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Jt Comm J Qual Patient Saf. 2005;31:61-119.
The need for closed-loop systems for management of abnormal test results.
Zuccotti G, Samal L, Maloney FL, Ai A, Wright A. Ann Intern Med. 2018;168:820-821.
A systematic review of interventions to follow-up test results pending at discharge.
Darragh PJ, Bodley T, Orchanian-Cheff A, Shojania KG, Kwan JL, Cram P. J Gen Intern Med. 2018;33:750-758.
Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial.
Dalal AK, Roy CL, Poon EG, et al. J Am Med Inform Assoc. 2014;21:473-480
Eight recommendations for policies for communicating abnormal test results.
Singh H, Vij MS. Jt Comm J Qual Patient Saf. 2010;36:226-232.
Safe patient outcomes occur with timely, standardized communication of critical values.
PA-PSRS Patient Saf Advis. September 2009;6:93-97.
Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers.
Were MC, Li X, Kesterson J, et al. J Gen Intern Med. 2009;24:1002-1006.
The Rebecca O'Malley Report.
Cork, Ireland: Health Information and Quality Authority; March 21, 2008.
Communicating critical test results: safe practice recommendations.
Hanna D, Griswold P, Leape L, Bates DW. Jt Comm J Qual Patient Saf. 2005;31:68-80.
Communicating Critical Test Results.
Burlington, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2003.
TeamSTEPPS Master Training Course.
Johns Hopkins Armstrong Institute for Patient Safety and Quality. November 5-6, 2019; Constellation Energy Building, Baltimore, MD.
Clinician perspectives on electronic health records, communication, and patient safety across diverse medical oncology practices.
Patel MR, Friese CR, Mendelsohn-Victor K, et al. J Oncol Pract. 2019;15:e529-e536.
Using incident reports to assess communication failures and patient outcomes.
Umberfield E, Ghaferi AA, Krein SL, Manojlovich M. Jt Comm J Qual Patient Saf. 2019;45:406-413.
Learning From Invited Reviews.
London, UK: Royal College of Surgeons of England; 2019.
Improving standardization of paging communication using quality improvement methodology.
Weigert RM, Schmitz AH, Soung PJ, Porada K, Weisgerber MC. Pediatrics. 2019;143:e20181362.
Failure to debrief after critical events in anesthesia is associated with failures in communication during the event.
Arriaga AF, Sweeney RE, Clapp JT, et al. Anesthesiology. 2019;130:1039-1048.
Do safety briefings improve patient safety in the acute hospital setting? A systematic review.
Ryan S, Ward M, Vaughan D, et al. J Adv Nurs. 2019 Feb 28; [Epub ahead of print].
Teamwork—Part 1: Divided We Fall; Part 2: Cursed By Knowledge—Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem.
Rosenbaum L. N Engl J Med. 2019;380:684-688;786-790;881-885.
The path to diagnostic excellence includes feedback to calibrate how clinicians think.
Meyer AND, Singh H. JAMA. 2019;321:737-738.
The impact of mobile technology on teamwork and communication in hospitals: a systematic review.
Martin G, Khajuria A, Arora S, King D, Ashrafian H, Darzi A. J Am Med Inform Assoc. 2019;26:339-355.
Characterising ICU–ward handoffs at three academic medical centres: process and perceptions.
Santhosh L, Lyons PG, Rojas JC, et al. BMJ Qual Saf. 2019;28:627-634.
Debriefing for Clinical Learning
Medicines-related harm in the elderly post-hospital discharge.
Cheong V-L, Tomlinson J, Khan S, Petty D. Prescriber. 2019;30:29-34.
Overcoming human barriers to safety event reporting in radiology.
Siewert B, Brook OR, Swedeen S, Eisenberg RL, Hochman M. Radiographics. 2019;39:251-263.
Data omission by physician trainees on ICU rounds.
Artis KA, Bordley J, Mohan V, Gold JA. Crit Care Med. 2019;47:403-409.
The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study.
Pontefract SK, Coleman JJ, Vallance HK, et al. PLoS One. 2018;13:e0207450.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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