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4981. In Conversation With... Charles A Crecelius, MD, PhD, CMD and Lori L Popejoy, PhD, RN, FAAN | PSNet
      psnet.ahrq.gov/perspective/conversation-charles-crecelius-md-phd-cmd-and-lori-l-popejoy-phd-rn-faan
      October 28, 2020 - LP : This actually leads on nicely from what we were just talking about.

4982. Long-Term Care and the Response to COVID-19 | PSNet
      psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
      October 28, 2020 - LP : This actually leads on nicely from what we were just talking about.

4983. 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…

4984. 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…

4985. 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…

4986. 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…

4987. 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: …

4988. 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 …

4989. A salutary tale of mistaken identity in testicular cancer. | PSNet
      psnet.ahrq.gov/issue/salutary-tale-mistaken-identity-testicular-cancer
      June 01, 2022 - Study A salutary tale of mistaken identity in testicular cancer. Citation Text: Waterston A, Seywright M, White J. A salutary tale of mistaken identity in testicular cancer. Urol Oncol. 2006;24(5):407-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

4990. 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 …

4991. A process for analysis of sentinel events due to health care–associated infection. | PSNet
      psnet.ahrq.gov/issue/process-analysis-sentinel-events-due-health-care-associated-infection
      January 22, 2014 - Commentary A process for analysis of sentinel events due to health care–associated infection. Citation Text: Carrico R, Ramírez J. A process for analysis of sentinel events due to health care-associated infection. Am J Infect Control. 2007;35(8):501-7. Copy Citation Format: …

4992. Evaluating service delivery interventions to enhance patient safety. | PSNet
      psnet.ahrq.gov/issue/evaluating-service-delivery-interventions-enhance-patient-safety
      June 18, 2008 - Study Evaluating service delivery interventions to enhance patient safety. Citation Text: Brown C, Lilford RJ. Evaluating service delivery interventions to enhance patient safety. BMJ. 2008;337:a2764. doi:10.1136/bmj.a2764. Copy Citation Format: DOI Google Scholar PubMed …

4993. Managing risk: systems approach versus personal responsibility for hospital incidents. | PSNet
      psnet.ahrq.gov/issue/managing-risk-systems-approach-versus-personal-responsibility-hospital-incidents
      November 25, 2015 - Commentary Managing risk: systems approach versus personal responsibility for hospital incidents. Citation Text: Steiner JL. Managing risk: systems approach versus personal responsibility for hospital incidents. J Am Acad Psychiatry Law. 2006;34(1):96-8. Copy Citation Format: …

4994. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-466
      December 18, 2024 - December 4, 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, report…

4995. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-434
      April 10, 2024 - April 3, 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, reports, …

4996. Transfusion "Slip" | PSNet
      psnet.ahrq.gov/web-mm/transfusion-slip
      June 14, 2011 - Transfusion "Slip" Citation Text: Kaplan HS. Transfusion "Slip". PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

4997. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49665/psn-pdf
      September 01, 2012 - Undetected Foreign Object September 1, 2012 Cima RR. Undetected Foreign Object. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/undetected-foreign-object The Case A 75-year-old man with a past medical history of end-stage renal disease (on hemodialysis), hypertension, and diabetes was found to have obstruct…

4998. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49417/psn-pdf
      October 01, 2003 - Logo Lost in the Black Hole October 1, 2003 Wachter R. Lost in the Black Hole. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/lost-black-hole The Case A 38-year-old married, monogamous female came to the emergency department with aseptic meningitis. She had a remote history of gonorrhea, no environmental …

4999. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49495/psn-pdf
      December 01, 2005 - Low on the Totem Pole December 1, 2005 Wachter R. Low on the Totem Pole. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/low-totem-pole Case Objectives Understand the concept of authority gradient List steps that can be taken to increase communication across an authority gradient Consider the current cultu…

5000. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33618/psn-pdf
      September 01, 2005 - Playing Well with Others: "Translocational Research" in Patient Safety September 1, 2005 Wachter R. Playing Well with Others: "Translocational Research" in Patient Safety. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety Perspective Translation…