New Publications in Patient Safety

Recipes for checklists and bundles: one part active ingredient, two parts measurement.
Chopra V & Shojania KG. BMJ Qual Saf

'Matching Michigan': a 2-year stepped interventional programme to minimise central venous catheter-blood stream infections in intensive care units in England.
Bion J et al. BMJ Qual Saf

What counts? An ethnographic study of infection data reported to a patient safety program.
Dixon-Woods M et al. Milbank Q. 

Improving patient handovers from hospital to primary care: a systematic review. 
Hesselink G et al. Ann Intern Med.

Hospital-based medication reconciliation practices: a systematic review.
Mueller SK et al. Arch Intern Med.

Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial.
Kripalani S et al. Ann Intern Med.

Emergency department discharge prescription interventions by emergency medicine pharmacists.
Cesarz JL et al. Ann Emerg Med.

Implementing SBAR across a large multihospital health system.
Compton J et al. Jt Comm J Qual Patient Saf.

Patients' willingness and ability to participate actively in the reduction of clinical errors: a systematic literature review.
Doherty C & Stavropoulou C. Soc Sci Med.

Medication reconciliation in the hospital: what, why, where, when, who and how?
Fernandes O & Shojania KG. Healthc Q.

Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review
Etchells E, Koo M, Daneman N, McDonald A, Baker M, Matlow A, Krahn M, Mittmann N. BMJ Qual Saf. 

System-related interventions to reduce diagnostic errors: a narrative review.
Singh H et al. BMJ Qual Saf.

Automated identification of postoperative complications within an electronic medical record using natural language processing.
Murff HJ et al. JAMA.

Advancing the science of patient safety
Shekelle PG, Pronovost PJ, Wachter RM, Taylor SL, Dy SM, Foy R, Hempel S, McDonald KM, Ovretveit J, Rubenstein LV, Adams AS, Angood PB, Bates DW, Bickman L, Carayon P, Donaldson L, Duan N, Farley DO, Greenhalgh T, Haughom J, Lake ET, Lilford R, Lohr KN, Meyer GS, Miller MR, Neuhauser DV, Ryan G, Saint S, Shojania KG, Shortell SM, Stevens DP, Walshe K. Ann Intern Med

Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice
Lingard L, Regehr G, Cartmill C, Orser B, Espin S, Bohnen J, Reznick R, Baker R, Rotstein L, Doran D. BMJ Qual Saf.

Effect of admission medication reconciliation on adverse events from admission medication changes
Boockvar KS et al. Arch Intern Med.

Nurse staffing and inpatient hospital mortality
Needleman J et al. Engl J Med.

Description of the development and validation of the Canadian Paediatric Trigger Tool.
Matlow AG, Cronin CM, Flintoft V, Nijssen-Jordan C, Fleming M, Brady-Fryer B, Hiltz MA, Orrbine E, Baker GR. Qual Safe Health Care.

Variability in the measurement of hospital-wide mortality rates.
Shahian DM et al. N Engl J Med.

Speaking up about safety concerns: multi-setting qualitative study of patients' views and experiences.
Entwistle VA et al. Qual Saf Health Care.

Temporal Trends in Rates of Patient Harm resulting from Medical Care.
Landrigan CP. et al. N Engl J Med.

Case 34-2010, A 65-Year-Old Woman with an Incorrect Operation on the Left Hand
Cabot RC et al. N Engl J Med.

Effects of a comprehensive surgical safety system on patient outcomes.
de Vries EN et al. N Eng J Med.

Association between implementation of a medical team training program and surgical mortality.
Neily J et al. JAMA.

Improving teamwork to reduce surgical mortality.
Pronovost PJ & Freischlag JA. JAMA.

Teaching Quality Improvement and Patient Safety to Trainees: A systematic Review 
Wong BM, Etchells EE, Kuper A, Levinson W, Shojania KG. Acad Med

Effect of bar-code technology on the safety of medication administration.
Poon EG et al. N Engl J Med.

Decrease in Hospital-wide Mortality Rate After Implementation of a Commercially Sold Computerized Physician Order Entry System.
Longhurst CA et al. Pediatrics.

Association of interruptions with an increased risk and severity of medication administration errors
Westbrook JI. Arch Intern Med.

Real-time clinical alerting: effect of an automated paging system on response time to critical laboratory values - a ramdomised controlled trial
Etchells E, Adhikari NK, Cheung C, Fowler R, Kiss A, Quan S, Sibbald W, Wong B. Qual Saf Health Care.

Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and influencing factors.
Matlow AG et al. Arch Dis Child.

Can electronic clinical documentation help prevent diagnostic errors?
Schiff GD & Bates DW. N Engl J Med.

Effect of point-of-care computer reminders on physician behaviour: a systematic review
Shojania KG et al. CMAJ.

ED overcrowding is associated with an increased frequency of medication errors
Kulstad EB et al. Am J Emerg Med.

For more new publication in Patient Safety please visit AHRQ PSNET Patient Safety Network.