Special or Theme Issue Communicating Critical Test Results. Citation Text: Schiff GD, Bates DW, Leape LL, eds. Jt Comm J Qual Patient Saf. 2005;31(2):62-119. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 6, 2005 Schiff GD, Bates DW, Leape LL, eds. Jt Comm J Qual Patient Saf. 2005;31(2):62-119. View more articles from the same authors. PubMed citations Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Schiff GD, Bates DW, Leape LL, eds. Jt Comm J Qual Patient Saf. 2005;31(2):62-119. Copy Citation Related Resources From the Same Author(s) Ability of practitioners to identify solid oral dosage tablets. May 24, 2006 Medication safety technologies: what is and is not working. July 29, 2009 The 2004 John M. Eisenberg Patient Safety and Quality Awards. March 6, 2005 Perioperative Handoffs. August 2, 2023 2009 John M. Eisenberg Patient Safety and Quality Awards. 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Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care? September 11, 2019
Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units. March 6, 2005
Teamwork is associated with reduced hospital staff burnout at military treatment facilities: findings from the 2019 Department of Defense Patient Safety Culture Survey. March 22, 2023
Assessment of patient retention of inpatient care information post-hospitalization. February 22, 2023
Lessons learned from a systems approach to engaging patients and families in patient safety transformation. February 12, 2020
Shaping systems for better behavioral choices: lessons learned from a fatal medication error. March 24, 2010
Providers' and patients' perspectives on diagnostic errors in the acute care setting. February 15, 2023
Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. June 24, 2020
Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. May 25, 2022
A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. November 30, 2022
What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. October 21, 2020
Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors. October 27, 2021
Variation in the reporting of elective surgeries and its influence on patient safety indicators. July 6, 2022
Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. December 8, 2021
The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis. October 12, 2022
How to mitigate the effects of cognitive biases during patient safety incident investigations. September 28, 2022
Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review. July 14, 2021
Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. July 7, 2021
Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. November 3, 2021
Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. October 27, 2021
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The cost of quality: an academic health center's annual costs for its quality and patient safety infrastructure. July 25, 2018
Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards. August 1, 2012
Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative. December 12, 2018
Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. January 9, 2019
Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. August 10, 2011
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A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad. January 12, 2022
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Perceptions of institutional support for “second victims” are associated with safety culture and workforce well-being. February 24, 2021
Universal protection: operationalizing infection prevention guidance in the COVID-19 era. May 12, 2021
A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative period. July 17, 2013
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Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? December 1, 2021
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Medication rounds: a tool to promote medication safety for children with medical complexity. March 8, 2023
Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care. May 11, 2022
Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study. May 11, 2022
The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality and safety. May 4, 2022
Using potentially preventable severe maternal morbidity to monitor hospital performance. February 8, 2023
Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being. February 1, 2023
Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. January 25, 2023
Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in nursing. January 18, 2023
Factors that affect opioid quality improvement initiatives in primary care: insights from ten health systems. December 14, 2022
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Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire. May 5, 2021
Increasing naloxone prescribing in the emergency department through education and electronic medical record work-aids. April 21, 2021
Health system leaders' role in addressing racism: time to prioritize eliminating health care disparities. February 10, 2021
Operational failures in general practice: a consensus-building study on the priorities for improvement. May 22, 2024
WebM&M Cases Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation March 27, 2024
Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis. February 7, 2024
Low rate of completion of recommended tests and referrals in an academic primary care practice with resident trainees. January 31, 2024
Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Follow-Up Care at the Phoenix VA Health Care System in Arizona. November 29, 2023
Intraoperative communications between pathologists and surgeons: do we understand each other? September 6, 2023
Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections. September 6, 2023
A perfect storm averted: flawed systems, a dropped ball, and cognitive biases delay a critical diagnosis. November 2, 2022
WebM&M Cases False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. October 27, 2022
Are pathologists self-aware of their diagnostic accuracy? Metacognition and the diagnostic process in pathology. October 5, 2022
Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in Virginia. July 13, 2022
Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood count results. June 29, 2022
Collaborative case review: a systems-based approach to patient safety event investigation and analysis. March 30, 2022
Communicating certainty in pathology reports: interpretation differences among staff pathologists, clinicians, and residents in a multicenter study. December 22, 2021
Bringing the clinical laboratory into the strategy to advance diagnostic excellence. September 22, 2021
The perfect storm: exam of a medical error and factors contributing to its possible escalation. June 23, 2021
What are the implications for patient safety and experience of a major healthcare IT breakdown? A qualitative study. May 26, 2021