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  1. 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…
  2. 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…
  3. 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…
  4. 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…
  5. 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…
  6. 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. …
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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 …
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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 …
  17. Psn-Pdf (pdf file)

    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 …
  18. Psn-Pdf (pdf file)

    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 …
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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…

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