1/18/2017
The latest additions to our collection of annotated links to patient safety literature, news, and other resources.
Journal Article
A concept analysis of systems thinking.
Stalter AM, Phillips JM, Ruggiero JS, et al. Nurs Forum. 2016 Dec 21; [Epub ahead of print].
Schmidtke KA, Poots AJ, Carpio J, Vlaev I, Kandala NB, Lilford RJ. BMJ Qual Saf. 2017;26:61-69.
A patient-centered prescription drug label to promote appropriate medication use and adherence.
Wolf MS, Davis TC, Curtis LM, et al. J Gen Intern Med. 2016;31:1482-1489.
How communication among members of the health care team affects maternal morbidity and mortality.
Brennan RA, Keohane CA. J Obstet Gynecol Neonatal Nurs. 2016;45:878-884.
Readmission rates after passage of the Hospital Readmissions Reduction Program: a pre–post analysis.
Wasfy JH, Zigler CM, Choirat C, Wang Y, Dominici F, Yeh RW. Ann Intern Med. 2016 Dec 27; [Epub ahead of print].
Safety of overlapping surgery at a high-volume referral center.
Hyder JA, Hanson KT, Storlie CB, et al. Ann Surg. 2016 Dec 5; [Epub ahead of print].
Delayed workup of rectal bleeding in adult primary care: examining process-of-care failures.
Weingart SN, Stoffel EM, Chung DC, et al. Jt Comm J Qual Patient Saf. 2017;43:32-40.
Snowden JM, Kozhimannil KB, Muoto I, Caughey AB, McConnell KJ. BMJ Qual Saf. 2017;26:e1.
Desai NR, Ross JS, Kwon JY, et al. JAMA. 2016;316:2647-2656.
Ensuring staff safety when treating potentially violent patients.
Roca RP, Charen B, Boronow J. JAMA. 2016;316:2669-2670.
Kim MO, Coiera E, Magrabi F. J Am Med Inform Assoc. 2016 Dec 23; [Epub ahead of print].
War games and diagnostic errors.
Vaughn VM, Chopra V, Howell JD. BMJ. 2016;355:i6342.
Martinez W, Soleymani Lehmann L, Hu YY, Desai SP, Shapiro J. Jt Comm J Qual Patient Saf. 2017;43:5-15.
Helmchen LA, Lambert BL, McDonald TB. Health Serv Res. 2016;51(suppl 3):2516-2536.
Inpatient Notes: mistakes in the hospital—communicating, apologizing, and beyond.
Kachalia A. Ann Intern Med. 2016;165:HO2-HO3.
Legislation/Regulation
Standardization of inpatient handoff communication.
Jewell JA; Committee on Hospital Care. Pediatrics. 2016;138:e20162681.
ASHP IV Adult Continuous Infusions.
Bethesda, MD: American Society of Health-System Pharmacists; 2016.
Grant
Improving Patient Safety Through Learning Laboratories.
Rockville, MD: Agency for Healthcare Research and Quality; December 2016.
Meeting/Conference
Agency for Healthcare Research and Quality. February 7, 2017; 2:00–3:30 PM (Eastern).
Third National Primary Care Ambulatory Patient Safety Conference in Research and Education.
American Academy of Pediatrics. February 23–24, 2017; Hyatt Regency Bethesda, Bethesda, Maryland.
Also of Note
Patient Safety Executive Development Program.
Institute for Healthcare Improvement. March 2–8, 2017; The Charles Hotel, Cambridge, MA.
2017 International Symposium on Human Factors and Ergonomics in Health Care: Improving the Outcomes.
Human Factors and Ergonomics Society. March 5–8, 2017; Sheraton New Orleans, New Orleans, Louisiana.