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Welcome to the latest March 2015 Newsletter.
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Table of Contents
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High Level Evidence
Nothing to report
Bromiley, M. 2015, "Human factors in health care – what’s new and what next?", Blog;.
Havold, J.I. & Nistad, S. "The human factor and simulator training for offshore anchor handling operators", . Safety Science 06/2015; 75.
Hignett, S., Jones, E.L. & Miller, D. 2015, "Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare", BMJ quality & safety
Ahmed, ,Rami, King Gardner, ,Aimee, Atkinson, ,S.Scott & Gable, ,Brad "Teledebriefing: connecting learners to faculty members", .
Cheng, A., Palaganas, J., Eppich, W., Rudolph, J., Robinson, T. & Grant, V. 2015, "Co-debriefing for Simulation-based Education: A Primer for Facilitators", Simulation in healthcare : journal of the Society for Simulation in Healthcare, .
Eppich, W. & Cheng, A. 2015, "Promoting Excellence and Reflective Learning in Simulation (PEARLS): Development and Rationale for a Blended Approach to Health Care Simulation Debriefing", Simulation in healthcare : journal of the Society for Simulation in Healthcare, .
Voyer, S. & Hatala, R. 2015, "Debriefing and Feedback: Two Sides of the Same Coin?", Simulation in healthcare : journal of the Society for Simulation in Healthcare, .
Medical Errors & Patient Safety
Baqir, W., Jones, K., Horsley, W., Barrett, S., Fisher, D., Copeland, R., Campbell, D. & Stephenson, R. 2015, "Reducing unacceptable missed doses: pharmacy assistant-supported medicine administration", The International journal of pharmacy practice, .
Braham, D.L., Richardson, A.L. & Malik, I.S. 2014, "Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery", Clinical Medicine, vol. 14, no. 5, pp. 468-474.
Calder, L., Pozgay, A., Riff, S., Rothwell, D., Youngson, E., Mojaverian, N., Cwinn, A. & Forster, A. 2015, Adverse events in patients with return emergency department visits” BMJ Quality & Safety 2015;24:142-148.
Colligan, L., Brick, D. & Patterson, E.S. 2015, "Changes in medical errors with a handoff program", The New England journal of medicine, vol. 372, no. 5, pp. 490.
Custer, J.W., Winters, B.D., Goode, V., Robinson, K.A., Yang, T., Pronovost, P.J. & Newman-Toker, D.E. 2015, "Diagnostic errors in the pediatric and neonatal ICU: a systematic review", Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, vol. 16, no. 1, pp. 29-36.
Dijkema, L.M., Keus, E., Dieperink, W., van der Horst, I. & Zijlstra, J. 2015, "Real-time information on preventable death provided by email from frontline intensivists: results in high response rates with useful information", BMJ Quality & Safety, .
Dullabh, P., Sondheimer, N., Katsh, E. & Evans, M. 2014, "How Patients Can Improve the Accuracy of their Medical Records", eGEMS, vol. 2, no. 3.
Gardner, A. & Rich, M. 2014, "Error management training and simulation education", The Clinical Teacher, vol. 11, no. 7, pp. 537-540.
Garrouste-Orgeas, M., Perrin, M., Soufir, L., Vesin, A., Blot, F., Maxime, V., Beuret, P., Troche, G., Klouche, K., Argaud, L., Azoulay, E. & Timsit, J.F. 2015, "The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture", Intensive care medicine, vol. 41, no. 2, pp. 273-284.
Lane 2014, "Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission.", Health care management review, vol. 39, no. 4, pp. 340-351.
Levinson, W., Kallewaard, M., Bhatia, R.S., Wolfson, D., Shortt, S. & Kerr, E.A. 2014, "‘Choosing Wisely’: a growing international campaign", BMJ Quality & Safety, .
Maaskant, J.M., Vermeulen, H., Apampa, B., Fernando, B., Ghaleb, M.A., Neubert, A., Thayyil, S. & Soe, A. 2015, "Interventions for reducing medication errors in children in hospital", The Cochrane database of systematic reviews, vol. 3, pp. CD006208.
Martsolf, G.R., Auerbach, D., Benevent, R., Stocks, C., Jiang, H.J., Pearson, M.L., Ehrlich, E.D. & Gibson, T.B. 2014, "Examining the value of inpatient nurse staffing: an assessment of quality and patient care costs", Medical care, vol. 52, no. 11, pp. 982-988.
Mattsson, T.O., Holm, B., Michelsen, H., Knudsen, J.L., Brixen, K. & Herrstedt, J. 2015, "Non-intercepted dose errors in prescribing anti-neoplastic treatment: a prospective, comparative cohort study", Annals of Oncology : Official Journal of the European Society for Medical Oncology / ESMO, .
McClead, Richard E.,,Jr., Catt, ,Charline, Davis, J.,Terrance, Morvay, ,Shelly, Merandi, ,Jenna, Lewe, ,Dorcas, Stewart, ,Barbara & Brilli, R.,J. 2014, "An Internal Quality Improvement Collaborative Significantly Reduces Hospital-Wide Medication Error Related Adverse Drug Events", The Journal of Pediatrics, vol. 165, no. 6, pp. 1222.
Milligan, F., Gadsby, R., Ghaleb, M., McKeaveney, C., Newton, K., Randhawa, G., Smith, J. & Sinclair, A. 2014, "Reporting medication errors: residents with diabetes", Nursing and Residential Care, vol. 16, no. 11, pp. 617-621
Moy, E., Barrett, M., Coffey, R., Hines Anika, L. & Newman-Toker David, E. "Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and facility characteristics", Diagnosis vol 2, no 1, Pages 29–40
Patterson, M.E., Bogart, M.S. & Starr, K.R. 2015, "Associations between perceived crisis mode work climate and poor information exchange within hospitals", Journal of hospital medicine, vol. 10, no. 3, pp. 152-159.
Pell, J.M., Mancuso, M., Limon, S., Oman, K. & Lin, C.T. 2015, "Patient Access to Electronic Health Records During Hospitalization", JAMA internal medicine, .
Schiff, G.D., Amato, M.G., Eguale, T., Boehne, J.J., Wright, A., Koppel, R., Rashidee, A.H., Elson, R.B., Whitney, D.L., Thach, T., Bates, D.W. & Seger, A.C. 2015, "Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems", BMJ Quality & Safety,2015;24:264-271 .
Singh, H., Meyer, A.N.D. & Thomas, E.J. 2014, "The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations", BMJ Quality & Safety, 2014;23:727-731 .
Singh, H. & Sittig, D.F. 2015, "Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework", BMJ Quality & Safety, 2015;24:103-110 .
Westbrook, J.I., Li, L., Lehnbom, E.C., Baysari, M.T., Braithwaite, J., Burke, R., Conn, C. & Day, R.O. 2015, "What are incident reports telling us? A comparative study at two Australian hospitals of medication errors identified at audit, detected by staff and reported to an incident system", International journal for quality in health care : journal of the International Society for Quality in Health Care / ISQua, vol. 27, no. 1, pp. 1-9.
Simulation & Medical Training
Benishek, L.E., Lazzara, E.H., Gaught, W.L., Arcaro, L.L., Okuda, Y. & Salas, E. 2015, "The Template of Events for Applied and Critical Healthcare Simulation (TEACH Sim): a tool for systematic simulation scenario design", Simulation in healthcare : journal of the Society for Simulation in Healthcare, vol. 10, no. 1, pp. 21-30.
Fisher, J., Martin, R. & Tate, D. 2014, "Hands on + hands free: simulated on-call interaction", The Clinical Teacher, vol. 11, no. 6, pp. 425-428.
Ghazali, A., Breque, C., Leger, A., Scepi, M. & Oriot, D. 2015, "Testing of a Complete Training Model for Chest Tube Insertion in Traumatic Pneumothorax", Simulation in healthcare : journal of the Society for Simulation in Healthcare, .
Hall, A.K., Dagnone, J.D., Lacroix, L., Pickett, W. & Klinger, D.A. 2015, "Queen's Simulation Assessment Tool: Development and Validation of an Assessment Tool for Resuscitation Objective Structured Clinical Examination Stations in Emergency Medicine", Simulation in healthcare : journal of the Society for Simulation in Healthcare, .
Joyce, K.M., Byrne, D., O'Connor, P., Lydon, S.M. & Kerin, M.J. 2015, "An Evaluation of the Use of Deliberate Practice and Simulation to Train Interns in Requesting Blood Products", Simulation in healthcare : journal of the Society for Simulation in Healthcare, .
Khalili, H. 2015, "Clinical simulation practise framework", The Clinical Teacher, vol. 12, no. 1, pp. 32-36.
Kiely, D.J., Gotlieb, W.H., Jardon, K., Lau, S. & Press, J.Z. 2015, "Advancing surgical simulation in gynecologic oncology: robotic dissection of a novel pelvic lymphadenectomy model", Simulation in healthcare : journal of the Society for Simulation in Healthcare, vol. 10, no. 1, pp. 38-42.
Kinnear, J., Smith, B., Akram, M., Wilson, N. & Simpson, E. 2015, "Using expert consensus to develop a simulation course for faculty members", The Clinical Teacher, vol. 12, no. 1, pp. 27-31.
Manley, K.M., Park, C.H., Medland, V.L. & Appleyard, T.L. 2015, "The Training Value of a Low-Fidelity Cervical Biopsy Workshop", Simulation in healthcare : journal of the Society for Simulation in Healthcare, .
Maurice, J., Wood, E. & Jack, K. 2014, "Endoscopy simulation for medical students", The Clinical Teacher, vol. 11, no. 6, pp. 416-420.
Murray, D.J., Freeman, B.D., Boulet, J.R., Woodhouse, J., Fehr, J.J. & Klingensmith, M.E. 2015, "Decision Making in Trauma Settings: Simulation to Improve Diagnostic Skills", Simulation in healthcare : journal of the Society for Simulation in Healthcare, .
Nelson, K., Bagnall, A., Nesbitt, C., Davey, P. & Mafeld, S. 2014, "Developing cross-specialty endovascular simulation training", The Clinical Teacher, vol. 11, no. 6, pp. 411-415.
Perry, S., Bridges, S.M. & Burrow, M.F. 2015, "A review of the use of simulation in dental education", Simulation in healthcare : journal of the Society for Simulation in Healthcare, vol. 10, no. 1, pp. 31-37.
Templeton-Ward, ,Oliver & Solan, ,Matthew "Simulation in orthopaedic training: would a national curriculum improve trainees’ surgical skills?", Bulletin of the Royal College of Surgeons of England vol. 96, no 10, November 2014, pp. 360-362(3) .
Thomas, I., Nicol, L., Regan, L., Cleland, J., Maliepaard, D., Clark, L., Walker, K. & Duncan, J. 2015, "Driven to distraction: a prospective controlled study of a simulated ward round experience to improve patient safety teaching for medical students", BMJ Quality & Safety, vol. 24, no. 2, pp. 154-161.
Watters, C., Reedy, G., Ross, A., Morgan, N.J., Handslip, R. & Jaye, P. 2015, "Does interprofessional simulation increase self-efficacy: a comparative study", BMJ Open, vol. 5, no. 1.
Gee, C., Morrissey, N. & Hook, S. 2015, "Departmental induction and the simulated surgical ward round", The Clinical Teacher, vol. 12, no. 1, pp. 22-26.
Graafland, M., Schraagen, J.M., Boermeester, M.A., Bemelman, W.A. & Schijven, M.P. 2015, "Training situational awareness to reduce surgical errors in the operating room", The British journal of surgery, vol. 102, no. 1, pp. 16-23.
Morgan, L., Pickering, S.P., Hadi, M., Robertson, E., New, S., Griffin, D., Collins, G., Rivero-Arias, O., Catchpole, K. & McCulloch, P. 2015, "A combined teamwork training and work standardisation intervention in operating theatres: controlled interrupted time series study", BMJ quality & safety, vol. 24, no. 2, pp. 111-119.
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Topic of the Month
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The following sources have been searched for evidence published in the previous three months
- Annals of Internal Medicine
- BMJ Quality and Safety in Healthcare
- Journal of Healthcare Simulation
- Clinical Teacher
- Medical Education
- Healthcare databases e.g. MEDLINE, EMBASE
- Agency for Health Care Research and Quality http://www.ahrq.gov/
- Cochrane Library www.thecochranelibrary.com
- Clinical Human Factors Group www.chfg.org
- NHS Institute for Innovation and Improvement www.institute.nhs.uk/
- NICE Guidelines http://guidance.nice.org.uk/CG/Published
Please contact the editor for further information.
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