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9921. Listen carefully: the risk of error in spoken medication orders. | PSNet
      psnet.ahrq.gov/issue/listen-carefully-risk-error-spoken-medication-orders
      November 16, 2022 - Study Listen carefully: the risk of error in spoken medication orders. Citation Text: Lambert BL, Dickey LW, Fisher WM, et al. Listen carefully: the risk of error in spoken medication orders. Soc Sci Med. 2010;70(10):1599-608. doi:10.1016/j.socscimed.2010.01.042. Copy Citation Fo…

9922. A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/system-factors-analysis-line-tube-and-drain-incidents-intensive-care-unit
      December 15, 2011 - Study A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. Citation Text: Needham DM, Sinopoli DJ, Thompson DA, et al. A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. Crit Care Med. 2005;33(8):1701-1707. …

9923. Adoption of technology to improve medication safety: perspectives of pharmacy directors. | PSNet
      psnet.ahrq.gov/issue/adoption-technology-improve-medication-safety-perspectives-pharmacy-directors
      February 15, 2011 - Study Adoption of technology to improve medication safety: perspectives of pharmacy directors. Citation Text: Bussard BE, McAlearney AS, Pedersen CA, et al. Adoption of Technology to Improve Medication Safety. J Patient Saf. 2008;2(4). doi:10.1097/01.jps.0000236914.48955.99. Copy Cit…

9924. Removing the "me" from "MD." | PSNet
      psnet.ahrq.gov/issue/removing-me-md
      July 18, 2016 - Commentary Removing the "me" from "MD." Citation Text: Parikh RB. Removing the “Me” From “MD”. JAMA. 2013;310(18). doi:10.1001/jama.2013.280722. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Ci…

9925. Mock trial at 2009 RSNA annual meeting: jury exonerates radiologist for failure to communicate abnormal finding—but... | PSNet
      psnet.ahrq.gov/issue/mock-trial-2009-rsna-annual-meeting-jury-exonerates-radiologist-failure-communicate-abnormal
      October 23, 2018 - Commentary Mock trial at 2009 RSNA annual meeting: jury exonerates radiologist for failure to communicate abnormal finding—but... Citation Text: Berlin L. Mock trial at 2009 RSNA annual meeting: Jury exonerates radiologist for failure to communicate abnormal finding--but.. Radiology. 20…

9926. Cost of hospital-wide activities to improve patient safety and infection control: a multi-centre study in Japan. | PSNet
      psnet.ahrq.gov/issue/cost-hospital-wide-activities-improve-patient-safety-and-infection-control-multi-centre-study
      January 15, 2009 - Study Cost of hospital-wide activities to improve patient safety and infection control: a multi-centre study in Japan. Citation Text: Fukuda H, Imanaka Y, Hayashida K. Cost of hospital-wide activities to improve patient safety and infection control: a multi-centre study in Japan. Healt…

9927. Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. | PSNet
      psnet.ahrq.gov/issue/respectful-trusting-relationships-are-essential-patient-safety-especially-surgeon
      December 08, 2024 - Meeting/Conference Proceedings Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. Citation Text: Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. Cooper J. An…

9928. Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. | PSNet
      psnet.ahrq.gov/issue/medication-mix-what-happened-vanderbilt-and-how-it-impacts-health-care-providers
      March 18, 2020 - Commentary Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. Citation Text: Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. Michel C, Talley C. J Health Life Sci Law. 2022;17(1):71 Copy Citation …

9929. A medical error leads to tragedy: how do we inform the patient? | PSNet
      psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient
      April 08, 2018 - Commentary A medical error leads to tragedy: how do we inform the patient? Citation Text: Baumrucker SJ. A medical error leads to tragedy: how do we inform the patient? Am J Hosp Palliat Care. 2006;23(5):417-21. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

9930. Patient misidentification in oncology care. | PSNet
      psnet.ahrq.gov/issue/patient-misidentification-oncology-care
      March 22, 2006 - Commentary Patient misidentification in oncology care. Citation Text: Patient misidentification in oncology care. Schulmeister L. Clin J Oncol Nurs. 2008;12:495-498. Copy Citation Save Save to your library Print Download PDF Share Faceb…

9931. Long-term solution to malpractice crises: reduce harm to patients. | PSNet
      psnet.ahrq.gov/issue/long-term-solution-malpractice-crises-reduce-harm-patients
      September 12, 2018 - Commentary Long-term solution to malpractice crises: reduce harm to patients. Citation Text: Schoenbaum S, Segel K. Long-term solution to malpractice crises: reduce harm to patients. Physician Exec. 2006;32(2):26-9, 31. Copy Citation Format: Google Scholar PubMed BibTeX E…

9932. Renewal of surgical quality and safety initiatives: a multispecialty challenge. | PSNet
      psnet.ahrq.gov/issue/renewal-surgical-quality-and-safety-initiatives-multispecialty-challenge
      March 03, 2011 - Commentary Renewal of surgical quality and safety initiatives: a multispecialty challenge. Citation Text: Polk HC. Renewal of surgical quality and safety initiatives: a multispecialty challenge. Mayo Clin Proc. 2006;81(3):345-52. Copy Citation Format: Google Scholar PubMe…

9933. How a series of errors led to recurrent hypoglycemia. | PSNet
      psnet.ahrq.gov/issue/how-series-errors-led-recurrent-hypoglycemia
      April 23, 2014 - Commentary How a series of errors led to recurrent hypoglycemia. Citation Text: Singh R. How a series of errors led to recurrent hypoglycemia. J Fam Pract. 2006;55(6):489-97. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

9934. Implementing an MET-based RRS at Toronto General Hospital. | PSNet
      psnet.ahrq.gov/issue/implementing-met-based-rrs-toronto-general-hospital
      January 11, 2017 - Commentary Implementing an MET-based RRS at Toronto General Hospital. Citation Text: Warner MB, Reynolds SF. Implementing an MET-based RRS at Toronto General Hospital. Jt Comm J Qual Patient Saf. 2008;34(1):57-9, 1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote…

9935. Patient safety: latent risk factors. | PSNet
      psnet.ahrq.gov/issue/patient-safety-latent-risk-factors
      March 28, 2011 - Review Patient safety: latent risk factors. Citation Text: van Beuzekom M, Boer F, Akerboom S, et al. Patient safety: latent risk factors. Br J Anaesth. 2010;105(1):52-9. doi:10.1093/bja/aeq135. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

9936. Why patient safety is such a tough nut to crack. | PSNet
      psnet.ahrq.gov/issue/why-patient-safety-such-tough-nut-crack
      May 03, 2023 - Commentary Why patient safety is such a tough nut to crack. Citation Text: Leistikow IP, Kalkman CJ, de Bruijn H. Why patient safety is such a tough nut to crack. BMJ. 2011;342:d3447. doi:10.1136/bmj.d3447. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

9937. Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative. | PSNet
      psnet.ahrq.gov/issue/eliminating-cauti-interim-data-report-national-patient-safety-imperative
      August 01, 2012 - Government Resource Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative. Citation Text: Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative. Rockville, MD: Agency for Healthcare Research and Quality; July 2013. AHRQ Publication No. 13…

9938. Special report: COVID deepens the other opioid crisis - a shortage of hospital painkillers. | PSNet
      psnet.ahrq.gov/issue/special-report-covid-deepens-other-opioid-crisis-shortage-hospital-painkillers
      March 31, 2021 - Newspaper/Magazine Article Special report: COVID deepens the other opioid crisis - a shortage of hospital painkillers. Citation Text: Girion L, Levine D, Respaut R. Special report: COVID deepens the other opioid crisis - a shortage of hospital painkillers. Reuters. 2020;June 9. Copy Ci…

9939. A piece of my mind. Changing the narrative. | PSNet
      psnet.ahrq.gov/issue/piece-my-mind-changing-narrative
      December 13, 2023 - Commentary A piece of my mind. Changing the narrative. Citation Text: Allen-Dicker J. Changing the Narrative. JAMA. 2016;316(3). doi:10.1001/jama.2016.3029. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Do…

9940. Sleep, science, and policy change. | PSNet
      psnet.ahrq.gov/issue/sleep-science-and-policy-change
      September 21, 2022 - Commentary Sleep, science, and policy change. Citation Text: Wylie D. Sleep, science, and policy change. N Engl J Med. 2005;352(2):196-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citatio…