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2101. Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in Virginia. | PSNet
      psnet.ahrq.gov/issue/multiple-failures-test-results-follow-patient-diagnosed-prostate-cancer-hampton-va-medical
      July 26, 2023 - Book/Report Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in Virginia. Citation Text: Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in V…

2102. Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. | PSNet
      psnet.ahrq.gov/issue/evaluating-patient-safety-learning-laboratory-create-interdisciplinary-ecosystem-health-care
      December 21, 2022 - Study Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. Citation Text: Atkinson MK, Benneyan JC, Bambury EA, et al. Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care …

2103. Development and psychometric analysis of a patient-reported measure of diagnostic excellence for emergency and urgent care settings. | PSNet
      psnet.ahrq.gov/issue/development-and-psychometric-analysis-patient-reported-measure-diagnostic-excellence
      January 10, 2024 - Study Development and psychometric analysis of a patient-reported measure of diagnostic excellence for emergency and urgent care settings. Citation Text: Gleason KT, Dukhanin V, Peterson SK, et al. Development and psychometric analysis of a patient-reported measure of diagnostic excellen…

2104. Providers' and patients' perspectives on diagnostic errors in the acute care setting. | PSNet
      psnet.ahrq.gov/issue/providers-and-patients-perspectives-diagnostic-errors-acute-care-setting
      October 20, 2021 - Study Providers' and patients' perspectives on diagnostic errors in the acute care setting. Citation Text: Schnock KO, Garber A, Fraser H, et al. Providers' and patients' perspectives on diagnostic errors in the acute care setting. Jt Comm J Qual Patient Saf. 2023;49(2):89-97. doi:10.101…

2105. A 38-year-old woman with fetal loss and hysterectomy. | PSNet
      psnet.ahrq.gov/issue/38-year-old-woman-fetal-loss-and-hysterectomy
      January 12, 2011 - Commentary Classic A 38-year-old woman with fetal loss and hysterectomy. Citation Text: Sachs BP. A 38-Year-Old Woman With Fetal Loss and Hysterectomy. JAMA. 2005;294(7):833-840. doi:10.1001/jama.294.7.833. Copy Citation Format: DOI Google Schola…

2106. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49857/psn-pdf
      March 01, 2019 - handoff methods and tools are available, such as forms and checklists, face-to-face and electronic communications … readmissions.(13) The Joint Commission Targeted Solutions Tool can be used to examine current handoff communications

2107. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities | PSNet
      psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
      November 27, 2019 - In all communications among healthcare providers, complete dosing units should always be stated. … Reduce distractions and utilize closed-loop communications to reduce risk of errors.

2108. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33661/psn-pdf
      December 01, 2007 - A systematic review of discharge communications, conducted by the joint Society of Hospital Medicine … recently provided complementary recommendations about the content, format, and delivery of discharge communications

2109. Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic | PSNet
      psnet.ahrq.gov/innovation/battle-buddies-rapid-deployment-psychological-resilience-intervention-health-care
      September 09, 2020 - Patient Safety Innovations The I-READI Quality and Safety Framework: Strong Communications

2110. Rapid Response Systems | PSNet
      psnet.ahrq.gov/curated-library/rapid-response-systems
      September 15, 2024 - contribution of knowledge deficits and cognitive biases to diagnostic errors and the importance of structured communications

2111. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73434/psn-pdf
      June 30, 2021 - practices for radiologists to follow.3 A summary of the Group's findings, in terms of the timing of communications … that may not directly relate to clinical presentation In addition to emphasizing the timeliness of communications

2112. The Consequences of Miscommunication Regarding a Possible Artifact | PSNet
      psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
      May 11, 2019 - practices for radiologists to follow. 3 A summary of the Group's findings, in terms of the timing of communications … not directly relate to clinical presentation In addition to emphasizing the timeliness of communications

2113. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854973/psn-pdf
      October 31, 2023 - The Federal Communications Commission is currently working to support access to digital health through

2114. Duplicate Insulin Order | PSNet
      psnet.ahrq.gov/web-mm/duplicate-insulin-order
      May 04, 2012 - handoff methods and tools are available, such as forms and checklists, face-to-face and electronic communications … readmissions.( 13 ) The Joint Commission Targeted Solutions Tool can be used to examine current handoff communications

2115. Handoff Communication. | PSNet
      psnet.ahrq.gov/issue/handoff-communication
      October 16, 2019 - Special or Theme Issue Handoff Communication. Citation Text: Handoff Communication. APSF Newsletter. October 2017;32:29-56. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

2116. In Conversation with…William B. Munier, MD, MBA | PSNet
      psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
      July 01, 2011 - trusted colleagues. 5  The rules governing preexisting protections (e.g., peer review, attorney–client communications … ), while reasonably secure in California, are oriented towards restricting communications to a limited … And in states with limited protections, communications even within small groups can be inhibited by fear

2117. Becoming a Patient Safety Organization | PSNet
      psnet.ahrq.gov/perspective/becoming-patient-safety-organization
      July 01, 2011 - trusted colleagues. 5  The rules governing preexisting protections (e.g., peer review, attorney–client communications … ), while reasonably secure in California, are oriented towards restricting communications to a limited … And in states with limited protections, communications even within small groups can be inhibited by fear

2118. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49519/psn-pdf
      September 01, 2006 - Goal 2E, which requires all health care providers to "implement a standardized approach to handoff communications … JCAHO's expectations for this goal include interactive communications, up- to-date and accurate information

2119. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49579/psn-pdf
      March 21, 2009 - Safety Goal 2E requires all health care providers to "implement a standardized approach to handoff communications … of care in the ED should follow the Joint Commission standardized guidelines for effective handoff communications

2120. Triple Handoff | PSNet
      psnet.ahrq.gov/web-mm/triple-handoff
      March 01, 2004 - Goal 2E, which requires all health care providers to "implement a standardized approach to handoff communications … JCAHO's expectations for this goal include interactive communications, up-to-date and accurate information