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A Loss of Trust and a Missed Diagnosis | PSNet

psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis

October 31, 2023 - SPOTLIGHT CASE A Loss of Trust and a Missed Diagnosis Citation Text: Landefeld J, Teasdale S, Jain S. A Loss of Trust and a Missed Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format:…

Operationalizing Patient Safety at Academic Medical Centers | PSNet

psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers

August 01, 2010 - Operationalizing Patient Safety at Academic Medical Centers Chayan Chakraborti, MD; Marc J. Kahn, MD; N. Kevin Krane, MD | August 1, 2010 Also Read a Conversation View more articles from the same authors. Citation Text: Chakraborti C, Kahn MJ, Krane K. Operatio…

The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. | PSNet

psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine

October 31, 2011 - Study The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. Citation Text: Wu RC, Lo V, Morra D, et al. The intended and unintended consequences of communi…

Barriers to emergency departments' adherence to four medication safety–related Joint Commission National Patient Safety Goals. | PSNet

psnet.ahrq.gov/issue/barriers-emergency-departments-adherence-four-medication-safety-related-joint-commission

October 19, 2022 - Study Barriers to emergency departments' adherence to four medication safety–related Joint Commission National Patient Safety Goals. Citation Text: Juarez A, Gacki-Smith J, Bauer MR, et al. Barriers to emergency departments' adherence to four medication safety-related Joint Commission …

Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. | PSNet

psnet.ahrq.gov/issue/adequacy-hospital-discharge-summaries-documenting-tests-pending-results-and-outpatient-follow

September 23, 2020 - Study Classic Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. Citation Text: Were MC, Li X, Kesterson J, et al. Adequacy of hospital discharge summaries in documenting tests with pending re…

Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. | PSNet

psnet.ahrq.gov/issue/secondary-analysis-hand-offs-internal-medicine-using-i-pass-mnemonic

April 22, 2013 - Study Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. Citation Text: Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7. Copy Citatio…

A contemporary medicolegal analysis of outpatient medication management in chronic pain. | PSNet

psnet.ahrq.gov/issue/contemporary-medicolegal-analysis-outpatient-medication-management-chronic-pain

September 28, 2017 - Study A contemporary medicolegal analysis of outpatient medication management in chronic pain. Citation Text: Abrecht CR, Brovman EY, Greenberg P, et al. A Contemporary Medicolegal Analysis of Outpatient Medication Management in Chronic Pain. Anesth Analg. 2017;125(5):1761-1768. doi:10.1…

Physician perspectives on responding to clinician-perpetuated interpersonal racism against Black patients with serious illness. | PSNet

psnet.ahrq.gov/issue/physician-perspectives-responding-clinician-perpetuated-interpersonal-racism-against-black

July 26, 2023 - Study Physician perspectives on responding to clinician-perpetuated interpersonal racism against Black patients with serious illness. Citation Text: Brown CE, Snyder CR, Marshall AR, et al. Physician perspectives on responding to clinician-perpetuated interpersonal racism against Black p…

Let us to the TWISST; Plan, Simulate, Study and Act. | PSNet

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October 12, 2018 - EMERGING INNOVATIONS Let us to the TWISST; Plan, Simulate, Study and Act. Citation Text: Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf. 2023;8(4):e664. doi:10.1097/pq9.0000000000000664. Copy Citation Format: DOI Google Scholar BibTeX…

Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward. | PSNet

psnet.ahrq.gov/issue/application-trigger-tool-near-real-time-inform-quality-improvement-activities-prospective

September 26, 2012 - Study Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward. Citation Text: Wong BM, Dyal S, Etchells E, et al. Application of a trigger tool in near real time to inform quality improvement activities: a p…

Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. | PSNet

psnet.ahrq.gov/issue/delivering-high-quality-cancer-care-charting-new-course-system-crisis

August 15, 2012 - Book/Report Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. Citation Text: Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. Levit L, Balogh E, Nass S, Ganz PA, eds. Committee on Improving the Quality of Cancer Care: Add…

The top patient safety strategies that can be encouraged for adoption now. | PSNet

psnet.ahrq.gov/issue/top-patient-safety-strategies-can-be-encouraged-adoption-now

September 20, 2011 - Commentary The top patient safety strategies that can be encouraged for adoption now. Citation Text: Shekelle PG, Pronovost P, Wachter R, et al. The top patient safety strategies that can be encouraged for adoption now. Ann Intern Med. 2013;158(5 Pt 2):365-8. doi:10.7326/0003-4819-158-…

Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. | PSNet

psnet.ahrq.gov/issue/making-health-care-safer-ii-updated-critical-analysis-evidence-patient-safety-practices

March 13, 2013 - Book/Report Classic Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. Citation Text: Shekelle PG, Wachter RM, Pronovost PJ, et al. Making Health Care Safer Ii: An Updated Critical Analysis Of The Evidence For…

Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites. | PSNet

psnet.ahrq.gov/issue/racial-bias-pain-assessment-and-treatment-recommendations-and-false-beliefs-about-biological

July 20, 2022 - Study Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites. Citation Text: Hoffman KM, Trawalter S, Axt JR, et al. Racial bias in pain assessment and treatment recommendations, and false beliefs about biolo…

The impact of the 80-hour resident workweek on surgical residents and attending surgeons. | PSNet

psnet.ahrq.gov/issue/impact-80-hour-resident-workweek-surgical-residents-and-attending-surgeons

January 04, 2010 - Study The impact of the 80-hour resident workweek on surgical residents and attending surgeons. Citation Text: Hutter MM, Kellogg KC, Ferguson CM, et al. The impact of the 80-hour resident workweek on surgical residents and attending surgeons. Ann Surg. 2006;243(6):864-71; discussion 8…

Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). | PSNet

psnet.ahrq.gov/issue/laboratory-medicine-handoff-gaps-experienced-primary-care-practices-report-shared-networks

September 01, 2012 - Study Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). Citation Text: West DR, James KA, Fernald DH, et al. Laboratory medicine handoff gaps experienced by primary care p…

On higher ground: ethical reasoning and its relationship with error disclosure. | PSNet

psnet.ahrq.gov/issue/higher-ground-ethical-reasoning-and-its-relationship-error-disclosure

July 08, 2020 - Study On higher ground: ethical reasoning and its relationship with error disclosure. Citation Text: Cole AP, Block L, Wu AW. On higher ground: ethical reasoning and its relationship with error disclosure. BMJ Qual Saf. 2013;22(7):580-585. doi:10.1136/bmjqs-2012-001496. Copy Citation…

Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: a qualitative evaluation. | PSNet

psnet.ahrq.gov/issue/influence-general-practice-pharmacist-medication-management-patients-risk-medicine-related

May 19, 2021 - Study Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: a qualitative evaluation. Citation Text: Jordan M, Young-Whitford M, Mullan J, et al. Influence of a general practice pharmacist on medication management for patients …

Healthcare fragmentation, multimorbidity, potentially inappropriate medication, and mortality: a Danish nationwide cohort study. | PSNet

psnet.ahrq.gov/issue/healthcare-fragmentation-multimorbidity-potentially-inappropriate-medication-and-mortality

April 12, 2019 - Study Healthcare fragmentation, multimorbidity, potentially inappropriate medication, and mortality: a Danish nationwide cohort study. Citation Text: Prior A, Vestergaard CH, Vedsted P, et al. Healthcare fragmentation, multimorbidity, potentially inappropriate medication, and mortality: …

"July Effect": impact of the academic year-end changeover on patient outcomes. A systematic review. | PSNet

psnet.ahrq.gov/issue/july-effect-impact-academic-year-end-changeover-patient-outcomes-systematic-review

April 12, 2023 - Review Classic "July Effect": impact of the academic year-end changeover on patient outcomes. A systematic review. Citation Text: Young JQ, Ranji SR, Wachter R, et al. "July effect": impact of the academic year-end changeover on patient outcomes: a systematic …

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