Scanning the Headlines: Patient Safety

Updated on August 15, 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. 

Putre, L.  The AHA McKesson quest for quality prize winner.  H&HN.  Aug. 12, 2014.

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.

Groszkruger, D. Diagnostic error: Untapped potential for improving patient safety? Journal of Healthcare Risk Management.  34(1): 38-43, Aug. 2014.

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.

Sullivan, K.  Tennessee hospital drastically dropped infection rates through hand-hygiene initiative.  FireceHealthcare.   July 21, 2014.

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.

Talking Medicare's hospital fines for too many patient injuries. Kasier Health News.  June 23, 2014.

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.

Clark, C.  Preventable deaths report not ready for prime time.  HealthLeaders Media.  June 19, 2014.

Joint Commission. Preventing infection from the misuse of vials. Sentinel Event Alert, no. 52, June 16, 2014.

Mardon, R., and others.  AHRQ's Clinical Decision Support Demonstration Projects.   Rockville, MD:  Agency for Healthcare Research and Quality.  June 2014.

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.

Haskell, H. Perspective: Patient advocacy in patient safety: have things changed? Web M&M [Agency for Healthcare Research and Quality], June 2014. 

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. 

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.

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.

Data and statistics: HAI prevalence survey. Centers for Disease Control and Prevention, accessed May 21, 2014 at

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.

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.

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.

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.

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.

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.

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.

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.

Ten Years After Keeping Patients Safe: Have Nurses' Work Environments Been Transformed? Charting Nursing's Future. 22:1-8, Mar 14, 2014.

Soloman R. Measuring How Health IT Impacts Patient Safety [video]. H&HN Daily, Mar. 10, 2014.

Get Smart for Healthcare [antibiotic stewardship for hospitals]. Centers for Disease Control and Prevention, accessed Mar. 3, 2014 at

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.

Ten Years After Keeping Patients Safe: Have Nurses' Work Environments Been Transformed?  Princeton, NJ:  Robert Wood Johnson Foundation, Mar. 2014.

SIDM Patient Engagement Committee. Patient's Toolkit for Diagnosis. Society to Improve Diagnosis in Medicine. Mar. 2014.

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.

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].

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.

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.

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.

Jayanthi, A.  Joint Commission announces new patient safety goal.  Becker's Clinical Quality & Infection Control.  Jan. 6, 2014.

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.

Committee on Diagnostic Errors in Medicine. Diagnostic Error in Medicine. Washington, DC: Institute of Medicine, 2014.

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.

Applying High Reliability Principles to Infection Prevention and Control in Long Term Care.  Oakbrook Terrace, IL: Joint Commission, 2014.


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