16; [Epub ahead of print].
What do patients think about year-end resident continuity clinic handoffs?: a qualitative study.
Pincavage AT, Lee WW, Beiting KJ, Arora VM. J Gen Intern Med. 2013 Apr 18; [Epub ahead of print].
Flow disruptions in trauma care handoffs.
Catchpole KR, Gangi A, Blocker RC, et al. J Surg Res. 2013 Mar 13; [Epub ahead of print].
Current approaches to punitive action for medication errors by boards of pharmacy.
Holdsworth M, Wittstrom K, Yeitrakis T. Ann Pharmacother. 2013;47:475-481.
SPECIAL OR THEME ISSUE
Safety in Numbers: Evidence-based Development of a Medicine Management Learning Tool.
Holland K, ed. Nurse Educ Pract. 2013;13:e1-e87.
Second Victim: Error, Guilt, Trauma, and Resilience.
Dekker S. Boca Raton, FL: CRC Press; 2013. ISBN: 9781466583412.
Misdiagnosis is more common than drug errors or wrong-site surgery.
Boodman SG. Washington Post. May 6, 2013.
Leapfrog hospital safety scores 'depressing.'
Clark C. HealthLeaders Media. May 9, 2013.
6th International Conference: Diagnostic Error in Medicine.
Society to Improve Diagnosis in Medicine. September 22–25, 2013; Northwestern University Feinberg School of Medicine, Chicago, IL.
Mistake Proofing Healthcare Workshop.
Virginia Mason Institute. June 19–20, 2013; Virginia Mason Institute, Seattle, WA.
View All What’s New items
Also of Note...
Ideas to Innovation: Stimulating Collaborations in the Application of Resilience Engineering to Healthcare.
Medstar Healthcare and University-Industry Demonstration Partnership. June 13–14, 2013; Keck Center of the National Academies, Washington, DC.
2013 SEIPS Short Course on Human Factors Engineering and Patient Safety Extended Part I: Human Factors and Sociotechnical Systems Engineering.
Center for Quality and Productivity Improvement. July 15–18, 2013; The Lowell Center, University of Wisconsin-Extension, Madison, WI.
An Introduction to AHRQ PSNet
Robert M. Wachter, MD
Editor, AHRQ PSNet
Patient Safety Primers
Learn about key concepts in patient safety with our primers
Handoffs and Signouts
View more primers
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 over 300 patient safety training programs.
View the Programs
Did You Know?
See Source Data
Produced for the
Agency for Healthcare Research and Quality
team of editors
University of California, San Francisco
with guidance from a prominent
. The AHRQ PSNet site was designed and implemented by Silverchair.
Contact AHRQ PSNet
Terms & Conditions
Freedom of Information Act
The White House
USA.gov: U.S. Government Official Web Portal
Agency for Healthcare Research and Quality • 540 Gaither Road Rockville, MD 20850 • Telephone: (301) 427-1364