AHRQ Patient Safety Network - What's New ► JOURNAL ARTICLE

AHRQ Patient Safety Network - What's New

JOURNAL ARTICLE

Commentary

A medication-based trigger tool to identify adverse events in pediatric anesthesiology.

Taghon T, Elsey N, Miler V, McClead R, Tobias J. Jt Comm J Qual Patient Saf. 2014;40:326-334.

Chief resident for quality improvement and patient safety: a description.

Cox LM, Fanucchi LC, Sinex NC, Djuricich AM, Logio LS. Am J Med. 2014;27:565-568.

Review

Optimizing transitions of care to reduce rehospitalizations.

Li J, Young R, Williams MV. Cleve Clin J Med. 2014;81:312-320.

Study

Addressing patient safety in rapid response activations for nonhospitalized persons.

Lakshminarayana PH, Darby JM, Simmons RL. J Patient Saf. 2014 Apr 8; [Epub ahead of print].

An analysis of electronic health record–related patient safety concerns.

Meeks DW, Smith MW, Taylor L, Sittig DF, Scott JM, Singh H. J Am Med Inform Assoc. 2014 Jun 20; [Epub ahead of print].

Barriers and facilitators for taking action after classroom-based crew resource management training at three ICUs.

Kemper PF, van Dyck C, Wagner C, Wouda L, de Bruijne M. Jt Comm J Qual Patient Saf. 2014;40:311-318.

Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations.

Wrigstad J, Bergström J, Gustafson P. BMJ Open. 2014;4:e005326.

Mitigating errors caused by interruptions during medication verification and administration: interventions in a simulated ambulatory chemotherapy setting.

Prakash V, Koczmara C, Savage P, et al. BMJ Qual Saf. 2014 Jun 6; [Epub ahead of print].

Parental involvement in the preoperative surgical safety checklist is welcomed by both parents and staff.

Corbally MT, Tierney E. Int J Pediatr. 2014;2014:791490.

Randomized crossover study evaluating the effect of a hand sanitizer dispenser on the frequency of hand hygiene among anesthesiology staff in the operating room.

Munoz-Price LS, Patel Z, Banks S, et al. Infect Control Hosp Epidemiol. 2014;35:717-720.

Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study.

Martin G, Ozieranski P, Willars J, et al. Jt Comm J Qual Patient Saf. 2014;40:303-310.

Why don't nurses consistently take patient respiratory rates?

Ansell H, Meyer A, Thompson S. Br J Nurs. 2014;23:414-418.

Wrong-side thoracentesis: lessons learned from root cause analysis.

Miller KE, Mims M, Paull DE, et al. JAMA Surg. 2014 Jun 11; [Epub ahead of print].