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8781. FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters. | PSNet
      psnet.ahrq.gov/issue/fda-and-ismp-lists-look-alike-drug-names-recommended-tall-man-letters
      November 16, 2022 - Fact Sheet/FAQs FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters. Citation Text: FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters. Food and Drug Administration and Institute for Safe Medication Practices. Plymouth Meeting, PA; Ins…

8782. The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? | PSNet
      psnet.ahrq.gov/issue/emperors-new-clothes-or-whatever-happened-human-error
      March 27, 2005 - Meeting/Conference Proceedings The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Citation Text: The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Hollnagel E, Amalberti R. Chapter In: Dekker SWA, ed.  Proceedings of the 4th International Workshop…

8783. Costly issues of an uncommunicative OR. | PSNet
      psnet.ahrq.gov/issue/costly-issues-uncommunicative-or
      July 29, 2020 - Newspaper/Magazine Article Costly issues of an uncommunicative OR. Citation Text: Neil R. Costly issues of an uncommunicative OR. Materials management in health care. 2006;15(3):30-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

8784. Patient reports of undesirable events during hospitalization. | PSNet
      psnet.ahrq.gov/issue/patient-reports-undesirable-events-during-hospitalization
      March 28, 2011 - Study Patient reports of undesirable events during hospitalization. Citation Text: Agoritsas T, Bovier PA, Perneger T. Patient reports of undesirable events during hospitalization. J Gen Intern Med. 2005;20(10):922-8. Copy Citation Format: Google Scholar PubMed BibTeX End…

8785. Physicians with multiple patient complaints: ending our silence. | PSNet
      psnet.ahrq.gov/issue/physicians-multiple-patient-complaints-ending-our-silence
      June 01, 2004 - Commentary Physicians with multiple patient complaints: ending our silence. Citation Text: Gallagher TH, Levinson W. Physicians with multiple patient complaints: ending our silence. BMJ Qual Saf. 2013;22(7):521-4. doi:10.1136/bmjqs-2013-001880. Copy Citation Format: DOI G…

8786. The SBAR communication technique: teaching nursing students professional communication skills. | PSNet
      psnet.ahrq.gov/issue/sbar-communication-technique-teaching-nursing-students-professional-communication-skills
      June 22, 2022 - Commentary The SBAR communication technique: teaching nursing students professional communication skills. Citation Text: Thomas CM, Bertram E, Johnson D. The SBAR communication technique: teaching nursing students professional communication skills. Nurse Educ. 2009;34(4):176-80. doi:10.…

8787. ACOG Committee Opinion #681: disclosure and discussion of adverse events. | PSNet
      psnet.ahrq.gov/issue/acog-committee-opinion-681-disclosure-and-discussion-adverse-events
      May 22, 2019 - Commentary ACOG Committee Opinion #681: disclosure and discussion of adverse events. Citation Text: Improvement C on PS and Q. Committee Opinion No. 681: Disclosure and Discussion of Adverse Events. Obstet Gynecol. 2016;128(6):e257-e261. Copy Citation Format: Google Scholar…

8788. Identifying medication errors in surgical prescription charts. | PSNet
      psnet.ahrq.gov/issue/identifying-medication-errors-surgical-prescription-charts
      April 17, 2024 - Study Identifying medication errors in surgical prescription charts. Citation Text: Simons J. Identifying medication errors in surgical prescription charts. Paediatr Nurs. 2010;22(5):20-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

8789. The science and economics of improving clinical communication. | PSNet
      psnet.ahrq.gov/issue/science-and-economics-improving-clinical-communication
      November 18, 2015 - Commentary The science and economics of improving clinical communication. Citation Text: O'Byrne WT, Weavind L, Selby J. The science and economics of improving clinical communication. Anesthesiol Clin. 2008;26(4):729-44, vii. doi:10.1016/j.anclin.2008.07.010. Copy Citation Format…

8790. Ambiguous abbreviations: an audit of abbreviations in paediatric note keeping. | PSNet
      psnet.ahrq.gov/issue/ambiguous-abbreviations-audit-abbreviations-paediatric-note-keeping
      November 16, 2022 - Study Ambiguous abbreviations: an audit of abbreviations in paediatric note keeping. Citation Text: Sheppard JE, Weidner LCE, Zakai S, et al. Ambiguous abbreviations: an audit of abbreviations in paediatric note keeping. Arch Dis Child. 2008;93(3):204-6. Copy Citation Format: …

8791. A national safety board made transportation safer and could do the same for health care, advocates say. | PSNet
      psnet.ahrq.gov/issue/national-safety-board-made-transportation-safer-and-could-do-same-health-care-advocates-say
      August 09, 2023 - Newspaper/Magazine Article A national safety board made transportation safer and could do the same for health care, advocates say. Citation Text: A national safety board made transportation safer and could do the same for health care, advocates say. Jaklevic MC. CNN. May 30, 2023. Co…

8792. The path to safe and reliable healthcare. | PSNet
      psnet.ahrq.gov/issue/path-safe-and-reliable-healthcare
      August 20, 2018 - Commentary The path to safe and reliable healthcare. Citation Text: Leonard MW, Frankel A. The path to safe and reliable healthcare. Patient Educ Couns. 2010;80(3). doi:10.1016/j.pec.2010.07.001. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…

8793. The enterprise take on patient safety. | PSNet
      psnet.ahrq.gov/issue/enterprise-take-patient-safety
      December 21, 2009 - Newspaper/Magazine Article The enterprise take on patient safety. Citation Text: Rogoski RR. The enterprise take on patient safety. Health management technology. 2005;26(8):12, 14, 16-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

8794. 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…

8795. Common formats allow uniform collection and reporting of patient safety data by patient safety organizations. | PSNet
      psnet.ahrq.gov/issue/common-formats-allow-uniform-collection-and-reporting-patient-safety-data-patient-safety
      May 20, 2009 - Commentary Common formats allow uniform collection and reporting of patient safety data by patient safety organizations. Citation Text: Clancy CM. Common Formats Allow Uniform Collection and Reporting of Patient Safety Data by Patient Safety Organizations. Am J Med Qual. 2009;25(1):73-…

8796. Using preprinted medication order forms to improve the safety of investigational drug use. | PSNet
      psnet.ahrq.gov/issue/using-preprinted-medication-order-forms-improve-safety-investigational-drug-use
      April 24, 2024 - Commentary Using preprinted medication order forms to improve the safety of investigational drug use. Citation Text: Tamer H, Shehab N. Using preprinted medication order forms to improve the safety of investigational drug use. Am J Health Syst Pharm. 2006;63(11):1022, 1025-1026, 1028. …

8797. Tubing misconnections: normalization of deviance. | PSNet
      psnet.ahrq.gov/issue/tubing-misconnections-normalization-deviance
      December 16, 2015 - Review Tubing misconnections: normalization of deviance. Citation Text: Simmons D, Symes L, Guenter P, et al. Tubing misconnections: normalization of deviance. Nutr Clin Pract. 2011;26(3):286-293. doi:10.1177/0884533611406134. Copy Citation Format: DOI Google Scholar PubM…

8798. Trends in adverse events over time: why are we not improving? | PSNet
      psnet.ahrq.gov/issue/trends-adverse-events-over-time-why-are-we-not-improving
      October 02, 2019 - Commentary Trends in adverse events over time: why are we not improving? Citation Text: Shojania KG, Thomas EJ. Trends in adverse events over time: why are we not improving? BMJ Qual Saf. 2013;22(4):273-7. doi:10.1136/bmjqs-2013-001935. Copy Citation Format: DOI Google Sc…

8799. FDA Guidance Document: Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment. | PSNet
      psnet.ahrq.gov/issue/fda-guidance-document-hospital-bed-system-dimensional-and-assessment-guidance-reduce
      July 01, 2009 - Organizational Policy/Guidelines FDA Guidance Document: Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment. Citation Text: FDA Guidance Document: Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment. Rockville MD: Center for Devices a…

8800. Building social capital in healthcare organizations: thinking ecologically for safer care. | PSNet
      psnet.ahrq.gov/issue/building-social-capital-healthcare-organizations-thinking-ecologically-safer-care
      June 23, 2009 - Commentary Building social capital in healthcare organizations: thinking ecologically for safer care. Citation Text: Hofmeyer A, Marck PB. Building social capital in healthcare organizations: thinking ecologically for safer care. Nurs Outlook. 2008;56(4):145-151.e2. doi:10.1016/j.outlo…