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1581. Teamwork and total quality management: a durable partnership. | PSNet
      psnet.ahrq.gov/issue/teamwork-and-total-quality-management-durable-partnership
      September 11, 2019 - Commentary Teamwork and total quality management: a durable partnership. Citation Text: Cooney R, Sohal A. Teamwork and Total Quality Management: A Durable Partnership. Total Quality Management & Business Excellence. 2004;15(8). doi:10.1080/1478336042000255442. Copy Citation Form…

1582. Playing it safe: simulated team training in the OR. | PSNet
      psnet.ahrq.gov/issue/playing-it-safe-simulated-team-training-or
      July 22, 2020 - Commentary Playing it safe: simulated team training in the OR. Citation Text: Anderson M, Leflore J. Playing it safe: simulated team training in the OR. AORN J. 2008;87(4):772-9. doi:10.1016/j.aorn.2007.12.027. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

1583. Developing a culture of collaboration in the operating room: more than effective communication. | PSNet
      psnet.ahrq.gov/issue/developing-culture-collaboration-operating-room-more-effective-communication
      June 27, 2018 - Review Developing a culture of collaboration in the operating room: more than effective communication. Citation Text: Wade P. Developing a culture of collaboration in the operating room: more than effective communication. ORNAC J. 2014;32(4):16-20, 22-3, 32-8. Copy Citation Format:…

1584. Use of cellular telephones in the hospital environment. | PSNet
      psnet.ahrq.gov/issue/use-cellular-telephones-hospital-environment
      November 26, 2014 - Study Use of cellular telephones in the hospital environment. Citation Text: Tri JL, Severson RP, Hyberger LK, et al. Use of cellular telephones in the hospital environment. Mayo Clin Proc. 2007;82(3):282-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

1585. Reporting adverse events in a war zone. | PSNet
      psnet.ahrq.gov/issue/reporting-adverse-events-war-zone
      February 01, 2023 - Commentary Reporting adverse events in a war zone. Citation Text: Arie S. Reporting adverse events in a war zone. BMJ. 2018;361:k2286. doi:10.1136/bmj.k2286. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS D…

1586. Safety culture in Indian hospitals: a cultural adaptation of the Safety Attitudes Questionnaire. | PSNet
      psnet.ahrq.gov/issue/safety-culture-indian-hospitals-cultural-adaptation-safety-attitudes-questionnaire
      July 29, 2020 - Study Safety culture in Indian hospitals: a cultural adaptation of the Safety Attitudes Questionnaire. Citation Text: Patel S, Wu AW. Safety Culture in Indian Hospitals: A Cultural Adaptation of the Safety Attitudes Questionnaire. J Patient Saf. 2016;12(2):75-81. doi:10.1097/PTS.00000000…

1587. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-455
      September 25, 2024 - September 11, 2024 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, repo…

1588. Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention | PSNet
      psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
      May 01, 2011 - Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention Citation Text: Nelson SD. Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Cop…

1589. Too Much, Too Fast | PSNet
      psnet.ahrq.gov/web-mm/too-much-too-fast
      June 14, 2019 - Too Much, Too Fast Citation Text: Tuot D. Too Much, Too Fast. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

1590. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49490/psn-pdf
      September 01, 2005 - The Wrong Channel September 1, 2005 Gosbee JW. The Wrong Channel . PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/wrong-channel The Case A 28-year-old woman in labor began receiving treatment with magnesium sulfate for preeclampsia. Initial dosing started at 50 mL/hour using a multi-channel medication pump…

1591. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.296_slideshow.ppt
      April 01, 2013 - Spotlight Case July 2008 Spotlight Case Total Parenteral Nutrition, Multifarious Errors * * Source and Credits This presentation is based on the April 2013 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Joseph I. Boullata, PharmD, RPh, BCNSP…

1592. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852699/psn-pdf
      August 30, 2023 - Beyond the Pandemic: Creating Total Systems Safety August 30, 2023 Van CM, Mossburg S, McGaffigan P. Beyond the Pandemic: Creating Total Systems Safety. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety The COVID-19 pandemic necessitated a shift in operations …

1593. Think Like a Surgeon | PSNet
      psnet.ahrq.gov/web-mm/think-surgeon
      December 04, 2024 - Think Like a Surgeon Citation Text: Cooper Z. Think Like a Surgeon. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

1594. How Does Infection Prevention Fit Into a Safety Program? | PSNet
      psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
      March 01, 2014 - How Does Infection Prevention Fit Into a Safety Program? Susan S. Huang, MD, MPH | March 1, 2014  Also Read a Conversation View more articles from the same authors. Citation Text: Huang SS. How Does Infection Prevention Fit Into a Safety Program?. PSNet [interne…

1595. Apology in medical practice: an emerging clinical skill. | PSNet
      psnet.ahrq.gov/issue/apology-medical-practice-emerging-clinical-skill
      October 25, 2006 - Commentary Apology in medical practice: an emerging clinical skill. Citation Text: Lazare A. Apology in medical practice: an emerging clinical skill. JAMA. 2006;296(11):1401-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

1596. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49398/psn-pdf
      May 01, 2003 - Bloody BP Cuff May 1, 2003 Madan AK. Bloody BP Cuff. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/bloody-bp-cuff The Case Patient #1, a 28-year-old male, was a trauma patient following a motor vehicle collision into a cement pillar. Patient #1 was in the trauma bay with massive injuries and profuse bleed…

1597. A fatal case of iatrogenic hypercalcemia after calcium channel blocker overdose. | PSNet
      psnet.ahrq.gov/issue/fatal-case-iatrogenic-hypercalcemia-after-calcium-channel-blocker-overdose
      October 26, 2022 - Commentary A fatal case of iatrogenic hypercalcemia after calcium channel blocker overdose. Citation Text: Sim MT, Stevenson FT. A fatal case of iatrogenic hypercalcemia after calcium channel blocker overdose. J Med Toxicol. 2008;4(1):25-9. Copy Citation Format: Google Scho…

1598. The relationships among clinician delay of diagnosis of breast cancer and tumor size, nodal status, and stage. | PSNet
      psnet.ahrq.gov/issue/relationships-among-clinician-delay-diagnosis-breast-cancer-and-tumor-size-nodal-status-and
      March 08, 2017 - Study The relationships among clinician delay of diagnosis of breast cancer and tumor size, nodal status, and stage. Citation Text: Hardin C, Pommier S, Pommier RF. The relationships among clinician delay of diagnosis of breast cancer and tumor size, nodal status, and stage. Am J Surg.…

1599. Bloody BP Cuff | PSNet
      psnet.ahrq.gov/web-mm/bloody-bp-cuff
      June 21, 2016 - Bloody BP Cuff Citation Text: Madan AK. Bloody BP Cuff. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

1600. Adverse Event During Intrahospital Transport | PSNet
      psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
      June 16, 2021 - Adverse Event During Intrahospital Transport Citation Text: Bergman L, Chaboyer W. Adverse Event During Intrahospital Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar …