AHRQ Patient Safety Network 2
What stops hospital clinical staff from following protocols? An analysis of the incidence and factors behind the failure of bedside clinical staff to activate the rapid response system in a multi-campus Australian metropolitan healthcare service.
Shearer B, Marshall S, Buist MD, et al. BMJ Qual Saf. 23 May 2012; [Epub ahead of print].
http://psnet.ahrq.gov/resource.aspx?resourceID=24595&sourceID=1&emailID=Medication errors during medical emergencies in a large, tertiary care, academic medical center.
Gokhman R, Seybert AL, Phrampus P, Darby J, Kane-Gill SL. Resuscitation. 2012;83:482-487.
http://psnet.ahrq.gov/resource.aspx?resourceID=24591&sourceID=1&emailID=Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management.
Mathew G, Kho A, Dexter P, et al. J Patient Saf. 2012;8:69-75.
http://psnet.ahrq.gov/resource.aspx?resourceID=24573&sourceID=1&emailID=Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions.
Tomietto M, Sartor A, Mazzocoli E, Palese A. J Nurs Manag. 2012;20:335-343.
http://psnet.ahrq.gov/resource.aspx?resourceID=24592&sourceID=1&emailID=Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims.
Poon EG, Kachalia A, Puopolo AL, Gandhi TK, Studdert DM. J Gen Intern Med. 2012 May 19; [Epub ahead of print].
http://psnet.ahrq.gov/resource.aspx?resourceID=24588&sourceID=1&emailID=The use of patient pictures and verification screens to reduce computerized provider order entry errors.
Hyman D, Laire M, Redmond D, Kaplan DW. Pediatrics. 2012 Jun 4; [Epub ahead of print].
http://psnet.ahrq.gov/resource.aspx?resourceID=24619&sourceID=1&emailID=The use of simulation in healthcare: from systems issues, to team building, to task training, to education and high stakes examinations.
Orledge J, Phillips WJ, Murray WB, Lerant A. Curr Opin Crit Care. 2012 May 19; [Epub ahead of print].
http://psnet.ahrq.gov/resource.aspx?resourceID=24596&sourceID=1&emailID=Quantitative assessment of workload and stressors in clinical radiation oncology.
Mazur LM, Mosaly PR, Jackson M, et al. Int J Radiat Oncol Biol Phys. 2012 Apr 13; [Epub ahead of print].
http://psnet.ahrq.gov/resource.aspx?resourceID=24556&sourceID=1&emailID=The H-PEPSS: an instrument to measure health professionals' perceptions of patient safety competence at entry into practice.
Ginsburg L, Castel E, Tregunno D, Norton PG. BMJ Qual Saf. 2012 May 5; [Epub ahead of print].
http://psnet.ahrq.gov/resource.aspx?resourceID=24594&sourceID=1&emailID=Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities.
Washington, DC: VA Office of Inspector General; April 20, 2012. Report No. 12-00956-159.
http://psnet.ahrq.gov/resource.aspx?resourceID=24571&sourceID=1&emailID=National Diabetes Inpatient Audit 2011.
Leeds, UK: Health and Social Care Information Centre; 2012.
http://psnet.ahrq.gov/resource.aspx?resourceID=24568&sourceID=1&emailID=24th Annual National Forum on Quality Improvement in Health Care.
Institute for Healthcare Improvement. December 9–12, 2012. World Center Marriott, Orlando, FL.
http://psnet.ahrq.gov/resource.aspx?resourceID=24512&sourceID=1&emailID=ISQua's 29th International Conference.
International Society for Quality in Health Care. October 21–24, 2012; Centre International de Conférences Genève, Geneva, Switzerland.
http://psnet.ahrq.gov/resource.aspx?resourceID=24549&sourceID=1&emailID=--To see all new content for this week, click here: http://psnet.ahrq.gov/whatsnew.aspx