AHRQ Patient Safety Network - What's New

AHRQ Patient Safety Network - What's New

JOURNAL ARTICLE

Commentary

Changing our culture: adopting the military aviation safety system.

Kerber CW. J Neurointerv Surg. 2014;6:332-341

Introducing the safety score audit for staff member and patient safety.

Sinnott M, Eley R, Winch S. AORN J. 2014;100:91-95.

Use of a novel, modified fishbone diagram to analyze diagnostic errors.

Reilly JB, Myers JS, Salvador D, Trowbridge RL. Diagnosis. 2014;1:167-171.

Weaving a healthcare tapestry of safety and communication.

Hay J, Collin S, Koruth S. Nurs Manage. 2014;45:40-46.

Review

Clinical questions raised by clinicians at the point of care: a systematic review.

Del Fiol G, Workman TE, Gorman PN. JAMA Intern Med. 2014;174:710-718.

Study

Are amended surgical pathology reports getting to the correct responsible care provider?

Parkash V, Domfeh A, Cohen P, et al. Am J Clin Pathol. 2014;142:58-63.

Avoiding potential harm by improving appropriateness of urinary catheter use in 18 emergency departments.

Fakih MG, Heavens M, Grotemeyer J, Szpunar SM, Groves C, Hendrich A. Ann Emerg Med. 2014;63:761-768.

Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care.

Forrester SH, Hepp Z, Roth JA, Wirtz HS, Devine EB. Value Health. 2014;17:340-349.

Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy.

Parsons JK, Messer K, Palazzi K, Stroup S, Chang D. JAMA Surg. 2014 Jul 2; [Epub ahead of print].

Identifying patient safety problems during team rounds: an ethnographic study.

Lamba AR, Linn K, Fletcher KE. BMJ Qual Saf. 2014;23:667-669.

Multifaceted interventions improve adherence to the surgical checklist.

Putnam LR, Levy SM, Sajid M, et al. Surgery. 2014;156:336-344.

Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursing homes.

Tenhunen ML, Tanner EK, Dahlen R. J Contin Educ Nurs. 2014;45:306-311.

Patient involvement in medication safety in hospital: an exploratory study.

Mohsin-Shaikh S, Garfield S, Franklin BD. Int J Clin Pharm. 2014;36:657-666.

Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool.

Chapman SM, Fitzsimons J, Davey N, Lachman P. BMJ Open. 2014;4:e005066.