AHRQ Patient Safety Network

What’s New this Week | 01/25/12

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

JOURNAL ARTICLE

Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. Aiken LH, Cimiotti JP, Sloane DM, Smith HL, Flynn L, Neff DF. Med Care. 2011;49:1047-1053.

Toward improving patient safety through voluntary peer-to-peer assessment. Hudson DW, Holzmueller CG, Pronovost PJ, et al. Am J Med Qual. 2011 Dec 27; [Epub ahead of print].

Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. Helms AS, Perez TE, Baltz J, et al. J Gen Intern Med. 2011 Oct 14; [Epub ahead of print].

'Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events. Skevington SM, Langdon JE, Giddins G. Psychol Health Med. 2012;17:1-16.

Teams under pressure in the emergency department: an interview study. Flowerdew L, Brown R, Russ S, Vincent C, Woloshynowych M. Emerg Med J. 2011 Dec 20; [Epub ahead of print].

Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: a consensus document from the World SIVA International Sedation Task Force. Mason KP, Green SM, Piacevoli Q; International Sedation Task Force. Br J Anaesth. 2012;108:13-20.

Early warning systems: the next level of rapid response. Duncan KD, McMullan C, Mills BM. Nursing. 2012;42:38-44.

Cognitive errors detected in anaesthesiology: a literature review and pilot study. Stiegler MP, Neelankavil JP, Canales C, Dhillon A. Br J Anaesth. 2012;108:229-235.

Analysis of Australian newspaper coverage of medication errors. Hinchcliff R, Westbrook J, Greenfield D, Baysari M, Moldovan M, Braithwaite J. Int J Qual Health Care. 2012;24:1-8.

Improving patient safety: lessons from rock climbing. Robertson N. Clin Teach. 2012;9:41-44.

NEWSPAPER/MAGAZINE ARTICLE

What if the doctor is wrong? Landro L. Wall Street Journal. January 17, 2012:D1.

TOOLS/TOOLKIT

ISMP List of High-Alert Medications in Community/Ambulatory Healthcare. Institute of Safe Medication Practices. 2011.

MEETING/CONFERENCE

14th Annual NPSF Patient Safety Congress. National Patient Safety Foundation. May 23–25, 2012; Gaylord National Hotel & Convention Center, National Harbor, MD.

AMIA Annual Symposium Proceedings: 2011. AMIA Annu Symp Proc. 2011;19-1667.

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Also of Note...

12th Annual International Meeting on Simulation in Healthcare. Society for Simulation in Healthcare. January 27–February 1, 2012; San Diego Convention Center, San Diego, CA.

ISMP QuarterWatch Reports. Institute for Safe Medication Practices.

An Introduction to AHRQ PSNet

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Robert M. Wachter, MD
Editor, AHRQ PSNet

Patient Safety Primers

Learn about key concepts in patient safety with our primers

• Never Events

• Medication Reconciliation

• Handoffs and Signouts

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The Collection

The world’s most robust collection of patient safety information: annotated links to journal articles, news, reports, tools, Web sites, and more—tagged for easy searching and browsing.
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Classics

The most influential journal articles, books, and resources. View the Classics