Scanning the Headlines: Patient Safety

                                                                          

Updated on July 24, 2014

Click here for Patient Safety Archive Bibliography

[2013-2012] [2011-2010]  [2009] [2008] [ 2007] [ 2006] [2005] [2004-2001]

Links to full-text articles are provided where available.
For information on obtaining print copies of articles, please call the AHA Resource Center at (312) 422-2050.


2014-15 Targeted Medication Safety Best Practices for Hospitals. Institute for Safe Medication Practices, 2014-15.  http://www.ismp.org/tools/bestpractices/TMSBP-for-Hospitals.pdf 

Kalb, C.  How a team of doctors at one hospital boosted hand washing, cut infections and created culture of safety.  Yahoo News.  July 21, 2014.  http://news.yahoo.com/clean-hands--vanderbilt-s-hand-washing-initiative-172312795.html

Sullivan, K.  Tennessee hospital drastically dropped infection rates through hand-hygiene initiative.  FireceHealthcare.   July 21, 2014.  http://www.fiercehealthcare.com/story/tennessee-hospital-drastically-dropped-infection-rates-through-hand-hygiene/2014-07-21

Rowlands, J., and others.  Video observation to map hand contact and bacterial transmission in operating rooms.  AJIC:  American Journal of Infection Control.  42(7):698-701, July 2014.  http://www.ajicjournal.org/article/S0196-6553(14)00137-0/fulltext

Talking Medicare's hospital fines for too many patient injuries. Kasier Health News.  June 23, 2014.  http://capsules.kaiserhealthnews.org/index.php/2014/06/talking-medicares-hospital-fines-for-too-many-patient-injuries/

Herzig, C., and others. State-Mandated Reporting of Health Care–Associated Infections in the United States: Trends Over Time. American Journal of Medical Quality, first published on June 20, 2014. http://ajm.sagepub.com/content/early/2014/06/20/1062860614540200.abstract

Clark, C.  Preventable deaths report not ready for prime time.  HealthLeaders Media.  June 19, 2014.  http://www.healthleadersmedia.com/page-1/QUA-305699/Preventable-Deaths-Report-Not-Ready-for-Prime-Time

Preventing Infection from the Misuse of VialsOakbrook Terrace, IL: Joint Commission, June 16, 2014.  http://www.jointcommission.org/sea_issue_52/

Eagle A. Safe and sound: Informed design approaches help to prevent patient harm. Health Facilities Management, June 2014.  http://www.hfmmagazine.com/display/HFM-news-article.dhtml?dcrPath=/templatedata/HF_Common/NewsArticle/data/HFM/Magazine/2014/June/coverstory-safe-and-sound-HAIs-alth-care-design

Haskell, H. Perspective: Patient advocacy in patient safety: have things changed? Web M&M [Agency for Healthcare Research and Quality], June 2014.  http://webmm.ahrq.gov/perspective.aspx?perspectiveID=160 

Anderson, D., and others. SHEA/IDSA practice recommendation: Strategies to prevent surgical site infections: 2014 update. Infection Control and Hospital Epidemiology, 35(6):605-627, June 2014.  http://www.jstor.org/stable/10.1086/676022 

Dubberke, E., and others. SHEA/IDSA practice recommendation: Strategies to prevent Clostridium difficile infections in acute care hospitals: 2014 update. Infection Control and Hospital Epidemiology, 35(6):628-645, June 2014. http://www.jstor.org/stable/10.1086/676023

Magill, S., and others. Multistate point-prevalence survey of health care-associated infections. New England Journal of Medicine. 370:1198-1208, Mar. 27, 2014. http://www.nejm.org/doi/full/10.1056/NEJMoa1306801

Data and statistics: HAI prevalence survey. Centers for Disease Control and Prevention, accessed May 21, 2014 at http://www.cdc.gov/HAI/surveillance/index.html

New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings.  Washington:  U.S. Department of Health & Human Services, May 7, 2014.  http://innovation.cms.gov/Files/reports/patient-safety-results.pdf

National Healthcare Quality Report 2013.  No. 14-0005.  Washington:  U.S. Department of Health and Human Services, May 2014.  http://www.ahrq.gov/research/findings/nhqrdr/nhqr13/2013nhqr.pdf

National and state healthcare associated infections progress report [based on 2012 data]. Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases, Mar. 2014. http://www.cdc.gov/HAI/pdfs/progress-report/hai-progress-report.pdf

Yokoe, D., and others. SHEA/IDSA practice recommendation: Introduction to "A compendium of strategies to prevent healthcare-associated infections in acute care hospitals: 2014 update. Infection Control and Hospital Epidemiology, 35(5):455-459, May 2014. http://www.jstor.org/stable/10.1086/675819

Lo, E., and others. SHEA/IDSA practice recommendation: Strategies to prevent catheter-associated urinary tract infections in acute care hospitals: 2014 update. Infection Control and Hospital Epidemiology, 35(5):464-479, May 2014.  http://www.jstor.org/stable/10.1086/675718

Safdar, N., and others. SHEA white paper: The evolving landscape of healthcare-associated infections: recent advances in prevention and a road map for research. Infection Control and Hospital Epidemiology, 35(5):480-493, May 2014. http://www.jstor.org/stable/10.1086/675821

Maggard-Gibbons M. The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program.  BMJ Quality & Safety. Apr. 19, 2014.  http://qualitysafety.bmj.com/content/early/2014/04/19/bmjqs-2013-002223.full

Singh, H., Meyer, A., and Thomas, E.  The frequency of diagnostic errors in outpatient care:  Estimations from three large observational studies involving US adult populations.  BMJ Quality & Safety.  Apr. 17, 2014.  http://qualitysafety.bmj.com/content/early/2014/04/04/bmjqs-2013-002627.abstract

Ten Years After Keeping Patients Safe: Have Nurses' Work Environments Been Transformed? Charting Nursing's Future. 22:1-8, Mar 14, 2014. http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2014/rwjf411417

Soloman R. Measuring How Health IT Impacts Patient Safety [video]. H&HN Daily, Mar. 10, 2014.  http://www.hhnmag.com/display/HHN-news-article.dhtml?dcrPath=/templatedata/HF_Common/NewsArticle/data/HHN/Daily/2014/Mar/031014-video-solomon-ecri-healthIT

Get Smart for Healthcare [antibiotic stewardship for hospitals]. Centers for Disease Control and Prevention, accessed Mar. 3, 2014 at http://www.cdc.gov/getsmart/healthcare/

Goffman, D., Brodman, M., and others.  Improved obstetric safety through programmatic collaboration.  Journal of Healthcare Risk Management;33(3):14-22, Q1 2014.

 McKinney, M.  Boston Children’s devises handoff procedures to reduce errors and improve patient safety.  Modern Healthcare;44(9):29, Mar. 3, 2014. 

Graber, M.L., Trowbridge, R., and others.  The next organizational challenge: finding and addressing diagnostic error.  The Joint Commission Journal on Quality and Patient Safety;40(3):102-110, Mar. 2014. 

Siracuse, J.J., Benoit, E., and others.  Development of a web-based surgical booking and informed consent system to reduce the potential for error and improve communication.  The Joint Commission Journal on Quality and Patient Safety;40(3):126-133, Mar. 2014. 

Studnicki, J., Ekezue, B.F., and others.  Classification tree analysis of race- specific subgroups at risk for a central venous catheter-related bloodstream infection.  The Joint Commission Journal on Quality and Patient Safety;40(3):134-143, Mar. 2014. 

Singh, H.  Editorial: helping health care organizations to define diagnostic errors as missed opportunities in diagnosis.  The Joint Commission Journal on Quality and Patient Safety;40(3):99-101, Mar. 2014. 

Team participation and planning produce quality handoffs.  OR Manager;30(3):1, 10-13, Mar. 2014.

Dalton, D., and Williams, N.  Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid. London, UK: The Royal College of Surgeons of England; Mar. 2014. http://www.rcseng.ac.uk/policy/documents/CandourreviewFinal.pdf

Ten Years After Keeping Patients Safe: Have Nurses' Work Environments Been Transformed?  Princeton, NJ:  Robert Wood Johnson Foundation, Mar. 2014.  http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2014/rwjf411417

SIDM Patient Engagement Committee. Patient's Toolkit for Diagnosis. Society to Improve Diagnosis in Medicine. Mar. 2014. http://www.npsf.org/wp-content/uploads/2014/02/The-Patients-Toolkit-for-Diagnosis.pdf

NPSF Lucian Leape Institute Roundtable on Consumer Engagement in Patient Safety. Safety Is Personal: Partnering With Patients and Families for the Safest Care.  Boston, MA: National Patient Safety Foundation; Mar. 2014. http://www.npsf.org/about-us/lucian-leape-institute-at-npsf/lli-reports-and-statements/safety-is-personal-partnering-with-patients-and-families-for-the-safest-care/

DiCuccio, M. The relationship between patient safety culture and patient outcomes: a systematic review.
Journal of Patient Safety. Feb 27, 2014; [Epub ahead of print]. http://journals.lww.com/journalpatientsafety/pages/articleviewer.aspx?year=9000&issue=00000&article=99779&type=abstract

Potential inaccuracy of electronically transmitted medication history information used for medication reconciliation. National Alert Network. Horsham, PA: Institute for Safe Medication Practices. Feb. 18, 2014. http://www.ismp.org/nan/files/nan-20140218.pdf

Vaida, A., and others.  Assessing the state of safe medication practices using the ISMP medication safety self assessment ® for hospitals:  2000 and 2011.  Joint Commission Journal on Quality and Patient Safety.  40(2):51, Feb. 2014.  http://www.ingentaconnect.com/content/jcaho/jcjqs/2014/00000040/00000002/art00001

Shieh, L, Chi, J., and others.  Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital.  The Joint Commission Journal on Quality and Patient Safety;40(2):77-82, Feb. 2014.

 Vaida, A.J., Lamis, R.L., and others.  Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for hospitals: 2000 and 2011.  The Joint Commission Journal on Quality and Patient Safety;40(2):51-67, Feb. 2014.

Bal, G., Sellier, E., and others.  Improving quality of care and safety through morbidity and mortality conferences.  Journal for Healthcare Quality;36(1):29-36, Jan.-Feb. 2014. 

Denny, D.S., Allen, D.K., and others.  The use of failure mode and effect analysis in a radiation oncology setting: the Cancer Treatment Centers of America experience.  Journal for Healthcare Quality;36(1):18-28, Jan.-Feb. 2014.

Wang, Y., and others.  National trends in patient safety for four common conditions, 2005-2011.  New England Journal of Medicine.  370:341-351, Jan. 23, 2014.  http://www.nejm.org/doi/full/10.1056/NEJMsa1300991

Jayanthi, A.  Joint Commission announces new patient safety goal.  Becker's Clinical Quality & Infection Control.  Jan. 6, 2014.  http://www.beckersasc.com/asc-quality-infection-control/joint-commission-announces-new-patient-safety-goal.html

Vaughn T., Koepke, M., and Levey, S.  Governing board, C-suite, and clinical management perceptions of quality and safety structures, processes, and priorities in US hospitals.  Journal of Healthcare Management.  59:111-128, 2014.  http://ache.org/pubs/jhm/jhm_index.cfm

Committee on Diagnostic Errors in Medicine. Diagnostic Error in Medicine. Washington, DC: Institute of Medicine, 2014.  http://www.iom.edu/activities/quality/diagnosticerrormedicine.aspx

Berenson, R., Upadhyay, D., and Kaye, D.  Placing Diagnosis Errors on the Policy Agenda. Washington, DC: Urban Institute, 2014.
http://www.urban.org/UploadedPDF/413104-Placing-Diagnosis-Errors-on-the-Policy-Agenda.pdf

Medical Errors.  A Report by the Staff of U.S. Senator Barbara Boxer.   Washington:  United States Senate, 2014.  http://www.boxer.senate.gov/en/press/related/Medical_Errors_Report.pdf

 

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