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7341. Critical Echocardiogram Result Lost to Follow-up | PSNet
      psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
      July 31, 2023 - Critical Echocardiogram Result Lost to Follow-up Citation Text: Boctor N, Molla M. Critical Echocardiogram Result Lost to Follow-up.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Sch…

7342. Archived: Healthy Diet and Physical Activity: Counseling for CVD Prevention in Adults | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/healthy-diet-and-physical-activity-counseling-for-cvd-prevention-in-adults-2012
      June 15, 2012 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Healthy Diet and Physical Activity: Counseling for CVD Prevention in Adults June 15, 2012 Recommendations made by the USPSTF …

7343. In Conversation with...Atul Gawande, MD, MA, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
      September 01, 2007 - In Conversation with...Atul Gawande, MD, MA, MPH September 1, 2007  Also Read an Essay Citation Text: In Conversation with..Atul Gawande, MD, MA, MPH. PSNet [internet]. 2007.In Conversation with...Atul Gawande, MD, MA, MPH. PSNet [internet]. Rockville (MD): Agency…

7344. Highlights From AHRQ's Patient Safety Network | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/psnet.html
      March 01, 2025 - Highlights From AHRQ's Patient Safety Network AHRQ's Patient Safety Network (PSNet) which highlights journal publications, books, and tools related to patient safety, features a new set of articles including: Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 20…

7345. Question Builder | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/questions/question-builder/online.html
      August 31, 2025 - Question Builder Online Be prepared for your next medical appointment. Create a list of questions that you can take with you whether you are getting a checkup, talking about a problem or health condition, getting a prescription, or discussing a medical test or surgery. Whatever the reason for your visit, it is importan…

7346. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39172/psn-pdf
      December 09, 2009 - Advancing Patient Safety: A Decade of Evidence, Design, and Implementation. December 9, 2009 Rockville, MD; Agency for Healthcare Research and Quality; November 2009. AHRQ Publication No. 09(10)-0084. https://psnet.ahrq.gov/issue/advancing-patient-safety-decade-evidence-design-and-implementation This publication …

7347. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39200/psn-pdf
      March 28, 2010 - Creating champions for health care quality and safety. March 28, 2010 Holland R, Meyers D, Hildebrand C, et al. Creating champions for health care quality and safety. Am J Med Qual. 2010;25(2):102-108. doi:10.1177/1062860609352108. https://psnet.ahrq.gov/issue/creating-champions-health-care-quality-and-safety Inte…

7348. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34606/psn-pdf
      July 06, 2011 - Operating at the sharp end: the complexity of human error. July 6, 2011 Cook RI, Woods DD. Chapter In: Bogner MS, ed. Human Error in Medicine. Hillsdale NJ: Lawrence Erlbaum Associates, Inc; 2004. https://psnet.ahrq.gov/issue/operating-sharp-end-complexity-human-error The authors provide an introduction to system…

7349. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42480/psn-pdf
      August 07, 2013 - A multi-tiered approach to safety education. August 7, 2013 Oates K, Sammut J, Kennedy P. A multi-tiered approach to safety education. Clin Teach. 2013;10(4):214- 8. doi:10.1111/tct.12037. https://psnet.ahrq.gov/issue/multi-tiered-approach-safety-education This commentary describes an initiative that incorporated …

7350. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37683/psn-pdf
      May 02, 2018 - There's more to the 60 Minutes story on heparin errors. May 2, 2018 ISMP Medication Safety Alert! Acute Care Edition. March 27, 2008;13:1-2. https://psnet.ahrq.gov/issue/theres-more-60-minutes-story-heparin-errors Commenting on a recent news segment, this article calls attention to additional human factors and syst…

7351. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37642/psn-pdf
      March 26, 2008 - Medication, allergy, and adverse drug event discrepancies in ambulatory care. March 26, 2008 Stephens M, Fox B, Kukulka G, et al. Medication, allergy, and adverse drug event discrepancies in ambulatory care. Fam Med. 2008;40(2):107-10. https://psnet.ahrq.gov/issue/medication-allergy-and-adverse-drug-event-discrepa…

7352. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35608/psn-pdf
      July 05, 2013 - Battling the obstetric malpractice crisis: improving patient safety, part 2. July 5, 2013 Bernstein PS. https://psnet.ahrq.gov/issue/battling-obstetric-malpractice-crisis-improving-patient-safety-part-2 This article addresses systems issues that need to be resolved in order to improve the safety of obstetric care…

7353. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37418/psn-pdf
      October 01, 2024 - Systems Analysis of Critical Incidents: the London Protocol. October 1, 2024 Taylor-Adams S, Vincent C. London, UK: NIHR North West London Patient Safety Research Collaboration, Imperial College London; 2024. https://psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol This revised report docu…

7354. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43035/psn-pdf
      October 12, 2018 - Patient's Toolkit for Diagnosis. October 12, 2018 SIDM Patient Engagement Committee. Evanston, IL: Society to Improve Diagnosis in Medicine; October 2018. https://psnet.ahrq.gov/issue/patients-toolkit-diagnosis Patient engagement has been promoted as a strategy to enhance safety in health care. This toolkit helps …

7355. Implementing delivery room checklists and communication standards in a multi-neonatal ICU quality improvement collaborative. | PSNet
      psnet.ahrq.gov/issue/implementing-delivery-room-checklists-and-communication-standards-multi-neonatal-icu-quality
      November 20, 2019 - Study Implementing delivery room checklists and communication standards in a multi-neonatal ICU quality improvement collaborative. Citation Text: Bennett SC, Finer N, Halamek LP, et al. Implementing Delivery Room Checklists and Communication Standards in a Multi-Neonatal ICU Quality Impr…

7356. Quality of care and quality of life: balancing patient safety and physician burnout. | PSNet
      psnet.ahrq.gov/issue/quality-care-and-quality-life-balancing-patient-safety-and-physician-burnout
      September 27, 2023 - Commentary Quality of care and quality of life: balancing patient safety and physician burnout. Citation Text: Minkoff H, O'Brien J, Berkowitz R. Quality of care and quality of life: balancing patient safety and physician burnout. Obstet Gynecol. 2024;144(3):e50-e55. doi:10.1097/aog.0000…

7357. Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management. | PSNet
      psnet.ahrq.gov/issue/enhancing-patient-safety-pediatric-emergency-department-teams-communication-and-lessons-crew
      April 26, 2023 - Commentary Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management. Citation Text: Pruitt CM, Liebelt EL. Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew …

7358. Speaking the same language? International variations in the safety information accompanying top-selling prescription drugs. | PSNet
      psnet.ahrq.gov/issue/speaking-same-language-international-variations-safety-information-accompanying-top-selling
      September 25, 2008 - Study Speaking the same language? International variations in the safety information accompanying top-selling prescription drugs. Citation Text: Kesselheim AS, Franklin JM, Avorn J, et al. Speaking the same language? International variations in the safety information accompanying top-se…

7359. Perspective: malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. | PSNet
      psnet.ahrq.gov/issue/perspective-malpractice-academic-medical-center-frequently-overlooked-aspect-professionalism
      April 03, 2024 - Commentary Perspective: malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. Citation Text: Hochberg MS, Seib CD, Berman RS, et al. Perspective: Malpractice in an academic medical center: a frequently overlooked aspect of professionali…

7360. Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety. | PSNet
      psnet.ahrq.gov/issue/revealing-and-resolving-patient-safety-defects-impact-leadership-walkrounds-frontline
      June 16, 2011 - Study Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety. Citation Text: Frankel A, Grillo SP, Pittman M, et al. Revealing and resolving patient safety defects: the impact of leadership WalkRounds on …