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. 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Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units. March 6, 2005
Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care? September 11, 2019
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
Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors. October 27, 2021
What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. October 21, 2020
A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. November 30, 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
Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. December 8, 2021
Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. September 15, 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
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Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. January 9, 2019
Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative. December 12, 2018
Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. August 10, 2011
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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
Universal protection: operationalizing infection prevention guidance in the COVID-19 era. May 12, 2021
Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. April 28, 2021
Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. April 28, 2021
Perceptions of institutional support for “second victims” are associated with safety culture and workforce well-being. February 24, 2021
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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A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. October 5, 2022
Factors associated with malpractice claim payout: an analysis of closed emergency department claims. July 13, 2022
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
Spreading a medication administration intervention organizationwide in six hospitals. February 15, 2012
Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services. February 3, 2016
CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event. April 5, 2023
Medication rounds: a tool to promote medication safety for children with medical complexity. March 8, 2023
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Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. September 23, 2020
Communication with patients and families regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure. August 12, 2020
Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization. May 12, 2021
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
The effect of blue-enriched lighting on medical error rate in a university hospital ICU. January 27, 2021
Prevalence and characteristics of interruptions and distractions during surgical counts. July 28, 2021
Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing facility. July 21, 2021
Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. June 23, 2021
Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse drug events associated with transitions of care. June 16, 2021
Building a program of expanded peer support for the entire health care team: no one left behind. October 13, 2021
Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU. December 9, 2020
Physician task load and the risk of burnout among US physicians in a national survey. December 2, 2020
Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach. December 2, 2020
Nurses' perceived causes of medication administration errors: a qualitative systematic review. November 25, 2020
A multisite study of interprofessional teamwork and collaboration on general medical services. November 25, 2020
Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. November 18, 2020
A program to provide clinicians with feedback on their diagnostic performance in a learning health system. October 28, 2020
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