Welcome to PSNet!

Learn More

Try our website on your tablet or mobile device.

Journal Article

Injuries before and after diagnosis of cancer: nationwide register based study.

Shen Q, Lu D, Schelin MEC, et al. BMJ. 2016;354:i4218.

Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia vignettes.

Sheringham J, Sequeira R, Myles J, et al. BMJ Qual Saf. 2016 Sep 20; [Epub ahead of print].

Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication errors.

Amato MG, Salazar A, Hickman TT, et al. J Am Med Inform Assoc. 2016 Sep 27; [Epub ahead of print].

Receipt of antibiotics in hospitalized patients and risk for Clostridium difficile infection in subsequent patients who occupy the same bed.

Freedberg DE, Salmasian H, Cohen B, Abrams JA, Larson EL. JAMA Intern Med. 2016 Oct 10; [Epub ahead of print].

Comparison of physician and computer diagnostic accuracy.

Semigran HL, Levine DM, Nundy S, Mehrotra A. JAMA Intern Med. 2016 Oct 11; [Epub ahead of print].

Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery.

Tarola CL, Quin JA, Haime ME, et al. JAMA Surg. 2016 Oct 5; [Epub ahead of print].

Do pharmacist-led medication reviews in hospitals help reduce hospital readmissions? A systematic review and meta-analysis.

Renaudin P, Boyer L, Esteve MA, Bertault-Peres P, Auquier P, Honore S. Br J Clin Pharmacol. 2016 Aug 11; [Epub ahead of print].


Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 Final Report.

Chicago, IL: American Hospital Association and Health Research & Educational Trust; September 2016.

Newspaper/Magazine Article

Reducing diagnostic errors.

Gittlen S. HealthLeaders Media. October 1, 2016.

Pediatric Quality and Safety.

Brilli RJ, McClead RE Jr, eds. Alphen aan den Rijn, The Netherlands: Wolters Kluwer. ISSN: 2472-0054.

Web Resource

Improving Diagnostic Accuracy Project 2016–2017.

Washington, DC: National Quality Forum; October 2016.

Press Release/Announcement

National Patient Safety Goals on Health Care–Associated Infections.

Standards Field Reviews. Oakbrook Terrace, IL: Joint Commission; October 4–November 15, 2016.

Also of Note

Drive the Difference: Leading Innovation in Patient Safety.

University of North Texas Health Science Center, Institute for Patient Safety. October 27–28, 2016; Norris Conference Center, Fort Worth, TX.

John M. Eisenberg Patient Safety and Quality Award.

The Joint Commission and National Quality Forum.

WebM&M Cases

Unintended Consequences of CPOE

  • Spotlight Case

Commentary by Robert L. Wears, MD, PhD

While attempting to order a CT scan with only oral contrast for a patient with poor kidney function, an intern ordering a CT for the first time selected "with contrast" from the list, not realizing that meant both oral and intravenous contrast. The patient developed contrast nephropathy.

Take CME Quiz

Lapse in Antibiotics Leads to Sepsis

Commentary by Mitchell Levy, MD

Administered antibiotics in the emergency department and rushed to the operating room for emergent cesarean delivery, a pregnant woman was found to have an infection of the amniotic sac. After delivery, she was transferred to the hospital floor without a continuation order for antibiotics. Within 24 hours, the inpatient team realized she had developed septic shock.

Near Miss With Neonate

Commentary by Jennifer Malana, MSN, RN, and Audrey Lyndon, PhD, RN

A pregnant woman was admitted for induction of labor for postterm dates. Prior to artificial rupture of membranes (AROM), the intern found a negative culture for group B strep in the hospital record but failed to note a positive culture in faxed records from an outside clinic. Another physician caught the error, ordered antibiotics, and delayed AROM to allow time for the medication to infuse.

View all WebM&M Cases

Perspectives on Safety

Big Data and Patient Safety


In Conversation With… Richard Platt, MD, MSc

Dr. Platt is Professor and Chair of the Harvard Medical School Department of Population Medicine. We spoke with him about big data and patient safety.


Health Care Data Science for Quality Improvement and Patient Safety

Alvin Rajkomar, MD

This piece explores the role for a clinician data scientist in utilizing clinical datasets to improve health care quality and safety.

View all Perspectives