AHRQ Patient Safety Network

What's New

The latest additions to our collection of annotated links to patient safety literature, news, and other resources.

2/8/2012

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AUDIOVISUAL

Audiovisual

Doctors make mistakes. Can we talk about that?

Goldman B. TEDxToronto. November 2011.

JOURNAL ARTICLE

Commentary

Are they safe in there? Patient safety and trainees in the practice.

Byrnes PD, Crawford M, Wong B. Aust Fam Physician. 2012;41:26-29.

How can we make diagnosis safer?

Schiff GD, Leape LL. Acad Med. 2012;87:135-138.

Patient safety answers require outreach, in-reach, and partnerships.

Burt HA. J Hosp Librariansh. 2011;11:366-378.

Review

Can we make airway management (even) safer?—lessons from national audit.

Woodall N, Frerk C, Cook TM. Anaesthesia. 2011;66(suppl 2):27-33.

Reducing medical errors and adverse events.

Pham JC, Aswani MS, Rosen M, et al. Annu Rev Med. 2012;63:447-463.

The effectiveness of integrated health information technologies across the phases of medication management: a systematic review of randomized controlled trials.

McKibbon KA, Lokker C, Handler SM, et al. J Am Med Inform Assoc. 2012;19:22-30.

The impact of anti-infective drug shortages on hospitals in the United States: trends and causes.

Griffith MM, Gross AE, Sutton SH, et al. Clin Infect Dis. 2012 Jan 19; [Epub ahead of print].

Study

Automated identification of extreme-risk events in clinical incident reports.

Ong MS, Magrabi F, Coiera E. J Am Med Inform Assoc. 2012 Jan 11; [Epub ahead of print].

Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions.

Taylor JA, Dominici F, Agnew J, Gerwin D, Morlock L, Miller MR. BMJ Qual Saf. 2012;21:101-111.

Intravenous acetaminophen in the United States: iatrogenic dosing errors.

Dart RC, Rumack BH. Pediatrics. 2012 Jan 23; [Epub ahead of print].

Preventability of adverse drug events involving multiple drugs using publicly available clinical decision support tools.

Wright A, Feblowitz J, Phansalkar S, et al. Am J Health Syst Pharm. 2012;69:221-227.

Relating faults in diagnostic reasoning with diagnostic errors and patient harm.

Zwaan L, Thijs A, Wagner C, van der Wal G, Timmermans DR. Acad Med. 2012;87:149-156.

'The ABC of Handover': impact on shift handover in the emergency department.

Farhan M, Brown R, Vincent C, Woloshynowych M. Emerg Med J. 2011 Dec 28; [Epub ahead of print].

The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse medication administration process on the floor.

Nguyen C, Côté J, Lebel D, et al. J Eval Clin Pract. 2011 Dec 12; [Epub ahead of print].

Variations in surgical outcomes associated with hospital compliance with safety practices.

Brooke BS, Dominici F, Pronovost PJ, Makary MA, Schneider E, Pawlik TM. Surgery. 2012 Jan 17; [Epub ahead of print].

MEETING/CONFERENCE

Massachusetts Meeting/Conference

The Patient Experience: Improving Safety, Efficiency, and HCAHPS Through Patient-Centered Care.

Institute for Healthcare Improvement. March 27–28, 2012; Hyatt Harborside at Boston's Logan International Airport, Boston, MA.

NEWSPAPER/MAGAZINE ARTICLE

Newspaper/Magazine Article

Minor mistakes, deadly results.

Vaida B. The Washingtonian. January 27, 2012.

SPECIAL OR THEME ISSUE

Special or Theme Issue

Patient Safety During Perinatal and Neonatal Care.

Am J Perinatol. 2012;29:1-70.

Patient Safety.

Bagian JP, ed. Hum Factors Ergon Manuf Serv Ind. 2012;22:1-95.

Also of Note...

IHI Global Trigger Tool for Measuring Adverse Events. Institute for Healthcare Improvement. February 14–March 13, 2012; 1:00–2:30 PM (Eastern).

Challenges in Oncology Medication Safety: Identifying Risk and Opportunity. Institute for Safe Medication Practices. February 15, 2012; 1:30–3:00 PM (Eastern).