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psnet.ahrq.gov/node/38704/psn-pdf
July 31, 2012 - Clinical Handover: Critical Communications.
July 31, 2012
Med J Aust. 2009;190(s11):s108-s157.
https://psnet.ahrq.gov/issue/clinical-handover-critical-communications
This supplement discusses Australian efforts to improve handover safety with emphasis on flexible
standardization, communication improvement, and inf…
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psnet.ahrq.gov/node/36399/psn-pdf
May 04, 2015 - Tips for Safer Surgery.
May 4, 2015
Surgical Care Improvement Project. Oklahoma City, OK: Oklahoma Foundation for Medical Quality;
2006.
https://psnet.ahrq.gov/issue/tips-safer-surgery
This tip sheet provides a list of questions consumers should ask clinicians to help improve the safety of
their surgical car…
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psnet.ahrq.gov/node/837791/psn-pdf
August 05, 2022 - Patient Safety in the Ambulatory Care Setting
August 5, 2022
Schiff G, Mossburg SE, Dowell P, et al. Patient Safety in the Ambulatory Care Setting. PSNet [internet].
2022.
https://psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
Introduction
There is no way to review the year 2021 in quality and …
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psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
September 01, 2007 - SPOTLIGHT CASE
Out of Sight, Out of Mind: Out-of-Office Test Result Management
Citation Text:
Poon EG. Out of Sight, Out of Mind: Out-of-Office Test Result Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
…
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psnet.ahrq.gov/node/33764/psn-pdf
April 01, 2014 - In Conversation With… Tejal K. Gandhi, MD, MPH
April 1, 2014
In Conversation With… Tejal K. Gandhi, MD, MPH. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
Editor's note: Tejal K. Gandhi, MD, MPH, CPPS, is an Associate Professor of Medicine at Harvard
Medical School …
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psnet.ahrq.gov/node/36336/psn-pdf
October 26, 2010 - Interprofessional Approaches to Patient Safety.
October 26, 2010
J Interprof Care. 2006;20(5):461-563.
https://psnet.ahrq.gov/issue/interprofessional-approaches-patient-safety
This issue includes articles that explore successful multidisciplinary efforts to improve patient safety,
including medication risk assessm…
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psnet.ahrq.gov/issue/application-human-factors-methods-understand-missed-follow-abnormal-test-results
December 16, 2020 - Study
Application of human factors methods to understand missed follow-up of abnormal test results.
Citation Text:
Rogith D, Satterly T, Singh H, et al. Application of human factors methods to understand missed follow-up of abnormal test results. Appl Clin Inform. 2020;11(05):692-698. do…
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psnet.ahrq.gov/issue/interprofessional-learning-multidisciplinary-healthcare-teams-associated-reduced-patient
April 10, 2024 - Review
Interprofessional learning in multidisciplinary healthcare teams is associated with reduced patient mortality: a quantitative systematic review and meta-analysis.
Citation Text:
Webster CS, Coomber T, Liu S, et al. Interprofessional learning in multidisciplinary healthcare teams i…
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psnet.ahrq.gov/issue/prevalence-and-characteristics-diagnostic-error-pediatric-critical-care-multicenter-study
December 11, 2024 - Study
Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study.
Citation Text:
Cifra CL, Custer JW, Smith CM, et al. Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study. Crit Care Med. 2023;51(11):14…
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psnet.ahrq.gov/issue/retrospective-evaluation-computerized-physician-order-entry-adaptation-prevent-prescribing
May 27, 2011 - Study
Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department.
Citation Text:
Sard BE, Walsh KE, Doros G, et al. Retrospective evaluation of a computerized physician order entry adaptation to prevent …
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psnet.ahrq.gov/issue/diagnostic-discrepancies-between-antemortem-clinical-diagnosis-and-autopsy-findings-pediatric
July 28, 2021 - Study
Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients.
Citation Text:
Raghuram N, Alodan K, Bartels U, et al. Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients.…
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psnet.ahrq.gov/issue/patient-perceptions-mistakes-ambulatory-care
July 29, 2015 - Study
Patient perceptions of mistakes in ambulatory care.
Citation Text:
Kistler CE, Walter LC, Mitchell M, et al. Patient perceptions of mistakes in ambulatory care. Arch Intern Med. 2010;170(16):1480-7. doi:10.1001/archinternmed.2010.288.
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DOI Google …
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psnet.ahrq.gov/issue/impact-digitally-acquired-peer-diagnostic-input-diagnostic-confidence-outpatient-cases
June 15, 2022 - Study
Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases: a pragmatic randomized trial.
Citation Text:
Khoong EC, Fontil V, Rivadeneira NA, et al. Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases:…
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psnet.ahrq.gov/issue/modified-early-warning-system-improves-patient-safety-and-clinical-outcomes-academic
September 18, 2019 - Study
Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital.
Citation Text:
Mathukia C, Fan WQ, Vadyak K, et al. Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. J Commun…
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psnet.ahrq.gov/issue/reducing-risk-delayed-colorectal-cancer-diagnoses-through-ambulatory-safety-net-collaborative
February 28, 2011 - Study
Reducing the risk of delayed colorectal cancer diagnoses through an ambulatory safety net collaborative.
Citation Text:
Moyal-Smith R, Elam M, Boulanger J, et al. Reducing the risk of delayed colorectal cancer diagnoses through an ambulatory safety net collaborative. Jt Comm J Qual…
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psnet.ahrq.gov/issue/physician-transition-care-benefits-i-pass-and-electronic-handoff-system-community-pediatric
November 02, 2022 - Study
Physician transition of care: benefits of I-PASS and an electronic handoff system in a community pediatric residency program.
Citation Text:
Walia J, Qayumi Z, Khawar N, et al. Physician Transition of Care: Benefits of I-PASS and an Electronic Handoff System in a Community Pediatri…
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psnet.ahrq.gov/issue/development-research-agenda-identify-evidence-based-strategies-improve-physician-wellness-and
June 01, 2022 - Commentary
Development of a research agenda to identify evidence-based strategies to improve physician wellness and reduce burnout.
Citation Text:
Dyrbye LN, Trockel M, Frank E, et al. Development of a Research Agenda to Identify Evidence-Based Strategies to Improve Physician Wellness an…
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psnet.ahrq.gov/issue/description-and-evaluation-interprofessional-patient-safety-course-health-professions-and
July 19, 2023 - Commentary
Description and evaluation of an interprofessional patient safety course for health professions and related sciences students.
Citation Text:
Galt KA, Paschal KA, O'Brien RL, et al. Description and Evaluation of an Interprofessional Patient Safety Course for Health Professio…
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psnet.ahrq.gov/issue/managing-patient-safety-and-staff-safety-nursing-homes-exploring-how-leaders-nursing-homes
September 13, 2023 - Study
Managing patient safety and staff safety in nursing homes: exploring how leaders of nursing homes negotiate their dual responsibilities- a case study.
Citation Text:
Magerøy MR, Macrae C, Braut GS, et al. Managing patient safety and staff safety in nursing homes: exploring how lead…
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psnet.ahrq.gov/issue/impacts-using-community-health-volunteers-coach-medication-safety-behaviors-among-rural
September 15, 2011 - Study
The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses.
Citation Text:
Wang C-J, Fetzer SJ, Yang Y-C, et al. The impacts of using community health volunteers to coach medication safety behaviors among rural e…