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7561. What's the difference between a hospital and a bottling factory? | PSNet
      psnet.ahrq.gov/issue/whats-difference-between-hospital-and-bottling-factory
      October 08, 2008 - Commentary What's the difference between a hospital and a bottling factory? Citation Text: Morton A, Cornwell J. What's the difference between a hospital and a bottling factory? BMJ. 2009;339(jul20 1). doi:10.1136/bmj.b2727. Copy Citation Format: DOI Google Scholar BibTeX…

7562. Bar code technology and medication administration error. | PSNet
      psnet.ahrq.gov/issue/bar-code-technology-and-medication-administration-error
      June 07, 2023 - Review Bar code technology and medication administration error. Citation Text: Young J, Slebodnik M, Sands L. Bar Code Technology and Medication Administration Error. J Patient Saf. 2010;6(2):115-120. doi:10.1097/pts.0b013e3181de35f7. Copy Citation Format: DOI Google Scho…

7563. One hospital's initiatives to encourage safe opioid use. | PSNet
      psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use
      October 19, 2022 - Commentary One hospital's initiatives to encourage safe opioid use. Citation Text: Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs. 2015;38(4):278-83. doi:10.1097/NAN.0000000000000110. Copy Citation Format: DOI Google Scholar P…

7564. Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness. | PSNet
      psnet.ahrq.gov/issue/handoffs-and-communication-underappreciated-roles-situational-awareness-and-inattentional
      February 01, 2003 - Commentary Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness. Citation Text: Gosbee JW. Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness. Clin Obstet Gynecol. 2010;53(3)…

7565. Infant deaths associated with cough and cold medications—two states, 2005. | PSNet
      psnet.ahrq.gov/issue/infant-deaths-associated-cough-and-cold-medications-two-states-2005
      February 27, 2019 - Government Resource Infant deaths associated with cough and cold medications—two states, 2005. Citation Text: Prevention C for DC and. Infant deaths associated with cough and cold medications--two states, 2005. MMWR Morb Mortal Wkly Rep. 2007;56(1):1-4. Copy Citation Format: …

7566. Evaluation of critical incidents in general surgery. | PSNet
      psnet.ahrq.gov/issue/evaluation-critical-incidents-general-surgery
      April 29, 2009 - Study Evaluation of critical incidents in general surgery. Citation Text: Zingg U, Zala-Mezoe E, Kuenzle B, et al. Evaluation of critical incidents in general surgery. Br J Surg. 2008;95(11):1420-5. doi:10.1002/bjs.6296. Copy Citation Format: DOI Google Scholar PubMed …

7567. Patient safety climate in hospitals: act locally on variation across units. | PSNet
      psnet.ahrq.gov/issue/patient-safety-climate-hospitals-act-locally-variation-across-units
      August 27, 2012 - Study Patient safety climate in hospitals: act locally on variation across units. Citation Text: Campbell EG, Singer SJ, Kitch BT, et al. Patient safety climate in hospitals: act locally on variation across units. Jt Comm J Qual Patient Saf. 2010;36(7):319-26. Copy Citation Format:…

7568. Approaching the evidence basis for aviation-derived teamwork training in medicine. | PSNet
      psnet.ahrq.gov/issue/approaching-evidence-basis-aviation-derived-teamwork-training-medicine
      August 09, 2023 - Review Approaching the evidence basis for aviation-derived teamwork training in medicine. Citation Text: Zeltser M, Nash DB. Approaching the evidence basis for aviation-derived teamwork training in medicine. Am J Med Qual. 2010;25(1):13-23. doi:10.1177/1062860609345664. Copy Citation…

7569. Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. | PSNet
      psnet.ahrq.gov/issue/improving-teamwork-impact-structured-interdisciplinary-rounds-medical-teaching-unit
      December 21, 2014 - Study Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. Citation Text: O'Leary KJ, Wayne DB, Haviley C, et al. Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. J Gen Intern Med. 2010;25(8):826-32. do…

7570. The Johns Hopkins Hospital: identifying and addressing risks and safety issues. | PSNet
      psnet.ahrq.gov/issue/johns-hopkins-hospital-identifying-and-addressing-risks-and-safety-issues
      January 06, 2017 - Commentary The Johns Hopkins Hospital: identifying and addressing risks and safety issues. Citation Text: Paine LA, Baker DR, Rosenstein BJ, et al. The Johns Hopkins Hospital: identifying and addressing risks and safety issues. Jt Comm J Qual Saf. 2004;30(10):543-50. Copy Citation …

7571. Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. | PSNet
      psnet.ahrq.gov/issue/diagnostic-errors-interpretation-pediatric-musculoskeletal-radiographs-common-injury-sites
      August 02, 2015 - Study Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. Citation Text: Bisset GS, Crowe J. Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. Pediatr Radiol. 2014;44(5):552-7. doi:10.1007…

7572. Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products | PSNet
      psnet.ahrq.gov/issue/filling-gaps-institute-safe-medication-practices-ismp-do-not-crush-list-immediate-release
      July 21, 2021 - Study Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products Citation Text: Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products Uttaro E, Zhao F, Schweigha…

7573. The quality and safety track: training future physician leaders. | PSNet
      psnet.ahrq.gov/issue/quality-and-safety-track-training-future-physician-leaders
      March 28, 2018 - Commentary The quality and safety track: training future physician leaders. Citation Text: Vinci LM, Oyler J, Arora V. The Quality and Safety Track: Training Future Physician Leaders. Am J Med Qual. 2014;29(4):277-83. doi:10.1177/1062860613498264. Copy Citation Format: DOI …

7574. Duplication of surgical site marking. | PSNet
      psnet.ahrq.gov/issue/duplication-surgical-site-marking
      November 18, 2016 - Commentary Duplication of surgical site marking. Citation Text: Davis JS, Karmacharya J, Schulman C. Duplication of surgical site marking. J Patient Saf. 2012;8(4):151-2. doi:10.1097/PTS.0b013e3182699a01. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

7575. Preventing Healthcare-Associated Infections: Results and Lessons Learned from AHRQ's HAI Program. | PSNet
      psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lessons-learned-ahrqs-hai-program
      May 06, 2015 - Special or Theme Issue Preventing Healthcare-Associated Infections: Results and Lessons Learned from AHRQ's HAI Program. Citation Text: Preventing Healthcare-Associated Infections: Results and Lessons Learned from AHRQ's HAI Program. Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Inf…

7576. Effective strategies to increase reporting of medication errors in hospitals. | PSNet
      psnet.ahrq.gov/issue/effective-strategies-increase-reporting-medication-errors-hospitals
      October 19, 2010 - Commentary Effective strategies to increase reporting of medication errors in hospitals. Citation Text: Force MVO, Deering L, Hubbe J, et al. Effective strategies to increase reporting of medication errors in hospitals. J Nurs Adm. 2006;36(1):34-41. Copy Citation Format: …

7577. Detecting adverse events in dermatologic surgery. | PSNet
      psnet.ahrq.gov/issue/detecting-adverse-events-dermatologic-surgery
      June 10, 2013 - Review Detecting adverse events in dermatologic surgery. Citation Text: Pinney D, Pearce DJ, Feldman SR. Detecting adverse events in dermatologic surgery. Dermatol Surg. 2010;36(1):8-14. doi:10.1111/j.1524-4725.2009.01378.x. Copy Citation Format: DOI Google Scholar PubMed…

7578. Sharing the process of diagnostic decision making. | PSNet
      psnet.ahrq.gov/issue/sharing-process-diagnostic-decision-making
      January 19, 2022 - Commentary Sharing the process of diagnostic decision making. Citation Text: Brush JE, Brophy JM. Sharing the Process of Diagnostic Decision Making. JAMA Intern Med. 2017;177(9):1245-1246. doi:10.1001/jamainternmed.2017.1929. Copy Citation Format: DOI Google Scholar PubMed …

7579. Training situational awareness to reduce surgical errors in the operating room. | PSNet
      psnet.ahrq.gov/issue/training-situational-awareness-reduce-surgical-errors-operating-room
      November 21, 2012 - Review Training situational awareness to reduce surgical errors in the operating room. Citation Text: Graafland M, Schraagen JMC, Boermeester MA, et al. Training situational awareness to reduce surgical errors in the operating room. Br J Surg. 2015;102(1):16-23. doi:10.1002/bjs.9643. C…

7580. Use of complex adaptive systems metaphor to achieve professional and organizational change. | PSNet
      psnet.ahrq.gov/issue/use-complex-adaptive-systems-metaphor-achieve-professional-and-organizational-change
      November 11, 2020 - Commentary Use of complex adaptive systems metaphor to achieve professional and organizational change. Citation Text: Rowe A, Hogarth A. Use of complex adaptive systems metaphor to achieve professional and organizational change. J Adv Nurs. 2005;51(4). doi:10.1111/j.1365-2648.2005.0351…