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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37142/psn-pdf
    August 29, 2007 - Patient Safety in Canada: An Update. August 29, 2007 Ottawa, ON: Canadian Institute for Health Information; August 14, 2007. https://psnet.ahrq.gov/issue/patient-safety-canada-update Using survey data as well as information on patient safety indicators, this report provides an update on the frequency of certain ty…

  2. EvidenceNOW: Recruitment Letter | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/invitation-letter-ny.html
    March 01, 2021 - EvidenceNOW: Recruitment Letter New York City Cooperative Resource: Recruitment Letter—New York City Cooperative (PDF, 157 KB, 1 page) This document provides an example of an EvidenceNOW Cooperative's recruitment letter. Institution of origin: New York University School of Medicine Permissions: Use…

  3. Learning from lawsuits: using malpractice claims data to develop care transitions planning tools. | PSNet

    psnet.ahrq.gov/issue/learning-lawsuits-using-malpractice-claims-data-develop-care-transitions-planning-tools
    January 21, 2019 - Study Learning from lawsuits: using malpractice claims data to develop care transitions planning tools. Citation Text: Arbaje AI, Werner NE, Kasda EM, et al. Learning From Lawsuits: Using Malpractice Claims Data to Develop Care Transitions Planning Tools. J Patient Saf. 2020;16(1):52-57.…

  4. Patient participation in patient safety still missing: patient safety experts' views. | PSNet

    psnet.ahrq.gov/issue/patient-participation-patient-safety-still-missing-patient-safety-experts-views
    February 13, 2019 - Study Patient participation in patient safety still missing: patient safety experts' views. Citation Text: Sahlström M, Partanen P, Rathert C, et al. Patient participation in patient safety still missing: Patient safety experts' views. Int J Nurs Pract. 2016;22(5):461-469. doi:10.1111/ij…

  5. Medication errors involving oral chemotherapy. | PSNet

    psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy
    January 06, 2017 - Study Medication errors involving oral chemotherapy. Citation Text: Weingart SN, Toro J, Spencer J, et al. Medication errors involving oral chemotherapy. Cancer. 2010;116(10):2455-2464. doi:10.1002/cncr.25027. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

  6. Detection of adverse events in surgical patients using the Trigger Tool approach. | PSNet

    psnet.ahrq.gov/issue/detection-adverse-events-surgical-patients-using-trigger-tool-approach
    February 15, 2011 - Study Detection of adverse events in surgical patients using the Trigger Tool approach. Citation Text: Griffin FA, Classen DC. Detection of adverse events in surgical patients using the Trigger Tool approach. Qual Saf Health Care. 2008;17(4):253-258. doi:10.1136/qshc.2007.025080. Cop…

  7. Building physician work hour regulations from first principles and best evidence. | PSNet

    psnet.ahrq.gov/issue/building-physician-work-hour-regulations-first-principles-and-best-evidence
    April 24, 2018 - Commentary Building physician work hour regulations from first principles and best evidence. Citation Text: Volpp KG, Landrigan CP. Building physician work hour regulations from first principles and best evidence. JAMA. 2008;300(10):1197-9. doi:10.1001/jama.300.10.1197. Copy Citation…

  8. The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units. | PSNet

    psnet.ahrq.gov/issue/effect-executive-walk-rounds-nurse-safety-climate-attitudes-randomized-trial-clinical-units
    June 16, 2011 - Study Classic The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units. Citation Text: Thomas EJ, Sexton B, Neilands TB, et al. The effect of executive walk rounds on nurse safety climate attitudes: a randomiz…

  9. Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. | PSNet

    psnet.ahrq.gov/issue/adverse-inpatient-outcomes-during-transition-new-electronic-health-record-system
    September 29, 2017 - Study Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. Citation Text: Barnett ML, Mehrotra A, Jena AB. Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. BMJ. 2016;…

  10. Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions. | PSNet

    psnet.ahrq.gov/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting-medical-errors-patients
    April 13, 2011 - Study Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions. Citation Text: Bell SK, White AA, Yi JC, et al. Transparency When Things Go Wrong. J Patient Saf. 2015;13(4):243-248. doi:10.1097/pts.0000000000000153. Copy…

  11. Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. | PSNet

    psnet.ahrq.gov/issue/measuring-adverse-events-and-levels-harm-pediatric-inpatients-global-trigger-tool
    December 18, 2013 - Study Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. Citation Text: Kirkendall E, Kloppenborg E, Papp J, et al. Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. Pediatrics. 2012;130(5):e12…

  12. Accountability for medical error: moving beyond blame to advocacy. | PSNet

    psnet.ahrq.gov/issue/accountability-medical-error-moving-beyond-blame-advocacy
    December 19, 2018 - Review Accountability for medical error: moving beyond blame to advocacy. Citation Text: Bell SK, Delbanco T, Anderson-Shaw L, et al. Accountability for medical error: moving beyond blame to advocacy. Chest. 2011;140(2):519-526. doi:10.1378/chest.10-2533. Copy Citation Format: …

  13. Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality indicators: a multicenter study of freestanding children's hospitals. | PSNet

    psnet.ahrq.gov/issue/charges-and-lengths-stay-attributable-adverse-patient-care-events-using-pediatric-specific
    January 04, 2021 - Study Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality indicators: a multicenter study of freestanding children's hospitals. Citation Text: Kronman MP, Hall M, Slonim A, et al. Charges and lengths of stay attributable to adverse p…

  14. Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents. | PSNet

    psnet.ahrq.gov/issue/adapting-cognitive-task-analysis-investigate-clinical-decision-making-and-medication-safety
    March 10, 2021 - Study Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents. Citation Text: Russ AL, Militello LG, Glassman PA, et al. Adapting Cognitive Task Analysis to Investigate Clinical Decision Making and Medication Safety Incidents. J Patient Sa…

  15. Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high-income countries. | PSNet

    psnet.ahrq.gov/issue/parent-engagement-perinatal-mortality-reviews-online-survey-clinicians-six-high-income
    April 13, 2022 - Study Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high-income countries. Citation Text: Boyle FM, Horey D, Siassakos D, et al. Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high‐income countries. BJ…

  16. Deployment of rapid response teams by 31 hospitals in a statewide collaborative. | PSNet

    psnet.ahrq.gov/issue/deployment-rapid-response-teams-31-hospitals-statewide-collaborative
    April 15, 2020 - Study Deployment of rapid response teams by 31 hospitals in a statewide collaborative. Citation Text: Stolldorf DP, Jones CB. Deployment of rapid response teams by 31 hospitals in a statewide collaborative. Jt Comm J Qual Patient Saf. 2015;41(4):186-191. Copy Citation Format: …

  17. Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. | PSNet

    psnet.ahrq.gov/issue/fast-forward-rounds-effective-method-teaching-medical-students-transition-patients-safely
    March 14, 2018 - Study Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. Citation Text: Ouchida K, LoFaso VM, Capello CF, et al. Fast forward rounds: an effective method for teaching medical students to transition patients safely …

  18. Methods | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication3.html
    July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act Methods Previous Page Next Page Table of Contents Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Methods Results Discussion Conclusions References Appendix A. Datab…

  19. Contingency planning for electronic health record–based care continuity: a survey of recommended practices. | PSNet

    psnet.ahrq.gov/issue/contingency-planning-electronic-health-record-based-care-continuity-survey-recommended
    November 11, 2020 - Study Contingency planning for electronic health record–based care continuity: a survey of recommended practices. Citation Text: Sittig DF, Gonzalez D, Singh H. Contingency planning for electronic health record-based care continuity: a survey of recommended practices. Int J Med Inform. 2…

  20. Establishing an ambulatory medicine quality and safety oversight structure: leveraging the fractal model. | PSNet

    psnet.ahrq.gov/issue/establishing-ambulatory-medicine-quality-and-safety-oversight-structure-leveraging-fractal
    July 01, 2017 - Commentary Establishing an ambulatory medicine quality and safety oversight structure: leveraging the fractal model. Citation Text: Kravet SJ, Bailey J, Demski R, et al. Establishing an Ambulatory Medicine Quality and Safety Oversight Structure: Leveraging the Fractal Model. Acad Med. 20…
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