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2121. Design and implementation of an automated email notification system for results of tests pending at discharge. | PSNet
      psnet.ahrq.gov/issue/design-and-implementation-automated-email-notification-system-results-tests-pending-discharge
      March 04, 2015 - Study Design and implementation of an automated email notification system for results of tests pending at discharge. Citation Text: Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification system for results of tests pending at discharge. J Am M…

2122. The calm before the storm: utilizing in situ simulation to evaluate for preparedness of an alternative care hospital during COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/calm-storm-utilizing-situ-simulation-evaluate-preparedness-alternative-care-hospital-during
      December 23, 2020 - The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary

2123. The next organizational challenge: finding and addressing diagnostic error. | PSNet
      psnet.ahrq.gov/issue/next-organizational-challenge-finding-and-addressing-diagnostic-error
      November 16, 2022 - View More Related Resources Hospital Reporting Program: Annual Summary

2124. The impact of COVID-19 response on central line associated bloodstream infections and blood culture contamination rates at a tertiary care center in greater Detroit area. | PSNet
      psnet.ahrq.gov/issue/impact-covid-19-response-central-line-associated-bloodstream-infections-and-blood-culture
      February 07, 2022 - The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary

2125. Patient Safety Recommendations for COVID-19 Epidemic Outbreak: 3.0 | PSNet
      psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epidemic-outbreak-lessons-italian-experience
      February 15, 2023 - The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary

2126. What is the return on investment for implementation of a crew resource management program at an academic medical center? | PSNet
      psnet.ahrq.gov/issue/what-return-investment-implementation-crew-resource-management-program-academic-medical
      April 24, 2018 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

2127. Consequences of inadequate sign-out for patient care. | PSNet
      psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care
      November 07, 2012 - Study Classic Consequences of inadequate sign-out for patient care. Citation Text: Horwitz LI, Moin T, Krumholz HM, et al. Consequences of inadequate sign-out for patient care. Arch Intern Med. 2008;168(16):1755-60. doi:10.1001/archinte.168.16.1755. Copy Cit…

2128. Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. Implications for practice and training. | PSNet
      psnet.ahrq.gov/issue/responding-safe-care-healthcare-staff-experiences-caring-child-intellectual-disability
      June 15, 2022 - September 26, 2018 Facilitating Patient Understanding of Discharge Instructions: Workshop Summary

2129. Surgical checklists: a systematic review of impacts and implementation. | PSNet
      psnet.ahrq.gov/issue/surgical-checklists-systematic-review-impacts-and-implementation
      January 06, 2018 - The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary

2130. Separating residents' inpatient and outpatient responsibilities: improving patient safety, learning environments, and relationships with continuity patients. | PSNet
      psnet.ahrq.gov/issue/separating-residents-inpatient-and-outpatient-responsibilities-improving-patient-safety
      September 04, 2016 - Study Separating residents' inpatient and outpatient responsibilities: improving patient safety, learning environments, and relationships with continuity patients. Citation Text: Bates CK, Yang J, Huang GC, et al. Separating Residents' Inpatient and Outpatient Responsibilities: Improving…

2131. Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts. | PSNet
      psnet.ahrq.gov/issue/description-and-evaluation-adaptations-global-trigger-tool-enhance-value-adverse-event
      November 23, 2014 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

2132. Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. | PSNet
      psnet.ahrq.gov/issue/differences-hospitals-workplace-violence-incident-reporting-practices-mixed-methods-study
      January 19, 2022 - December 14, 2022 Comprehensive Healthcare Inspection Summary Report: Evaluation

2133. Diagnostic errors in the pediatric and neonatal ICU: a systematic review. | PSNet
      psnet.ahrq.gov/issue/diagnostic-errors-pediatric-and-neonatal-icu-systematic-review
      October 29, 2012 - May 3, 2017 25-Year summary of US malpractice claims for diagnostic errors 1986–2010:

2134. Home health agency patient experience measures and their relationship to Joint Commission accreditation. | PSNet
      psnet.ahrq.gov/issue/home-health-agency-patient-experience-measures-and-their-relationship-joint-commission
      July 10, 2024 - January 12, 2012 The Role of Human Factors in Home Health Care: Workshop Summary.

2135. Exploring the sociotechnical intersection of patient safety and electronic health record implementation. | PSNet
      psnet.ahrq.gov/issue/exploring-sociotechnical-intersection-patient-safety-and-electronic-health-record
      May 01, 2015 - Study Classic Exploring the sociotechnical intersection of patient safety and electronic health record implementation. Citation Text: Meeks DW, Takian A, Sittig DF, et al. Exploring the sociotechnical intersection of patient safety and electronic health record i…

2136. Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of compliment. | PSNet
      psnet.ahrq.gov/issue/identifying-and-encouraging-high-quality-healthcare-analysis-content-and-aims-patient-letters
      September 14, 2022 - November 16, 2022 Patient safety from executive hospital management to wards: a qualitative

2137. Improving communication with primary care physicians at the time of hospital discharge. | PSNet
      psnet.ahrq.gov/issue/improving-communication-primary-care-physicians-time-hospital-discharge
      November 16, 2022 - Study Improving communication with primary care physicians at the time of hospital discharge. Citation Text: Destino LA, Dixit A, Pantaleoni JL, et al. Improving Communication with Primary Care Physicians at the Time of Hospital Discharge. Jt Comm J Qual Patient Saf. 2017;43(2):80-88. do…

2138. Graded autonomy in medical education—managing things that go bump in the night. | PSNet
      psnet.ahrq.gov/issue/graded-autonomy-medical-education-managing-things-go-bump-night
      July 22, 2020 - Commentary Graded autonomy in medical education—managing things that go bump in the night. Citation Text: Halpern S, Detsky AS. Graded autonomy in medical education--managing things that go bump in the night. N Engl J Med. 2014;370(12):1086-1089. doi:10.1056/NEJMp1315408. Copy Citation…

2139. Unit-based incident reporting and root cause analysis: variation at three hospital unit types. | PSNet
      psnet.ahrq.gov/issue/unit-based-incident-reporting-and-root-cause-analysis-variation-three-hospital-unit-types
      April 14, 2011 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

2140. Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. | PSNet
      psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized
      December 17, 2014 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary