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5021. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33877/psn-pdf
      April 01, 2019 - An internationally recognized patient safety expert, he served as a lead architect for the Communication

5022. In Conversation With… Ann L. Hendrich, RN, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd
      February 26, 2025 - Early on you talked about how some of the tools are too broad and your rates are too high and lead to

5023. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49482/psn-pdf
      May 01, 2005 - increased wall stress from hypertension or valvular abnormalities (bicuspid aortic valve), is presumed to lead

5024. Thin Air | PSNet
      psnet.ahrq.gov/web-mm/thin-air
      March 01, 2006 - In addition, following the lead of the anesthesia machine, developing oxygen analyzer systems for low-pressure

5025. Failure to Latch | PSNet
      psnet.ahrq.gov/web-mm/failure-latch
      November 27, 2012 - The combination of difficulty in sucking, poor weight gain, and painful nursing should lead the pediatrician

5026. Discharged with IV antibiotics: When issues arise, who manages the complications? | PSNet
      psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
      October 10, 2017 - A lead clinician (pharmacist, advanced practice provider, or physician) must take responsibility to actively

5027. Anaesthetic adverse incident reports: an Australian study of 1,231 outcomes. | PSNet
      psnet.ahrq.gov/issue/anaesthetic-adverse-incident-reports-australian-study-1231-outcomes
      August 21, 2013 - Study Anaesthetic adverse incident reports: an Australian study of 1,231 outcomes. Citation Text: Aders A, Aders H. Anaesthetic adverse incident reports: an Australian study of 1,231 outcomes. Anaesth Intensive Care. 2005;33(3):336-44. Copy Citation Format: Google Scholar…

5028. 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 …

5029. Promoting patient safety: one company's example. | PSNet
      psnet.ahrq.gov/issue/promoting-patient-safety-one-companys-example
      April 05, 2017 - Commentary Promoting patient safety: one company's example. Citation Text: Babaie K. Promoting patient safety: one company's example. Case Manager. 2006;17(6):54-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

5030. Origin and uses of primum non nocere—above all, do no harm! | PSNet
      psnet.ahrq.gov/issue/origin-and-uses-primum-non-nocere-above-all-do-no-harm
      January 09, 2019 - Commentary Origin and uses of primum non nocere—above all, do no harm! Citation Text: Smith CM. Origin and uses of primum non nocere--above all, do no harm!. J Clin Pharmacol. 2005;45(4):371-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

5031. An individual-based framework for the study of medical error. | PSNet
      psnet.ahrq.gov/issue/individual-based-framework-study-medical-error
      November 11, 2020 - Commentary An individual-based framework for the study of medical error. Citation Text: Veazie PJ. An individual-based framework for the study of medical error. Int J Qual Health Care. 2006;18(4):314-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…

5032. Nurses' perspective on a serious adverse drug event. | PSNet
      psnet.ahrq.gov/issue/nurses-perspective-serious-adverse-drug-event
      August 29, 2007 - Commentary Nurses' perspective on a serious adverse drug event. Citation Text: Golz B, Fitchett L. Nurses' perspective on a serious adverse drug event. Am J Health Syst Pharm. 1999;56(9):904-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

5033. Computerized physician order entry and medication errors: finding a balance. | PSNet
      psnet.ahrq.gov/issue/computerized-physician-order-entry-and-medication-errors-finding-balance
      March 15, 2006 - Commentary Computerized physician order entry and medication errors: finding a balance. Citation Text: Bates DW. Computerized physician order entry and medication errors: finding a balance. J Biomed Inform. 2005;38(4):259-61. Copy Citation Format: Google Scholar PubMed Bi…

5034. Trauma: when there's no time to count. | PSNet
      psnet.ahrq.gov/issue/trauma-when-theres-no-time-count
      April 20, 2016 - Commentary Trauma: when there's no time to count. Citation Text: Murdock DB. Trauma: When There's No Time to Count. AORN J. 2008;87(2). doi:10.1016/j.aorn.2007.07.008. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

5035. Fall-related injuries in acute care: reducing the risk of harm. | PSNet
      psnet.ahrq.gov/issue/fall-related-injuries-acute-care-reducing-risk-harm
      March 28, 2018 - Review Fall-related injuries in acute care: reducing the risk of harm. Citation Text: Hook ML, Winchel S. Fall-related injuries in acute care: reducing the risk of harm. Medsurg Nurs. 2006;15(6):370-7, 381. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

5036. Resistance to patient safety initiatives. | PSNet
      psnet.ahrq.gov/issue/resistance-patient-safety-initiatives
      November 26, 2014 - Newspaper/Magazine Article Resistance to patient safety initiatives. Citation Text: O'Connor EJ, Fiol M. Resistance to patient safety initiatives. Physician executive. 2005;31(6):64-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…

5037. Improving teamwork in healthcare: current approaches and the path forward. | PSNet
      psnet.ahrq.gov/issue/improving-teamwork-healthcare-current-approaches-and-path-forward
      February 12, 2020 - Commentary Improving teamwork in healthcare: current approaches and the path forward. Citation Text: Thomas EJ. Improving teamwork in healthcare: current approaches and the path forward. BMJ Qual Saf. 2011;20(8):647-50. doi:10.1136/bmjqs-2011-000117. Copy Citation Format: …

5038. Teamwork and the legal and ethical responsibility of the anaesthetist. | PSNet
      psnet.ahrq.gov/issue/teamwork-and-legal-and-ethical-responsibility-anaesthetist
      February 14, 2024 - Review Teamwork and the legal and ethical responsibility of the anaesthetist. Citation Text: Booij LHDJ, van Leeuwen E. Teamwork and the legal and ethical responsibility of the anaesthetist. Curr Opin Anaesthesiol. 2008;21(2):178-82. doi:10.1097/ACO.0b013e3282f5ff87. Copy Citation …

5039. Medication safety: moving from illusion to reality. | PSNet
      psnet.ahrq.gov/issue/medication-safety-moving-illusion-reality
      July 29, 2020 - Commentary Medication safety: moving from illusion to reality. Citation Text: Classen D. Medication safety. JAMA. 2003;289(9):1154-1156. doi:10.1001/jama.289.9.1154. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

5040. Medical device-associated safety and risk: surveillance and stratagems. | PSNet
      psnet.ahrq.gov/issue/medical-device-associated-safety-and-risk-surveillance-and-stratagems
      March 06, 2005 - Commentary Medical device-associated safety and risk: surveillance and stratagems. Citation Text: Small SD. Medical device-associated safety and risk: surveillance and stratagems. JAMA. 2004;291(3):367-70. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …