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Application of human factors methods to understand missed follow-up of abnormal test results. | PSNet

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…

Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems. | PSNet

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November 11, 2020 - Study Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems. Citation Text: Sittig DF, Murphy DR, Smith MW, et al. Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems. J Am Med Inform Assoc. 2…

Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings. | PSNet

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September 23, 2020 - Study Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings. Citation Text: Blazin LJ, Sitthi-Amorn J, Hoffman JM, et al. Improving patient handoffs and transitions through adaptation and implementation of I-PASS acros…

Adverse event and error of unexpected life-threatening events within 24h of emergency department admission. | PSNet

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October 27, 2016 - Study Adverse event and error of unexpected life-threatening events within 24h of emergency department admission. Citation Text: Zhang E, Hung S-C, Wu C-H, et al. Adverse event and error of unexpected life-threatening events within 24hours of ED admission. Am J Emerg Med. 2017;35(3):479-…

Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. | PSNet

psnet.ahrq.gov/issue/association-diagnostic-stewardship-blood-cultures-critically-ill-children-culture-rates

October 19, 2022 - Study Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. Citation Text: Woods-Hill CZ, Colantuoni EA, Koontz DW, et al. Association of diagnostic stewardsh…

Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study. | PSNet

psnet.ahrq.gov/issue/frontline-providers-and-patients-perspectives-improving-diagnostic-safety-emergency

May 15, 2024 - Study Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study. Citation Text: Mangus CW, James TG, Parker SJ, et al. Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency dep…

Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event: systematic review of qualitative evidence. | PSNet

psnet.ahrq.gov/issue/patient-carer-and-family-experiences-seeking-redress-and-reconciliation-following-life

April 24, 2018 - Review Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event: systematic review of qualitative evidence. Citation Text: Shaw L, Lawal HM, Briscoe S, et al. Patient, carer and family experiences of seeking redress and reconciliation fo…

Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus group interviews with team members. | PSNet

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March 24, 2012 - Study Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus group interviews with team members. Citation Text: Schildmeijer K, Nilsson L, Perk J, et al. Strengths and weaknesses of working with the Global Trigger Tool method for r…

Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the United States. | PSNet

psnet.ahrq.gov/issue/hospital-acquired-conditions-reduction-program-racial-and-ethnic-diversity-and-magnet

June 08, 2022 - Study Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the United States. Citation Text: Boamah SA, Hamadi HY, Spaulding AC. Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the Un…

Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more than 34,000 deficiencies. | PSNet

psnet.ahrq.gov/issue/hospital-surveys-centers-medicare-and-medicaid-services-analysis-more-34000-deficiencies

May 26, 2021 - Study Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more than 34,000 deficiencies. Citation Text: Antognini JF. Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more than 34,000 deficiencies. J Patient Saf. 2021;17(4)…

Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients. | PSNet

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.…

Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. | PSNet

psnet.ahrq.gov/issue/implementation-and-sustainability-medication-reconciliation-toolkit-mixed-methods-evaluation

May 19, 2021 - Study Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. Citation Text: Stolldorf DP, Mixon AS, Auerbach AD, et al. Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. Am J Health Syst Ph…

A systematic review of failures in handoff communication during intrahospital transfers. | PSNet

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November 03, 2015 - Review A systematic review of failures in handoff communication during intrahospital transfers. Citation Text: Ong M-S, Coiera E. A systematic review of failures in handoff communication during intrahospital transfers. Jt Comm J Qual Patient Saf. 2011;37(6):274-284. Copy Citation …

A scoping review of communication tools applicable to patients and their primary care providers after discharge from hospital. | PSNet

psnet.ahrq.gov/issue/scoping-review-communication-tools-applicable-patients-and-their-primary-care-providers-after

December 15, 2021 - Review A scoping review of communication tools applicable to patients and their primary care providers after discharge from hospital. Citation Text: Spencer RA, Singh Punia H. A scoping review of communication tools applicable to patients and their primary care providers after discharge …

Sources of medication omissions among hospitalized older adults with polypharmacy. | PSNet

psnet.ahrq.gov/issue/sources-medication-omissions-among-hospitalized-older-adults-polypharmacy

January 18, 2023 - Study Sources of medication omissions among hospitalized older adults with polypharmacy. Citation Text: Shah AS, Hollingsworth EK, Shotwell MS, et al. Sources of medication omissions among hospitalized older adults with polypharmacy. J Am Geriatr Soc. 2022;70(4):1180-1189. doi:10.1111/jg…

Longitudinal medication reconciliation at hospital admission, discharge and post-discharge. | PSNet

psnet.ahrq.gov/issue/longitudinal-medication-reconciliation-hospital-admission-discharge-and-post-discharge

August 19, 2020 - Study Longitudinal medication reconciliation at hospital admission, discharge and post-discharge. Citation Text: Daliri S, Bouhnouf M, van de Meerendonk HWPC, et al. Longitudinal medication reconciliation at hospital admission, discharge and post-discharge. Res Social Adm Pharm. 2020;17(…

Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association. | PSNet

psnet.ahrq.gov/issue/root-cause-analyses-reported-adverse-events-occurring-during-gastrointestinal-scope-and-tube

November 17, 2021 - Study Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association. Citation Text: Soncrant C, Mills PD, Neily J, et al. Root cause analyses of reported adverse events occurring during gastrointest…

Identifying and reconciling patients' allergy information within the electronic health record. | PSNet

psnet.ahrq.gov/issue/identifying-and-reconciling-patients-allergy-information-within-electronic-health-record

June 15, 2022 - Study Identifying and reconciling patients' allergy information within the electronic health record. Citation Text: Vallamkonda S, Ortega CA, Lo YC, et al. Identifying and reconciling patients' allergy information within the electronic health record. Stud Health Technol Inform. 2022;290:…

Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. | PSNet

psnet.ahrq.gov/issue/transitions-one-electronic-health-record-another-challenges-pitfalls-and-recommendations

March 17, 2021 - Review Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. Citation Text: Huang C, Koppel R, McGreevey JD, et al. Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. Appl Clin Inform. 2020;1…

Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/effects-rapid-response-systems-clinical-outcomes-systematic-review-and-meta-analysis

September 23, 2020 - Review Classic Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. Citation Text: Ranji SR, Auerbach AD, Hurd CJ, et al. Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. J Hos…

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