AHRQ Patient Safety Network

What's New

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

2/13/2013

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AUDIOVISUAL

Audiovisual

Why doctors should own up to their medical mistakes.

Miller K. Daily Circuit. Minnesota Public Radio. January 30, 2013.

BOOK/REPORT

Book/Report

Using Safety Cases in Industry and Healthcare.

London, UK: Health Foundation; December 2012. ISBN: 9781906461430.

JOURNAL ARTICLE

Commentary

Finding the patient in patient safety.

Hor SY, Godbold N, Collier A, Iedema R. Health (London). 2013 Jan 23; [Epub ahead of print].

Reason's accident causation model: application to adverse events in acute care.

Elliott M, Page K, Worrall-Carter L. Contemp Nurse. 2012;43:22-28.

Using simulation to address hierarchy issues during medical crises.

Calhoun AW, Boone MC, Miller KH, Pian-Smith MC. Simul Healthc. 2013;8:13-19.

Review

A systematic review of simulation for multidisciplinary team training in operating rooms.

Cumin D, Boyd MJ, Webster CS, Weller JM. Simul Healthc. 2013 Jan 21; [Epub ahead of print].

Clinical errors and medical negligence.

Oyebode F. Med Princ Pract. 2013 Jan 18; [Epub ahead of print].

Improving patient safety through the systematic evaluation of patient outcomes.

Forster AJ, Dervin G, Martin C, Papp S. Can J Surg. 2012;55:418-425.

Study

Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting.

Anderson JE, Kodate N, Walters R, Dodds A. Int J Qual Health Care. 2013 Jan 18; [Epub ahead of print].

Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review study.

Baines RJ, Langelaan M, de Bruijne MC, et al. BMJ Qual Saf. 2013 Jan 4; [Epub ahead of print].

Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project.

Fore AM, Sculli GL, Albee D, Neily J. J Nurs Manag. 2013;21:106-111.

Methodology and bias in assessing compliance with a surgical safety checklist.

Poon SJ, Zuckerman SL, Mainthia R, et al. Jt Comm J Qual Patient Saf. 2013;39:77-82.

Nurses discuss bedside handover and using written handover sheets.

Johnson M, Cowin LS. J Nurs Manag. 2013;21:121-129.

The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department.

Pacheco GS, Viscusi C, Hays DP, Woolridge DP. J Emerg Med. 2012;43:e343-e348.

The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals.

Wu RC, Lo V, Morra D, et al. J Am Med Inform Assoc. 2013 Jan 25; [Epub ahead of print].

The use of a standard design medication room to promote medication safety: organizational implications.

Rozenbaum H, Gordon L, Brezis M, Porat N. Int J Qual Health Care. 2013 Jan 18; [Epub ahead of print].

LEGISLATION/REGULATION

Organizational Policy/Guidelines

Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA.

Middleton B, Bloomrosen M, Dente MA, et al. J Am Med Inform Assoc. 2013 Jan 25; [Epub ahead of print].

MEETING/CONFERENCE

Louisiana Meeting/Conference

15th Annual NPSF Patient Safety Congress.

National Patient Safety Foundation. May 8–10, 2013; Hyatt Regency, New Orleans, LA.

Texas Meeting/Conference

TeamStepps National Conference.

Agency for Healthcare Research and Quality. June 12–13, 2013; The Fairmont Dallas, Dallas, TX.

WEB RESOURCE

Multi-use Website

Patient Safety.

Minnesota Hospital Association.

Also of Note...

Adverse Health Events in Minnesota: Ninth Annual Public Report. St. Paul, MN: Minnesota Department of Health; January 2013.

AORN 60th Congress. Association of periOperative Registered Nurses. March 2–7, 2013; San Diego Convention Center, San Diego, CA.