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Test result communication in primary care: a survey of current practice. | PSNet

psnet.ahrq.gov/issue/test-result-communication-primary-care-survey-current-practice

November 20, 2015 - the process for blood testing and the communication of results to patients in primary care in the UK … to 20 hospitals in England during implementation of the 7-day services national health policy. … November 25, 2020 Electronic prescribing systems in hospitals to improve medication safety … June 8, 2011 Magnitude and modifiers of the weekend effect in hospital admissions: a … of results to patients in primary care in the UK: a qualitative exploration of patient and provider

Resident supervision and patient safety: do different levels of resident supervision affect the rate of morbidity and mortality cases? | PSNet

psnet.ahrq.gov/issue/resident-supervision-and-patient-safety-do-different-levels-resident-supervision-affect-rate

November 16, 2022 - versus attending physicians in an academic emergency department. … was no evidence of a " July Effect ," as the number of morbidity and mortality cases did not change in … a tertiary pediatric hospital. … June 12, 2019 Associations between in-hospital mortality, health care utilization, and … October 28, 2010 View More See More About The Topic Hospitals Health

Do house officers learn from their mistakes? | PSNet

psnet.ahrq.gov/issue/do-house-officers-learn-their-mistakes

April 19, 2011 - House officers cited knowledge deficits, inexperience, lack of supervision, errors in judgment, overwork … April 19, 2011 To tell the truth: ethical and practical issues in disclosing medical … internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals … Improving surgical complications and patient safety at the nation's largest military hospital … February 18, 2011 View More See More About The Topic Hospitals Health

Clinical alerts to decrease high-risk medication use in older adults. | PSNet

psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medication-use-older-adults

September 02, 2015 - to 20 hospitals in England during implementation of the 7-day services national health policy. … January 23, 2017 Weekend specialist intensity and admission mortality in acute hospital … patient-safety challenge in obstetrics. … December 21, 2016 Year in review: medication mishaps in the elderly. … October 1, 2008 View More See More About The Topic Hospitals

Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/does-overlapping-surgery-result-worse-surgical-outcomes-systematic-review-and-meta-analysis

April 29, 2020 - Review Does overlapping surgery result in worse surgical outcomes? … Researchers noted a small increase in length of procedure for overlapping surgeries. … hospital practice: factors associated with turnover, outcomes, and patient safety. … October 4, 2023 Families as partners in hospital error and adverse event surveillance … a multistate hospital network--13 academic medical centers, April-June 2020.

Test result communication in primary care: clinical and office staff perspectives. | PSNet

psnet.ahrq.gov/issue/test-result-communication-primary-care-clinical-and-office-staff-perspectives

November 20, 2015 - the process for blood testing and the communication of results to patients in primary care in the UK … to 20 hospitals in England during implementation of the 7-day services national health policy. … November 25, 2020 Electronic prescribing systems in hospitals to improve medication safety … June 8, 2011 Magnitude and modifiers of the weekend effect in hospital admissions: a … January 15, 2025 Patient safety in actioning and communicating blood test results in

Moral distress in intensive care unit personnel is not consistently associated with adverse medication events and other adverse events | PSNet

psnet.ahrq.gov/issue/moral-distress-intensive-care-unit-personnel-not-consistently-associated-adverse-medication

November 02, 2010 - Study Moral distress in intensive care unit personnel is not consistently associated … Moral distress in intensive care unit personnel is not consistently associated with adverse medication … Resources A multi-facetted patient safety resource--a qualitative interview study on hospital … April 6, 2022 Adverse events after transition from ICU to hospital ward: a multicenter … Hand May 1, 2007 View More See More About The Topic General Hospitals

Patient perspectives on test result communication in primary care: a qualitative study. | PSNet

psnet.ahrq.gov/issue/patient-perspectives-test-result-communication-primary-care-qualitative-study

November 20, 2015 - the process for blood testing and the communication of results to patients in primary care in the UK … to 20 hospitals in England during implementation of the 7-day services national health policy. … November 25, 2020 Electronic prescribing systems in hospitals to improve medication safety … June 8, 2011 Magnitude and modifiers of the weekend effect in hospital admissions: a … of results to patients in primary care in the UK: a qualitative exploration of patient and provider

Errors in laboratory medicine: practical lessons to improve patient safety. | PSNet

psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety

February 14, 2024 - Errors in laboratory medicine: practical lessons to improve patient safety. … Errors in laboratory medicine: practical lessons to improve patient safety. … a multistate hospital network--13 academic medical centers, April-June 2020. … hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital … a pediatric oncology hospital.

ED handoffs: observed practices and communication errors. | PSNet

psnet.ahrq.gov/issue/ed-handoffs-observed-practices-and-communication-errors

October 19, 2022 - differ from what is reported in their documentation. … The authors advocate for improved standardization in handoff practices, including specific attention … October 19, 2022 Families as partners in hospital error and adverse event surveillance … May 22, 2024 Human factors and simulation in emergency medicine. … July 21, 2021 High delayed and missed injury rate after inter-hospital transfer of severely

Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. | PSNet

psnet.ahrq.gov/issue/specimen-labeling-errors-q-probes-analysis-147-clinical-laboratories

February 15, 2010 - February 15, 2010 Nurses' perceptions and demands regarding COVID-19 care delivery in … critical care units and hospital emergency services. … 2, 2020 Predictive power of the "trigger tool" for the detection of adverse events in … Developing a programme for medication reconciliation at the time of admission into hospital … June 26, 2019 Reducing medication errors for adults in hospital settings.

Diagnostic discrepancies in the emergency department: a retrospective study. | PSNet

psnet.ahrq.gov/issue/diagnostic-discrepancies-emergency-department-retrospective-study

October 04, 2023 - Diagnostic discrepancies in the emergency department: a retrospective study. … identified diagnostic errors by comparing discordance between ED diagnosis and discharge diagnosis after hospital … in 1 in 6 patients; these cases were associated with longer length of stay and additional diagnostic … California hospitals: a qualitative research study. … at US Children's Hospitals, 2016-2019.

A lethal hidden curriculum—death of a medical student from opioid use disorder. | PSNet

psnet.ahrq.gov/issue/lethal-hidden-curriculum-death-medical-student-opioid-use-disorder

October 19, 2022 - reported that should trigger that action and curricula for students regarding opioid use disorders in … Related Resources From the Same Author(s) Optimizing Pediatric Patient Safety in … November 15, 2017 Families as partners in hospital error and adverse event surveillance … environment: a study of 484 COVID-19-related event reports across 94 hospitals September 1, 2021 … The cost of serious fall-related injuries at three midwestern hospitals.

Testing alertness of emergency physicians: a novel quantitative measure of alertness and implications for worker and patient care. | PSNet

psnet.ahrq.gov/issue/testing-alertness-emergency-physicians-novel-quantitative-measure-alertness-and

September 01, 2016 - No significant difference was observed in the day or evening shifts. … March 19, 2019 A reengineered hospital discharge program to decrease rehospitalization … of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals … departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists … March 1, 2023 Human factors in anaesthesia: a narrative review.

Development and validation of a brief culture-of-safety survey. | PSNet

psnet.ahrq.gov/issue/development-and-validation-brief-culture-safety-survey

May 26, 2021 - estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals … December 21, 2017 Variation in the reporting of elective surgeries and its influence … May 25, 2022 Using participatory design to engage physicians in the development of a … February 16, 2022 An inpatient fall prevention initiative in a tertiary care hospital … August 10, 2011 View More See More About The Topic Hospitals Quality

Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a population-based study. | PSNet

psnet.ahrq.gov/issue/mortality-and-risk-factors-associated-misdiagnosis-acute-aortic-syndrome-ontario-canada

September 23, 2020 - Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in … Presentation to a non-teaching hospital or non-cardiac emergency department increased the odds of misdiagnosis … a multistate hospital network--13 academic medical centers, April-June 2020. … July 31, 2008 Improving handoffs in the emergency department. … January 1, 2000 View More See More About The Topic Hospitals Emergency

Maternal mortality: near-miss events in middle-income countries, a systematic review. | PSNet

psnet.ahrq.gov/issue/maternal-mortality-near-miss-events-middle-income-countries-systematic-review

October 13, 2021 - effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital … in patients with polypharmacy. … October 5, 2022 Differences in medication reconciliation interventions between six hospitals … maternity care in the United States. … February 15, 2023 Examination of maternal near-miss experiences in the hospital setting

Improving departmental psychological safety through a medical school-wide initiative | PSNet

psnet.ahrq.gov/issue/improving-departmental-psychological-safety-through-medical-school-wide-initiative

July 19, 2023 - hospital practice: factors associated with turnover, outcomes, and patient safety. … multistate hospital network--13 academic medical centers, April-June 2020. … November 16, 2022 Families as partners in hospital error and adverse event surveillance … Cohort study of individuals with lung cancer presenting in ambulatory care in the United States. … March 27, 2024 All in Her Head.

A usability and safety analysis of electronic health records: a multi-center study. | PSNet

psnet.ahrq.gov/issue/usability-and-safety-analysis-electronic-health-records-multi-center-study

October 13, 2018 - In this simulation study, emergency department physicians completed standardized tasks using actual … authors highlight the importance of local implementation decisions as well as design and development in … health records at hospitals and ambulatory sites. … February 10, 2018 The impact of electronic medical records on hospital-acquired adverse … March 1, 2017 View More See More About The Topic Hospitals Facility

The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on pregnant Black women: a review of the literature. | PSNet

psnet.ahrq.gov/issue/racial-disparities-maternal-mortality-and-impact-structural-racism-and-implicit-racial-bias

July 13, 2009 - Review The racial disparities in maternal mortality and impact of structural racism … July 13, 2009 A reengineered hospital discharge program to decrease rehospitalization … Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital … December 7, 2022 Opportunities for diagnostic improvement among pediatric hospital readmissions … in the USA.

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