AHRQ Patient Safety Network

What’s New this Week | 10/03/12

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The latest annotated links to patient safety literature, news, and more.

JOURNAL ARTICLE

Improving patient handovers from hospital to primary care: a systematic review. Hesselink G, Schoonhoven L, Barach P, et al. Ann Intern Med. 2012;157:417-428.

Anatomy of an incident disclosure: the importance of dialogue. Iedema R, Allen S. Jt Comm J Qual Patient Saf. 2012;38:435-442.

Double checking the administration of medicines: what is the evidence? A systematic review. Alsulami Z, Conroy S, Choonara I. Arch Dis Child. 2012;97:833-837.

Bringing diagnosis into the quality and safety equations. Graber ML, Wachter RM, Cassel CK. JAMA. 2012;308:1211-1212.

Improving teamwork on general medical units: when teams do not work face-to-face. McComb SA, Henneman EA, Hinchey KT, et al. Jt Comm J Qual Patient Saf. 2012;38:471-478.

Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discussions. Goldszmidt M, Aziz N, Lingard L. Acad Med. 2012;87:1382-1388.

Standardized patient identification and specimen labeling: a retrospective analysis on improving patient safety. Kim JK, Dotson B, Thomas S, Nelson KC. J Am Acad Dermatol. 2012 Jul 26; [Epub ahead of print].

Patient safety in dentistry—state of play as revealed by a national database of errors. Thusu S, Panesar S, Bedi R. Br Dent J. 2012;213:E3.

Patient safety strategies: are we on the same team? Moffatt-Bruce SD, Funai EF, Nash M, Gabbe SG. Obstet Gynecol. 2012;120:743-745.

Duty hours, quality of care, and patient safety: general surgery resident perceptions. Borman KR, Jones AT, Shea JA. J Am Coll Surg. 2012;215:70-77.

Drug shortages and clinicians: no time for complacency. Rochon PA, Gurwitz JH. Arch Intern Med. 2012 Sep 24; [Epub ahead of print].

Rural inpatient telepharmacy consultation demonstration for after-hours medication review. Cole SL, Grubbs JH, Din C, Nesbitt TS. Telemed E Health. 2012;18:530-537.

Impact of participation in the California Healthcare-Associated Infection Prevention Initiative on adoption and implementation of evidence-based practices for patient safety and health care–associated infection rates in a cohort of acute care general hospitals. Halpin HA, McMenamin SB, Simon LP, et al. Am J Infect Control. 2012 Aug 23; [Epub ahead of print].

SPECIAL OR THEME ISSUE

Prescribing Themed Issue. Waller DG. Br J Clin Pharmacol. 2012;74:559-729.

NEWSPAPER/MAGAZINE ARTICLE

New system for patients to report medical mistakes. Pear R. New York Times. September 23, 2012:A20.

Inappropriate use of pharmacy bulk packages of IV contrast media increases risk of infections. ISMP Medication Safety Alert! Acute Care Edition. September 20, 2012;17:1,3-4.

MEETING/CONFERENCE

Challenges in neonatal intensive care medication safety: identifying risk and opportunity. Institute for Safe Medication Practices. October 24, 2012; 1:30–3:00 PM (Eastern).

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Also of Note...

2013 American Hospital Association McKesson Quest for Quality Prize. American Hospital Association, McKesson Corporation, McKesson Foundation.

The National Patient Safety Foundation Research Program. Boston, MA: National Patient Safety Foundation; 2012.

"Talk About Prescriptions" Month. National Council on Patient Information and Education.

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