Scanning the Headlines: Patient Safety
Updated on August 15, 2014
Click here for Patient Safety Archive Bibliography
Links to full-text articles are provided where available.
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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
Putre, L. The AHA McKesson quest for quality prize winner. H&HN. Aug. 12, 2014. http://www.hhnmag.com/display/HHN-news-article.dhtml?dcrPath=/templatedata/HF_Common/NewsArticle/data/HHN/Magazine/2014/Aug/fea-quest-for-quality-prize_VCU&utm_source=daily
Menon, S., and others. Electronic health record–related safety concerns: A cross-sectional survey. Journal of Healthcare Risk Management. 34(1):14–26, Aug. 2014. http://onlinelibrary.wiley.com/doi/10.1002/jhrm.21146/abstract
Groszkruger, D. Diagnostic error: Untapped potential for improving patient safety? Journal of Healthcare Risk Management. 34(1): 38-43, Aug. 2014. http://onlinelibrary.wiley.com/doi/10.1002/jhrm.21149/abstract
ED-based pharmacists make a big dent in medication errors. ED Management. 26(8):91-94, Aug. 2014.
The Joint Commission cracks down on vial misuse in hospitals. ED Management. 26(8):85-96, Aug. 2014.
Fibuch, E., and Ahmed, A. The role of failure mode and effects analysis in health care. PEJ. Physician Executive. 40(4):28-32, July-Aug. 2014.
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
Carlson, J., and Rice, S. All of a sudden, there was fire. Modern Healthcare. 44(28):8-9, July 14, 2014.
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
Joint Commission. Preventing infection from the misuse of vials. Sentinel Event Alert, no. 52, June 16, 2014. http://www.jointcommission.org/assets/1/6/SEA_52.pdf
Mardon, R., and others. AHRQ's Clinical Decision Support Demonstration Projects. Rockville, MD: Agency for Healthcare Research and Quality. June 2014. http://healthit.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-clinical-decision-support-demonstration-projects.pdf
Beyond the rubber stamp: energizing your EOC committee. Inside ASHE:57-58, Summer 2014.
Staying in compliance with OSHA’s hazard communication standard. Inside ASHE:59-62, Summer 2014.
A risk analysis of the steam sterilization process can improve patient safety. OR Manager. 30(6):24-25, 28, June 2014.
Donaldson, N., Aydin, C., and Fridman, M. Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety. JONA. The Journal of Nursing Administration. 44(6):353-361, June 2014.
Turn OR staff into ‘legal eagles’ to track unusual occurrence. OR Manager. 30(6):1, 6-7, June 2014.
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
Wasserman, M., Renfrew, M.R., and others. Identifying and preventing medical errors in patients with limited English proficiency: key findings and tools for the field. Journal of Healthcare Quality. 36(3):5-16, May-June 2014.
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
Corley, D., Brockopp, D., and others. The Baptist Health high risk falls assessment: a methodological study. JONA. The Journal of Nursing Administration. 44(5):263-269, May 2014.
Jobe, L.L. Generational differences in work ethic among 3 generations of registered nurses. JONA. The Journal of Nursing Administration. 44(5):303-308, May 2014.
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
Kachalia, A., Little, A., and others. Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by physicians. Health Affairs. 33(1):59-66, Jan. 2014.
Auer, C., Schwendimann, R., and Koch, R. How hospital leaders contribute to patient safety through the development of trust. JONA. Journal of Nursing Administration. 44(1):23-29, Jan. 2014.
Johnson, A.L., Jung, L., and Brown, K.C. Sleep deprivation and error in nurses who work the night shift. JONA. Journal of Nursing Administration. 44(1):17-22, Jan. 2014.
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.
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
Applying High Reliability Principles to Infection Prevention and Control in Long Term Care. Oakbrook Terrace, IL: Joint Commission, 2014. http://www.jointcommission.org/HRipcLTC.aspx