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ECRI. Plymouth Meeting, PA. March 2022.

The global COVID-19 pandemic has exacerbated patient safety concerns. ECRI presents the top ten patient concerns for 2022, including staffing challenges, human factors in telehealth, and supply chain disruptions.
Verhagen MJ, de Vos MS, Sujan M, et al. BMJ Qual Saf. 2022;31:402-408.
The Safety-II framework uses a proactive approach to improving patient safety by learning form what goes right in healthcare. This article summarizes the attributes of the Safety-II framework and outlines the challenges and opportunities related to integrating Safety-II within healthcare settings.

Errors in medication management and administration are major threats to patient safety. This piece explores issues with opioid and nursing-sensitive medication safety as well as medication safety in older adults. Future research directions in medication safety are also discussed.

Keebler JR, Salas E, Rosen MA, et al. eds. Hum Factors. 2022;64(1):5-258.

Human factors concepts are central to improvement in high-risk industries and efforts are emerging to enfold them into health care organizations to improve safety. This special issue explores themes that underscore successful application of human factors practices into healthcare: culture change toward high reliability, team improvement, technology integration, and measures development.

Institute for Healthcare Improvement. Sheraton Dallas Hotel, Dallas TX. May 16-18, 2022. 

This annual conference will host pre-session workshops, panels, and presentations covering a variety of patient safety topics which include the continuum of care, learning systems and leadership. Dr. Hardeep Singh and Dr. Eric Thomas are among the keynote speakers. Sessions will take place in-person and virtually.
Read GJM, Shorrock S, Walker GH, et al. Ergonomics. 2021;64:1091-1114.
Human error can affect the safety of care delivery. This article provides an overview of human error, the theories and methods available to understand, prevent, and mitigate human error, and the role of ergonomics and human factors in reducing error.

Health Service Journal. September 15-16, 2022. Manchester Central Convention Complex, Manchester UK.

Patient safety is challenged worldwide due to the daily complexity of care. This session will focus on never events. Areas of specific exploration will include what factors in the environment enable never events, the value of proactive assessment of practice to prevent never events, and the viability of never event classification schemes. 

Armstrong Institute for Patient Safety and Quality. June 1, 3 and 6, 2022, 9:00-11:00am each day.

Initiative appraisal is a necessary step toward shared learning and quality and safety program improvement. This virtual session will focus on the development of evaluation skills and strategies, with an emphasis on critique, design, and qualitative assessment.

EQT Plaza, 625 Liberty Ave, Ste. 2500, Pittsburgh, PA 15222.

Centralized reporting and analysis of adverse events in health care is a safety improvement model from the aviation industry that has yet to be enabled in health care. This organization shares information to support the establishment of a national body charged with the  collection and monitoring of adverse event data to inform research and recommendations for medical error reduction.

Jacksonville University.

Inspired by the research and leadership of Dr. Robert Wears, this award annually recognizes individuals, teams or organizations that examine the applications of safety science concepts to improve medicine. The deadline for submitting a 2022 award nomination is January 3, 2022.
Grytnes R, Nielsen ML, Jørgensen A, et al. Safety Sci. 2021;143:105417.
Safe workplaces, and employees who work safely, are an important component of patient safety. This study explores new employees’ safety learning in three sectors, including care of older adults. Organizational and informal safety training and learning are discussed.
Shea T, De Cieri H, Vu T, et al. Safety Sci. 2021;143:105413.
Assessing safety climate is critical to understanding how organizational efforts can improve safety. This review identified deficiencies and inconsistencies in the way that safety climate has been conceptualized and measured. The authors underscore the importance of a consistent approach to measuring safety climate in order to evaluate its impact on patient safety outcomes.
Dunbar NM, Delaney M, Murphy MF, et al. Transfusion (Paris). 2021;61:2601-2610.
Transfusion errors can have serious consequences. This study compared wrong blood in tube (WBIT) errors in 9 countries across three settings: emergency department, inpatient, and outpatient. Results show emergency department WBIT errors were significantly higher in emergency departments, and that electronic positive patient identification (ePPID) significantly reduced WBIT errors in the emergency department, but not in inpatient or outpatient wards.
Koeck JA, Young NJ, Kontny U, et al. Front Pediatr. 2021;9:633064.
Medication safety in children is a patient safety priority. This systematic review explored interventions to reduce medication dispensing, administration, and monitoring errors in pediatric healthcare settings. The majority of identified studies used “administrative controls” to prevent errors, but those implementing higher-level interventions (such as smart pumps and mandatory barcode scanning) were more likely to result in error reduction.
Rockville, MD: Agency for Healthcare Research and Quality; October 2020.
This survey collects information from outpatient providers and staff about the culture of patient safety in their medical offices. The survey is intended for offices with at least three providers, but it also can be used as a tool for smaller offices to stimulate discussion about quality and patient safety issues. The survey is accompanied by a set of resources to support its use. The data submission window for 2021 is now closed.
Wahr JA. UpToDate. August 31, 2021.
The operating room is a high-risk environment influenced by culture, teamwork, and task complexity. This review provides an overview of patient safety challenges in the operating room and highlights key approaches for improvement such as system engineering, collaboration, and checklists.