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psnet.ahrq.gov/issue/road-map-advancing-practice-respect-health-care-results-interdisciplinary-modified-delphi
August 01, 2018 - Study
A road map for advancing the practice of respect in health care: the results of an interdisciplinary modified Delphi consensus study.
Citation Text:
Sokol-Hessner L, Folcarelli P, Annas CL, et al. A Road Map for Advancing the Practice of Respect in Health Care: The Results of an In…
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psnet.ahrq.gov/issue/review-medication-error-sources-associated-inpatient-subcutaneous-insulin-recommendations
June 17, 2020 - Review
Review of medication error sources associated with inpatient subcutaneous insulin: recommendations for safe and cost-effective dispensing practices.
Citation Text:
McKay C, Schenkat D, Murphy K, et al. Review of medication error sources associated with inpatient subcutaneous insul…
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psnet.ahrq.gov/issue/efficacy-tolerability-and-dose-dependent-effects-opioid-analgesics-low-back-pain-systematic
March 02, 2011 - Review
Efficacy, tolerability, and dose-dependent effects of opioid analgesics for low back pain: a systematic review and meta-analysis.
Citation Text:
Shaheed CA, Maher CG, Williams KA, et al. Efficacy, Tolerability, and Dose-Dependent Effects of Opioid Analgesics for Low Back Pain: A S…
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psnet.ahrq.gov/issue/impact-80-hour-resident-workweek-surgical-residents-and-attending-surgeons
January 04, 2010 - Study
The impact of the 80-hour resident workweek on surgical residents and attending surgeons.
Citation Text:
Hutter MM, Kellogg KC, Ferguson CM, et al. The impact of the 80-hour resident workweek on surgical residents and attending surgeons. Ann Surg. 2006;243(6):864-71; discussion 8…
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psnet.ahrq.gov/issue/analysis-clinical-decision-support-system-malfunctions-case-series-and-survey
April 29, 2018 - Study
Analysis of clinical decision support system malfunctions: a case series and survey.
Citation Text:
Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093…
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psnet.ahrq.gov/issue/patients-and-doctors-views-and-experiences-patient-safety-trajectory-breast-cancer-care
December 08, 2021 - Study
Patients' and doctors' views and experiences of the patient safety trajectory of breast cancer care.
Citation Text:
Forrest C, O'Sullivan MJ, Ryan M, et al. Patients' and doctors’ views and experiences of the patient safety trajectory of breast cancer care. Breast. 2024;75:103699. …
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psnet.ahrq.gov/node/37319/psn-pdf
January 05, 2012 - Winning the battle for standardization.
January 5, 2012
Durkee RP, Richard LW. Winning the battle for standardization. The U.S. Army Medical Department
examines the EMR to develop a standardized process for medication reconciliation documentation. Health
Manag Technol. 2007;28(10):34-37.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/39429/psn-pdf
April 07, 2010 - Opioids, iatrogenic harm and disclosure of medical error.
April 7, 2010
Blinderman CD. Opioids, iatrogenic harm and disclosure of medical error. J Pain Symptom Manage.
2010;39(2):309-13. doi:10.1016/j.jpainsymman.2009.11.242.
https://psnet.ahrq.gov/issue/opioids-iatrogenic-harm-and-disclosure-medical-error
Through…
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psnet.ahrq.gov/node/42689/psn-pdf
October 23, 2013 - Solving the puzzle: improving safety outcomes.
October 23, 2013
Whitehouse D. Br J Healthc Manage. 2013;19(9):446-448.
https://psnet.ahrq.gov/issue/solving-puzzle-improving-safety-outcomes
This article illustrates the importance of recognizing complexity when working to create high reliability in
health care.
htt…
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psnet.ahrq.gov/node/40413/psn-pdf
June 18, 2018 - Drug Shortages.
June 18, 2018
US Food and Drug Administration.
https://psnet.ahrq.gov/issue/drug-shortages
Medication shortages are emerging as a patient safety issue. This Web site helps hospitals and
practitioners monitor drug availability and design processes to manage shortages in daily care. It provides
acce…
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psnet.ahrq.gov/node/35728/psn-pdf
February 22, 2006 - Safety climate in health care organizations: a
multidimensional approach.
February 22, 2006
Katz-Navon T; Naveh E; Stern Z. Academy of Management Journal. 2005;48(6):1075-1089.
https://psnet.ahrq.gov/issue/safety-climate-health-care-organizations-multidimensional-approach
The authors explored four elements of safe…
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psnet.ahrq.gov/node/35435/psn-pdf
June 14, 2011 - Drill down with root cause analysis.
June 14, 2011
McDonald A, Leyhane T. Drill down with root cause analysis. Nurs Manage. 2005;36(10):26-32.
https://psnet.ahrq.gov/issue/drill-down-root-cause-analysis
The authors outline a six-step process for root cause analysis and highlight the importance of
understanding sta…
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psnet.ahrq.gov/node/36019/psn-pdf
September 22, 2010 - Errors and adverse events in otolaryngology.
September 22, 2010
Shah RK, Roberson DW, Healy GB. Errors and adverse events in otolaryngology. Curr Opin Otolaryngol
Head Neck Surg. 2006;14(3):164-9.
https://psnet.ahrq.gov/issue/errors-and-adverse-events-otolaryngology
The authors assessed the literature specific to …
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psnet.ahrq.gov/node/39967/psn-pdf
November 03, 2010 - Nurses' role in medication safety.
November 3, 2010
Choo J, Hutchinson A, Bucknall T. Nurses' role in medication safety. J Nurs Manag. 2010;18(7):853-61.
doi:10.1111/j.1365-2834.2010.01164.x.
https://psnet.ahrq.gov/issue/nurses-role-medication-safety
This review found that nurses play a major role in developing pr…
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psnet.ahrq.gov/node/40053/psn-pdf
December 01, 2010 - Medical malpractice liability in the age of electronic health
records.
December 1, 2010
Mangalmurti SS, Murtagh L, Mello MM. Medical malpractice liability in the age of electronic health records.
N Engl J Med. 2010;363(21):2060-7. doi:10.1056/NEJMhle1005210.
https://psnet.ahrq.gov/issue/medical-malpractice-liabili…
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psnet.ahrq.gov/node/35343/psn-pdf
October 12, 2005 - Should we disclose harmful medical errors to patients? If
so, how?
October 12, 2005
Gallagher TH, Lucas MH. J Clin Outcomes Manag. 2005;2(5):253-259.
https://psnet.ahrq.gov/issue/should-we-disclose-harmful-medical-errors-patients-if-so-how
A review of the literature on disclosure finds that even though patients …
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psnet.ahrq.gov/node/35353/psn-pdf
July 16, 2009 - Best-practice protocols: preventing adverse drug events.
July 16, 2009
Weir VL. Best-practice protocols: preventing adverse drug events. Nurs Manage. 2005;36(9):24-30.
https://psnet.ahrq.gov/issue/best-practice-protocols-preventing-adverse-drug-events
This article reports on one hospital's use of failure modes and …
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psnet.ahrq.gov/node/41642/psn-pdf
August 29, 2012 - Patient safety in the ambulatory OB/GYN setting.
August 29, 2012
Weiss PM, Swisher E. Patient safety in the ambulatory OB/GYN setting. Clin Obstet Gynecol.
2012;55(3):613-9. doi:10.1097/GRF.0b013e31825ca6e6.
https://psnet.ahrq.gov/issue/patient-safety-ambulatory-obgyn-setting
This commentary details strategies to …
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psnet.ahrq.gov/node/35246/psn-pdf
July 11, 2007 - Treatment errors in healthcare: a safety climate approach.
July 11, 2007
Naveh E, Katz-Navon T, Stern Z. Treatment errors in healthcare: a safety climate approach. . Manage Sci.
2005;51(6):948-960. doi:10.1287/mnsc.1050.0372.
https://psnet.ahrq.gov/issue/treatment-errors-healthcare-safety-climate-approach
The auth…
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psnet.ahrq.gov/node/41314/psn-pdf
September 27, 2016 - The Medical Apology: Making It Right When Things Go
Wrong.
September 27, 2016
Schulte MF, ed. Front Health Serv Manage. 2012;28(3):1-46.
https://psnet.ahrq.gov/issue/medical-apology-making-it-right-when-things-go-wrong
Articles in this special issue highlight lessons learned from disclosure and apology in health c…