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2501. Does an insulin double-checking procedure improve patient safety? | PSNet
      psnet.ahrq.gov/issue/does-insulin-double-checking-procedure-improve-patient-safety
      April 24, 2018 - Study Does an insulin double-checking procedure improve patient safety? Citation Text: Modic MB, Albert NM, Sun Z, et al. Does an Insulin Double-Checking Procedure Improve Patient Safety? J Nurs Adm. 2016;46(3):154-60. doi:10.1097/NNA.0000000000000314. Copy Citation Format: …

2502. 10 years in, why time out still matters. | PSNet
      psnet.ahrq.gov/issue/10-years-why-time-out-still-matters
      November 08, 2013 - Commentary 10 years in, why time out still matters. Citation Text: Guglielmi CL, Canacari EG, DuPree ES, et al. 10 years in, why time out still matters. AORN J. 2014;99(6):783-794. doi:10.1016/j.aorn.2014.04.009. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

2503. Role of intraoperative cholangiography in avoiding bile duct injury. | PSNet
      psnet.ahrq.gov/issue/role-intraoperative-cholangiography-avoiding-bile-duct-injury
      December 13, 2023 - Review Role of intraoperative cholangiography in avoiding bile duct injury. Citation Text: Massarweh NN, Flum DR. Role of intraoperative cholangiography in avoiding bile duct injury. J Am Coll Surg. 2007;204(4):656-64. Copy Citation Format: Google Scholar PubMed BibTeX En…

2504. On the prospects for a blame-free medical culture. | PSNet
      psnet.ahrq.gov/issue/prospects-blame-free-medical-culture
      November 16, 2022 - Study On the prospects for a blame-free medical culture. Citation Text: Collins ME, Block SD, Arnold RM, et al. On the prospects for a blame-free medical culture. Soc Sci Med. 2009;69(9):1287-90. doi:10.1016/j.socscimed.2009.08.033. Copy Citation Format: DOI Google Schola…

2505. EMS helicopter crashes: what influences fatal outcome? | PSNet
      psnet.ahrq.gov/issue/ems-helicopter-crashes-what-influences-fatal-outcome
      September 23, 2020 - Study EMS helicopter crashes: what influences fatal outcome? Citation Text: Baker SP, Grabowski JG, Dodd RS, et al. EMS helicopter crashes: what influences fatal outcome? Ann Emerg Med. 2006;47(4):351-356. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

2506. Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations. | PSNet
      psnet.ahrq.gov/issue/suboptimal-prescribing-elderly-outpatients-potentially-harmful-drug-drug-and-drug-disease
      July 29, 2020 - Study Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations. Citation Text: Zhan C, Correa-de-Araujo R, Bierman AS, et al. Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations. J A…

2507. Creating a web-based incident analysis and communication system. | PSNet
      psnet.ahrq.gov/issue/creating-web-based-incident-analysis-and-communication-system
      May 01, 2003 - Study Creating a web-based incident analysis and communication system. Citation Text: Marsal S, Heffner JE. Creating a web-based incident analysis and communication system. J Hosp Med. 2012;7(2):142-7. doi:10.1002/jhm.956. Copy Citation Format: DOI Google Scholar PubMed B…

2508. Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up. | PSNet
      psnet.ahrq.gov/issue/mid-staffs-scandal-10-years-inquiry-chair-worries-nhs-staff-too-scared-speak
      December 18, 2019 - Newspaper/Magazine Article Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up. Citation Text: Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up. Lintern S. The Independent. January 15, 2020. Copy Citation …

2509. Reversing the rise in maternal mortality. | PSNet
      psnet.ahrq.gov/issue/reversing-rise-maternal-mortality
      January 18, 2017 - Commentary Reversing the rise in maternal mortality. Citation Text: Kozhimannil KB. Reversing The Rise In Maternal Mortality. Health Aff (Millwood). 2018;37(11):1901-1904. doi:10.1377/hlthaff.2018.1013. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

2510. Diagnostic error as a result of drug-laboratory test interactions. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-result-drug-laboratory-test-interactions
      November 21, 2018 - Review Diagnostic error as a result of drug-laboratory test interactions. Citation Text: van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Diagnostic error as a result of drug-laboratory test interactions. Diagnosis (Berl). 2019;6(1):69-71. doi:10.1515/dx-2018-0098. Copy Ci…

2511. 'Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events. | PSNet
      psnet.ahrq.gov/issue/skating-thin-ice-consultant-surgeons-contemporary-experience-adverse-surgical-events
      April 17, 2024 - Study 'Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events. Citation Text: Skevington SM, Langdon JE, Giddins G. ‘Skating on thin ice?’ Consultant surgeon's contemporary experience of adverse surgical events. Psychol Health Med. 2011;17(1). doi…

2512. Voluntarily reported emergency department errors. | PSNet
      psnet.ahrq.gov/issue/voluntarily-reported-emergency-department-errors
      June 20, 2011 - Study Voluntarily reported emergency department errors. Citation Text: Henneman PL, Blank FSJ, Smithline HA, et al. Voluntarily Reported Emergency Department Errors. J Patient Saf. 2008;1(3):126-132. doi:10.1097/01.jps.0000175694.39559.12. Copy Citation Format: DOI Google…

2513. What went right: lessons for the intensivist from the crew of US Airways Flight 1549. | PSNet
      psnet.ahrq.gov/issue/what-went-right-lessons-intensivist-crew-us-airways-flight-1549
      February 23, 2009 - Commentary What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Citation Text: Eisen LA, Savel RH. What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Chest. 2009;136(3):910-917. doi:10.1378/chest.09-0377. Copy Citation…

2514. Cardiac surgical ICU care: eliminating "preventable" complications. | PSNet
      psnet.ahrq.gov/issue/cardiac-surgical-icu-care-eliminating-preventable-complications
      August 04, 2021 - Review Cardiac surgical ICU care: eliminating "preventable" complications. Citation Text: Shake JG, Pronovost P, Whitman GJR. Cardiac surgical ICU care: eliminating "preventable" complications. J Card Surg. 2013;28(4):406-13. doi:10.1111/jocs.12124. Copy Citation Format: D…

2515. A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. | PSNet
      psnet.ahrq.gov/issue/trigger-tool-fails-identify-serious-errors-and-adverse-events-pediatric-otolaryngology
      May 06, 2009 - Study A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. Citation Text: Lander L, Roberson DW, Plummer KM, et al. A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. Otolaryngol Head Neck Surg. 201…

2516. Potentially inappropriate medications and adverse drug effects in elders in the ED. | PSNet
      psnet.ahrq.gov/issue/potentially-inappropriate-medications-and-adverse-drug-effects-elders-ed
      December 23, 2020 - Study Potentially inappropriate medications and adverse drug effects in elders in the ED. Citation Text: Nixdorff N, Hustey FM, Brady AK, et al. Potentially inappropriate medications and adverse drug effects in elders in the ED. Am J Emerg Med. 2008;26(6):697-700. doi:10.1016/j.ajem.20…

2517. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. | PSNet
      psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events-hospitalized-older-adults
      June 27, 2012 - Commentary Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Citation Text: Thornlow D, Anderson RA, Oddone E. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Int J Nurs Stud…

2518. How to develop a second victim support program: a toolkit for health care organizations. | PSNet
      psnet.ahrq.gov/issue/how-develop-second-victim-support-program-toolkit-health-care-organizations
      April 03, 2019 - Commentary How to develop a second victim support program: a toolkit for health care organizations. Citation Text: Pratt SD, Kenney L, Scott SD, et al. How to develop a second victim support program: a toolkit for health care organizations. Jt Comm J Qual Patient Saf. 2012;38(5):235-40, …

2519. Mandatory reporting of impaired medical practitioners: protecting patients, supporting practitioners. | PSNet
      psnet.ahrq.gov/issue/mandatory-reporting-impaired-medical-practitioners-protecting-patients-supporting
      September 01, 2016 - Commentary Mandatory reporting of impaired medical practitioners: protecting patients, supporting practitioners. Citation Text: Bismark MM, Morris JM, Clarke C. Mandatory reporting of impaired medical practitioners: protecting patients, supporting practitioners. Intern Med J. 2014;44(12a…

2520. Factors associated with disclosure of medical errors by housestaff. | PSNet
      psnet.ahrq.gov/issue/factors-associated-disclosure-medical-errors-housestaff
      January 27, 2019 - Study Factors associated with disclosure of medical errors by housestaff. Citation Text: Kronman AC, Paasche-Orlow MK, Orlander JD. Factors associated with disclosure of medical errors by housestaff. BMJ Qual Saf. 2011;21(4). doi:10.1136/bmjqs-2011-000084. Copy Citation Format: …