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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60224/psn-pdf
    April 15, 2020 - Information transfer at hospital discharge: a systematic review. April 15, 2020 Kattel S, Manning DM, Erwin PJ, et al. Information transfer at hospital discharge: a systematic review. J Patient Saf. 2020;16(1):e25-e33. doi:10.1097/pts.0000000000000248. https://psnet.ahrq.gov/issue/information-transfer-hospital-dis…

  2. AHRQ's Quality & Patient Safety Programs by Setting: Emergency Department | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/emergency-dept/index.html
    July 01, 2025 - AHRQ's Quality & Patient Safety Programs by Setting: Emergency Department Design Guidelines for Trauma Rooms is an evidence-based set of recommendations covering 27 key design elements for trauma room and trauma center design planning. These actionable insights support architects, clinicians, and policymakers …

  3. Patient and Family Engagement | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/modules/patient-family-engagement/index.html
    July 01, 2018 - Patient and Family Engagement The Patient and Family Engagement module of the CUSP Toolkit focuses on making sure patients and their family members understand what is happening during the patient's hospital stay, are active participants in the patient's care, and are prepared for discharge. This module expl…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37004/psn-pdf
    July 08, 2008 - Tying up loose ends: discharging patients with unresolved medical issues. July 8, 2008 Moore C, McGinn T, Halm E. Tying up loose ends: discharging patients with unresolved medical issues. Arch Intern Med. 2007;167(12):1305-11. https://psnet.ahrq.gov/issue/tying-loose-ends-discharging-patients-unresolved-medical-is…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43027/psn-pdf
    July 23, 2014 - Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. July 23, 2014 Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. Br J Anaesth. 2014;112(…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38243/psn-pdf
    November 26, 2008 - Impact of preoperative briefings on operating room delays. November 26, 2008 Nundy S, Mukherjee A, Sexton B, et al. Impact of preoperative briefings on operating room delays: a preliminary report. Arch Surg. 2008;143(11):1068-72. doi:10.1001/archsurg.143.11.1068. https://psnet.ahrq.gov/issue/impact-preoperative-br…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47448/psn-pdf
    October 10, 2018 - Ten principles for more conservative, care-full diagnosis. October 10, 2018 Schiff G, Martin SA, Eidelman DH, et al. Ten Principles for More Conservative, Care-Full Diagnosis. Ann Intern Med. 2018;169(9):643-645. doi:10.7326/M18-1468. https://psnet.ahrq.gov/issue/ten-principles-more-conservative-care-full-diagnosis…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40436/psn-pdf
    August 25, 2011 - Hospital discharge documentation and risk of rehospitalisation. August 25, 2011 Hansen LO, Strater A, Smith L, et al. Hospital discharge documentation and risk of rehospitalisation. BMJ Qual Saf. 2011;20(9):773-8. doi:10.1136/bmjqs.2010.048470. https://psnet.ahrq.gov/issue/hospital-discharge-documentation-and-risk…

  9. Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care. | PSNet

    psnet.ahrq.gov/issue/defining-diagnostic-error-scoping-review-assess-impact-national-academies-report-improving
    March 03, 2021 - Review Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care. Citation Text: Giardina TD, Hunte H, Hill MA, et al. Defining diagnostic error: a scoping review to assess the impact of the National Academies' r…

  10. Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. | PSNet

    psnet.ahrq.gov/issue/disparities-after-discharge-association-limited-english-proficiency-and-postdischarge-patient
    October 14, 2020 - Study Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. Citation Text: Malevanchik L, Wheeler M, Gagliardi K, et al. Disparities after discharge: the association of limited English proficiency and postdischarge patient…

  11. Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey. | PSNet

    psnet.ahrq.gov/issue/association-open-communication-and-emotional-and-behavioural-impact-medical-error-patients
    February 16, 2022 - Study Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey. Citation Text: Prentice JC, Bell SK, Thomas EJ, et al. Association of open communication and the emotional and behavioural impact…

  12. Provider-patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19. | PSNet

    psnet.ahrq.gov/issue/provider-patient-communication-and-hospital-ratings-perceived-gaps-and-forward-thinking-about
    December 16, 2020 - Study Provider-patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19. Citation Text: Belasen AT, Hertelendy AJ, Belasen AR, et al. Provider–patient communication and hospital ratings: perceived gaps and forward thinking about the ef…

  13. Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of long-term care facilities is imperative. | PSNet

    psnet.ahrq.gov/issue/amid-covid-19-pandemic-meaningful-communication-between-family-caregivers-and-residents-long
    May 26, 2011 - Commentary Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of long-term care facilities is imperative. Citation Text: Hado E, Friss Feinberg L. Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of lon…

  14. Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves communication and patient care. | PSNet

    psnet.ahrq.gov/issue/standardization-pediatric-noncardiac-operating-room-intensive-care-unit-handoffs-improves
    March 10, 2021 - Study Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves communication and patient care. Citation Text: Hebballi NB, Gupta VS, Sheppard K, et al. Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves c…

  15. Warm Handoff | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/engage/interventions/handoff-slides.html
    May 01, 2017 - Warm Handoff Patient and Family Engagement in Primary Care Slide 1: Warm Handoff AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Slide 2: Speaker Kelly Smith, PhD Scientific Director, Quality & Safety Co-PI, AHRQ Guide to Improve Patient Safety in …

  16. In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments. | PSNet

    psnet.ahrq.gov/issue/situ-simulation-adoption-new-technology-improve-sepsis-care-rural-emergency-departments
    November 10, 2021 - Study In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments. Citation Text: Powell ES, Bond WF, Barker LT, et al. In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments. J Patient Saf. 2022…

  17. Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study. | PSNet

    psnet.ahrq.gov/issue/towards-understanding-and-improving-medication-safety-patients-mental-illness-primary-care
    February 28, 2024 - Study Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study. Citation Text: Ayre MJ, Lewis PJ, Phipps DL, et al. Towards understanding and improving medication safety for patients with mental illness in primary care: a…

  18. How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. | PSNet

    psnet.ahrq.gov/issue/how-can-task-shifting-put-patient-safety-risk-qualitative-study-experiences-among-general
    December 14, 2022 - Study How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. Citation Text: Malterud K, Aamland A, Fosse A. How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioner…

  19. Electronic health records, communication, and data sharing: challenges and opportunities for improving the diagnostic process. | PSNet

    psnet.ahrq.gov/issue/electronic-health-records-communication-and-data-sharing-challenges-and-opportunities
    October 13, 2018 - Study Electronic health records, communication, and data sharing: challenges and opportunities for improving the diagnostic process. Citation Text: Quinn M, Forman J, Harrod M, et al. Electronic health records, communication, and data sharing: challenges and opportunities for improving t…

  20. Call me Ishmael: addressing the white whale of team communication in the operating room with labelled surgical caps at an academic medical centre. | PSNet

    psnet.ahrq.gov/issue/call-me-ishmael-addressing-white-whale-team-communication-operating-room-labelled-surgical
    November 16, 2022 - Study Call me Ishmael: addressing the white whale of team communication in the operating room with labelled surgical caps at an academic medical centre. Citation Text: Goldhaber NH, Mehta S, Longhurst CA, et al. Call me Ishmael: addressing the white whale of team communication in the ope…
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