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  1. Medical Device Safety Action Plan: Protecting Patients, Promoting Public Health. | PSNet

    psnet.ahrq.gov/issue/medical-device-safety-action-plan-protecting-patients-promoting-public-health
    November 28, 2018 - Book/Report Medical Device Safety Action Plan: Protecting Patients, Promoting Public Health. Citation Text: Medical Device Safety Action Plan: Protecting Patients, Promoting Public Health. Silver Spring, MD: US Food and Drug Administration; April 2018. Copy Citation Sav…

  2. FDA advises health care professionals and patients about insulin pen packaging and dispensing. | PSNet

    psnet.ahrq.gov/issue/fda-advises-health-care-professionals-and-patients-about-insulin-pen-packaging-and-dispensing
    June 22, 2011 - Press Release/Announcement FDA advises health care professionals and patients about insulin pen packaging and dispensing. Citation Text: FDA advises health care professionals and patients about insulin pen packaging and dispensing. MedWatch Safety Alert. Silver Spring, MD: US Food and Dr…

  3. Bearing witness to the ethics of practice: storying physicians' medical mistake narratives. | PSNet

    psnet.ahrq.gov/issue/bearing-witness-ethics-practice-storying-physicians-medical-mistake-narratives
    July 17, 2024 - Study Bearing witness to the ethics of practice: storying physicians' medical mistake narratives. Citation Text: Carmack HJ. Bearing witness to the ethics of practice: storying physicians' medical mistake narratives. Health Commun. 2010;25(5):449-58. doi:10.1080/10410236.2010.484876. …

  4. The silence of the unblown whistle: the Nevada hepatitis C public health crisis. | PSNet

    psnet.ahrq.gov/issue/silence-unblown-whistle-nevada-hepatitis-c-public-health-crisis
    July 19, 2023 - Commentary The silence of the unblown whistle: the Nevada hepatitis C public health crisis. Citation Text: Leary E, Diers D. The silence of the unblown whistle: the Nevada hepatitis C public health crisis. Yale J Biol Med. 2013;86(1):79-87. Copy Citation Format: Google Sch…

  5. Sidelining safety — the FDA's inadequate response to the IOM. | PSNet

    psnet.ahrq.gov/issue/sidelining-safety-fdas-inadequate-response-iom
    November 13, 2009 - Commentary Sidelining safety — the FDA's inadequate response to the IOM. Citation Text: Smith SW. Sidelining safety--the FDA's inadequate response to the IOM. N Engl J Med. 2007;357(10):960-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML…

  6. When there's no one to whom an error can be disclosed, how should an error be handled? | PSNet

    psnet.ahrq.gov/issue/when-theres-no-one-whom-error-can-be-disclosed-how-should-error-be-handled
    March 19, 2018 - Commentary When there's no one to whom an error can be disclosed, how should an error be handled? Citation Text: Chiu RG. When There's No One to Whom an Error Can Be Disclosed, How Should an Error Be Handled? AMA J Ethics. 2019;21(7):E553-558. doi:10.1001/amajethics.2019.553. Copy Cita…

  7. Crisis resource management in emergency medicine. | PSNet

    psnet.ahrq.gov/issue/crisis-resource-management-emergency-medicine
    October 23, 2024 - Review Crisis resource management in emergency medicine. Citation Text: Carne B, Kennedy M, Gray T. Review article: Crisis resource management in emergency medicine. Emergency Medicine Australasia. 2011;24(1). doi:10.1111/j.1742-6723.2011.01495.x. Copy Citation Format: DO…

  8. Health Care Quality and Disparities: Lessons from the First National Reports. | PSNet

    psnet.ahrq.gov/issue/health-care-quality-and-disparities-lessons-first-national-reports
    April 03, 2005 - Special or Theme Issue Health Care Quality and Disparities: Lessons from the First National Reports. Citation Text: Health Care Quality and Disparities: Lessons from the First National Reports. Kelley E, Moy E, Dayton E, et al. Med Care. 2005:43(3):I1-I88. Copy Citation …

  9. The use of simulation in healthcare: from systems issues, to team building, to task training, to education and high stakes examinations. | PSNet

    psnet.ahrq.gov/issue/use-simulation-healthcare-systems-issues-team-building-task-training-education-and-high
    October 03, 2011 - Review The use of simulation in healthcare: from systems issues, to team building, to task training, to education and high stakes examinations. Citation Text: Orledge J, Phillips WJ, Murray B, et al. The use of simulation in healthcare: from systems issues, to team building, to task t…

  10. Patient safety: it's not just carefulness, it's a culture. | PSNet

    psnet.ahrq.gov/issue/patient-safety-its-not-just-carefulness-its-culture
    December 24, 2008 - Commentary Patient safety: it's not just carefulness, it's a culture. Citation Text: Powell S. Patient Safety: it's not just carefulness, it's a culture. Lippincotts Case Manag. 2004;9(5):211-212. doi:10.1097/00129234-200409000-00001. Copy Citation Format: DOI Google Scho…

  11. An approach to assessing patient safety in hospitals in low-income countries. | PSNet

    psnet.ahrq.gov/issue/approach-assessing-patient-safety-hospitals-low-income-countries
    July 22, 2020 - Study An approach to assessing patient safety in hospitals in low-income countries. Citation Text: Lindfield R, Knight A, Bwonya D. An approach to assessing patient safety in hospitals in low-income countries. PLoS One. 2015;10(3):e0121628. doi:10.1371/journal.pone.0121628. Copy Citati…

  12. Essay: the political logic of regulatory error. | PSNet

    psnet.ahrq.gov/issue/essay-political-logic-regulatory-error
    July 10, 2017 - Commentary Essay: the political logic of regulatory error. Citation Text: Carpenter D, Ting MM. Essay: the political logic of regulatory error. Nat Rev Drug Discov. 2005;4(10):819-23. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  13. Systems approach and systems engineering applied to health care: improving patient safety and health care delivery. | PSNet

    psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improving-patient-safety-and
    August 12, 2020 - Commentary Systems approach and systems engineering applied to health care: improving patient safety and health care delivery. Citation Text: Systems approach and systems engineering applied to health care: improving patient safety and health care delivery. Ravitz AD, Sapirstein A, Pha…

  14. New solutions to reduce wrong route medication errors. | PSNet

    psnet.ahrq.gov/issue/new-solutions-reduce-wrong-route-medication-errors
    March 20, 2019 - Review New solutions to reduce wrong route medication errors. Citation Text: Litman RS, Smith VI, Mainland P. New solutions to reduce wrong route medication errors. Paediatr Anaesth. 2018;28(1):8-12. doi:10.1111/pan.13279. Copy Citation Format: DOI Google Scholar PubMed Bib…

  15. Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/detection-and-measurement-rotator-cuff-tears-sonography-analysis-diagnostic-errors
    December 31, 2014 - Study Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. Citation Text: Teefey SA, Middleton WD, Payne WT, et al. Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. AJR Am J Roentgenol. 2005;184(6…

  16. John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. | PSNet

    psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-advocacy-lexington-veterans-affairs-medical-center
    March 02, 2011 - Commentary John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. Citation Text: Kraman SS, Cranfill L, Hamm G, et al. John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. Jt Comm J Qual Improv. 2002;…

  17. Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. | PSNet

    psnet.ahrq.gov/issue/implementation-evidence-based-extubation-checklist-reduce-extubation-failure-patients-trauma
    March 07, 2018 - Study Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. Citation Text: Howie WO, Dutton RP. Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot…

  18. The Broselow tape as an effective medication dosing instrument: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/broselow-tape-effective-medication-dosing-instrument-review-literature
    April 09, 2009 - Review The Broselow tape as an effective medication dosing instrument: a review of the literature. Citation Text: Meguerdichian MJ, Clapper TC. The Broselow tape as an effective medication dosing instrument: a review of the literature. J Pediatr Nurs. 2012;27(4):416-420. doi:10.1016/j.…

  19. Diagnostic delays and errors in head and neck cancer patients: opportunities for improvement. | PSNet

    psnet.ahrq.gov/issue/diagnostic-delays-and-errors-head-and-neck-cancer-patients-opportunities-improvement
    March 14, 2022 - Study Diagnostic delays and errors in head and neck cancer patients: opportunities for improvement. Citation Text: Franco J, Elghouche AN, Harris MS, et al. Diagnostic Delays and Errors in Head and Neck Cancer Patients: Opportunities for Improvement. Am J Med Qual. 2017;32(3):330-335. do…

  20. Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room. | PSNet

    psnet.ahrq.gov/issue/double-gloves-randomized-trial-evaluate-simple-strategy-reduce-contamination-operating-room
    November 09, 2015 - Study Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room. Citation Text: Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room. …
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