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9741. Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. | PSNet
      psnet.ahrq.gov/issue/associations-between-national-board-exam-performance-and-residency-program-emphasis-patient
      January 12, 2022 - Study Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. Citation Text: Loftus TJ, Hall DJ, Malaty JZ, et al. Associations between national board exam performance and residency program emphasis on patient …

9742. 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…

9743. Medication reconciliation and patient safety in trauma: Applicability of existing strategies. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-and-patient-safety-trauma-applicability-existing-strategies
      September 23, 2020 - Review Medication reconciliation and patient safety in trauma: Applicability of existing strategies. Citation Text: DeAntonio JH, Leichtle SW, Hobgood S, et al. Medication reconciliation and patient safety in trauma: Applicability of existing strategies. J Surg Res. 2019;246:482-489. doi…

9744. A new, evidence-based estimate of patient harms associated with hospital care. | PSNet
      psnet.ahrq.gov/issue/new-evidence-based-estimate-patient-harms-associated-hospital-care
      October 19, 2022 - Review A new, evidence-based estimate of patient harms associated with hospital care. Citation Text: James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69. Copy Citation Format: …

9745. CDSiC Stakeholder Center Quarterly Report, January to June 2022 | CDSiC
      cdsic.ahrq.gov/cdsic/stakeholder-center-quarterly-report-january-june%202022
      July 01, 2022 - : Skip to main content HHS.gov Menu Main navigation CDS Home CDS Innovation Collaborative An official website of the Department of Health & Human Services …

9746. "Thank You for Listening": An exploratory study regarding the lived experience and perception of medical errors among those who receive care. | PSNet
      psnet.ahrq.gov/issue/thank-you-listening-exploratory-study-regarding-lived-experience-and-perception-medical
      January 29, 2020 - Study "Thank You for Listening": An exploratory study regarding the lived experience and perception of medical errors among those who receive care. Citation Text: Terry D, Kim J-ah, Gilbert J, et al. “Thank You for Listening”: An Exploratory Study Regarding the Lived Experience and Perce…

9747. Case not closed: prescription errors 12 years after computerized physician order entry implementation. | PSNet
      psnet.ahrq.gov/issue/case-not-closed-prescription-errors-12-years-after-computerized-physician-order-entry
      April 08, 2011 - Study Case not closed: prescription errors 12 years after computerized physician order entry implementation. Citation Text: Kadmon G, Pinchover M, Weissbach A, et al. Case Not Closed: Prescription Errors 12 Years after Computerized Physician Order Entry Implementation. J Pediatr. 2017;19…

9748. An observational analysis of surgical team compliance with perioperative safety practices after crew resource management training. | PSNet
      psnet.ahrq.gov/issue/observational-analysis-surgical-team-compliance-perioperative-safety-practices-after-crew
      May 04, 2012 - Study An observational analysis of surgical team compliance with perioperative safety practices after crew resource management training. Citation Text: France DJ, Leming-Lee S, Jackson T, et al. An observational analysis of surgical team compliance with perioperative safety practices a…

9749. Use of nondisclosure agreements in medical malpractice settlements by a large academic health care system. | PSNet
      psnet.ahrq.gov/issue/use-nondisclosure-agreements-medical-malpractice-settlements-large-academic-health-care
      December 19, 2018 - Study Use of nondisclosure agreements in medical malpractice settlements by a large academic health care system. Citation Text: Sage WM, Jablonski JS, Thomas EJ. Use of Nondisclosure Agreements in Medical Malpractice Settlements by a Large Academic Health Care System. JAMA Intern Med. 20…

9750. Effective triage can ameliorate the deleterious effects of delayed transfer of trauma patients from the emergency department to the ICU. | PSNet
      psnet.ahrq.gov/issue/effective-triage-can-ameliorate-deleterious-effects-delayed-transfer-trauma-patients
      August 04, 2021 - Study Effective triage can ameliorate the deleterious effects of delayed transfer of trauma patients from the emergency department to the ICU. Citation Text: Richardson D, Franklin G, Santos A, et al. Effective triage can ameliorate the deleterious effects of delayed transfer of trauma…

9751. Under-reporting of deaths to the coroner by doctors: a retrospective review of deaths in two hospitals in Melbourne, Australia. | PSNet
      psnet.ahrq.gov/issue/under-reporting-deaths-coroner-doctors-retrospective-review-deaths-two-hospitals-melbourne
      April 24, 2018 - Study Under-reporting of deaths to the coroner by doctors: a retrospective review of deaths in two hospitals in Melbourne, Australia. Citation Text: Charles A, Ranson D, Bohensky M, et al. Under-reporting of deaths to the coroner by doctors: a retrospective review of deaths in two hosp…

9752. Patient safety and image transfer between referring hospitals and neuroscience centres: could we do better? | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-image-transfer-between-referring-hospitals-and-neuroscience-centres-could
      July 19, 2023 - Study Patient safety and image transfer between referring hospitals and neuroscience centres: could we do better? Citation Text: Crocker M, Cato-Addison WB, Pushpananthan S, et al. Patient safety and image transfer between referring hospitals and neuroscience centres: could we do bette…

9753. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33810/psn-pdf
      June 01, 2016 - Becoming a Certified Professional in Patient Safety—A Registered Nurse's Perspective June 1, 2016 Frank K. Becoming a Certified Professional in Patient Safety—A Registered Nurse's Perspective. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-registered-nurse…

9754. The critical incident technique. | PSNet
      psnet.ahrq.gov/issue/critical-incident-technique
      January 07, 2015 - Study Classic The critical incident technique. Citation Text: FLANAGAN JC. The critical incident technique. Psychol Bull. 1954;51(4):327-358. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

9755. Understanding diagnostic errors in medicine: a lesson from aviation. | PSNet
      psnet.ahrq.gov/issue/understanding-diagnostic-errors-medicine-lesson-aviation
      December 30, 2014 - Study Understanding diagnostic errors in medicine: a lesson from aviation. Citation Text: Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: a lesson from aviation. Qual Saf Health Care. 2006;15(3):159-64. Copy Citation Format: Google Scholar Pu…

9756. "Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs. | PSNet
      psnet.ahrq.gov/issue/mr-smiths-been-our-problem-child-today-anticipatory-management-communication-amc-va-end-shift
      January 22, 2016 - Study "Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs. Citation Text: Bergman AA, Flanagan ME, Ebright PR, et al. "Mr Smith's been our problem child today…": anticipatory management communication (…

9757. Post-discharge adverse events among urban and rural patients of an urban community hospital: a prospective cohort study. | PSNet
      psnet.ahrq.gov/issue/post-discharge-adverse-events-among-urban-and-rural-patients-urban-community-hospital
      September 07, 2022 - Study Post-discharge adverse events among urban and rural patients of an urban community hospital: a prospective cohort study. Citation Text: Tsilimingras D, Schnipper JL, Duke A, et al. Post-Discharge Adverse Events Among Urban and Rural Patients of an Urban Community Hospital: A Prospe…

9758. 5 Tk2 P2T8-Sample Antibiogram Phase 2 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T8-Sample_Antibiogram_Phase_2.pdf
      May 01, 2014 - Phase 3 Implementation w Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality HAIs Healthcare- Associated Infections PREVENT Comprehensive Antibiogram Toolkit: Phase 2 Sample Antibiogram Nursing Home Name/Clinical Laboratory Name Antibiogram for dd/mm/yyyy to dd/mm/yy…

9759. Warm Handoffs: A Guide for Clinicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-guide-for-clinicians.pdf
      June 02, 2025 - Warm Handoffs: A Guide for Clinicians Why is it important? Communication breakdowns can result in medical errors. Warm handoffs can help address communication issues and: ■ Engage patients and families and encourage them to ask questions. ■ Allow patients to clarify or correct the information exchanged. ■…

9760. Strategy 4: IDEA Discharge Planning (Tool 3) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.docx
      January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 3) Strategy 4: IDEAL Discharge Planning (Tool 3) Improving Discharge Outcomes with Patients and Families Strategy 1: Working with Patients & Families as Advisors [Type text] [Type text] [Type text] Strategy 4: IDEAL Discharge Planning (Tool 3) O Guide to Patient and Family …