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Journal Article

The impact of interruptions on the duration of nursing interventions: a direct observation study in an academic emergency department.

Cole G, Stefanus D, Gardner H, Levy MJ, Klein EY. BMJ Qual Saf. 2015 Aug 20; [Epub ahead of print].

Systematic review on the prevalence, frequency and comparative value of adverse events data in social media.

Golder S, Norman G, Loke YK. Br J Clin Pharmacol. 2015;80:878-888.

Improving transitions of care for patients on warfarin: the Safe Transitions Anticoagulation Report.

Dunn AS, Shetreat-Klein A, Berman J, et al. J Hosp Med. 2015;10:615-618.

Classification of antecedents towards safety use of health information technology: a systematic review.

Salahuddin L, Ismail Z. Int J Med Inform. 2015;84:877-891.

Frequency of and risk factors for medication errors by pharmacists during order verification in a tertiary care medical center.

Gorbach C, Blanton L, Lukawski BA, Varkey AC, Pitman EP, Garey KW. Am J Health Syst Pharm. 2015;72:1471-1474.

Hospice diagnosis: polypharmacy—a teachable moment.

Larson CK, Kao H. JAMA Intern Med. 2015 Sep 28; [Epub ahead of print].

Learning without borders: a review of the implementation of medical error reporting in Médecins Sans Frontières.

Shanks L, Bil K, Fernhout J. PLoS One. 2015;10:e0137158.


Preventing falls and fall-related injuries in health care facilities.

Sentinel Event Alert. September 28, 2015;(55):1-5.

Achieving the Promise of Health Information Technology: Improving Care Through Patient Access to Their Records.

Full Committee Hearing. US Senate Committee on Health, Education, Labor and Pensions (September 16, 2015) (testimony of Raj Ratwani, PhD; Kathy Giusti, MBA; Eric Dishman).

Newspaper/Magazine Article

A medical detective story: why doctors make diagnostic errors.

Landro L. Wall Street Journal. September 26, 2015.

Medication errors affecting pediatric patients: unique challenges for this special population.

Grissinger M. PA-PSRS Patient Saf Advis. September 2015;12:96-102.


Building Reliable Systems to Reduce Delays in Diagnosis.

Institute for Healthcare Improvement. January 12–March 15, 2016, 1:00-2:00 PM (Eastern).

Oops, Sorry, Wrong Patient: Taking Steps to Improve the Identification and Prevention of Wrong Patient Errors in Electronic Systems.

Institute for Safe Medication Practices. October 21, 2015; 1:30–3:00 PM (Eastern).

Also of Note

John M. Eisenberg Patient Safety and Quality Award.

The Joint Commission and National Quality Forum.

From Evidence to Action: TeamSTEPPS Strategies for Nursing Education.

TeamSTEPPS Webinar Series. Agency for Healthcare Research and Quality. October 14, 2015; 1:00–2:00 PM (Eastern).

ASHRM 2015 Annual Conference.

American Society for Healthcare Risk Management. October 18–21, 2015; Indianapolis, IN.

WebM&M Cases & Commentaries

Abdominal Pain in Early Pregnancy

  • Spotlight Case

Commentary by Charlie C. Kilpatrick, MD

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Dual Therapy Debacle

Commentary by Steven R. Kayser, PharmD

A Fumbled Handoff to Inpatient Rehab

Commentary by LauraEllen Ashcraft, MSW, and Jeremy M. Kahn, MD, MS

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Perspectives on Safety

Electronic Tools for Patient Safety: Engaging Patients and Providers

View all Perspectives

WebM&M is now on PSNet

AHRQ has merged Patient Safety Network (PSNet) and WebM&M (Morbidity and Mortality Rounds on the Web) for a more streamlined experience. Learn more.

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Popular Content


Reducing diagnostic errors—why now?

Khullar D, Jha AK, Jena AB. New Engl J Med. 2015 Sep 23; [Epub ahead of print].


National Patient Safety Goals.

Oakbrook Terrace, IL: The Joint Commission; 2015.


The impact of interruptions on the duration of nursing interventions: a direct observation study in an academic emergency department.

Cole G, Stefanus D, Gardner H, Levy MJ, Klein EY. BMJ Qual Saf. 2015 Aug 20; [Epub ahead of print].


The impact of rudeness on medical team performance: a randomized trial.

Riskin A, Erez A, Foulk TA, et al. Pediatrics. 2015;136:487-495.


Discussing harm-causing errors with patients: an ethics primer for plastic surgeons.

Vercler CJ, Buchman SR, Chung KC. Ann Plast Surg. 2015;74:140-144.

Did You Know?

DYK image description
Source: Watts BV, Hemphill RR. Suicide attempts and completions on medical-surgical and intensive care units. J Hosp Med. 2014 Jan 7; [Epub ahead of print]. [go to pubmed]