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8601. Practice Advisory on Intraoperative Awareness and Brain Function Monitoring. | PSNet
      psnet.ahrq.gov/issue/practice-advisory-intraoperative-awareness-and-brain-function-monitoring
      July 16, 2018 - Review Practice Advisory on Intraoperative Awareness and Brain Function Monitoring. Citation Text: Awareness AS of ATF on I. Practice advisory for intraoperative awareness and brain function monitoring: a report by the american society of anesthesiologists task force on intraoperative …

8602. Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. | PSNet
      psnet.ahrq.gov/issue/using-orgahead-computational-modeling-program-improve-patient-care-unit-safety-and-quality
      June 22, 2011 - Commentary Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. Citation Text: Effken JA, Brewer BB, Patil A, et al. Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. Int J …

8603. I-CaRe: a case review tool focused on improving inpatient care. | PSNet
      psnet.ahrq.gov/issue/i-care-case-review-tool-focused-improving-inpatient-care
      February 18, 2011 - Commentary I-CaRe: a case review tool focused on improving inpatient care. Citation Text: Lee JH, Vidyarthi A, Sehgal NL, et al. I-CaRe: a case review tool focused on improving inpatient care. Jt Comm J Qual Patient Saf. 2009;35(2):115-119, 61. Copy Citation Format: Googl…

8604. Medication orders with future start dates: how far away is too far? | PSNet
      psnet.ahrq.gov/issue/medication-orders-future-start-dates-how-far-away-too-far
      March 15, 2022 - Newspaper/Magazine Article Medication orders with future start dates: how far away is too far? Citation Text: Medication orders with future start dates: how far away is too far? ISMP Medication Safety Alert! Acute care edition. July 14, 2022:27(14):1-4. Copy Citation Sa…

8605. Pharmacist and prescriber responsibilities for avoiding prescription drug misuse. | PSNet
      psnet.ahrq.gov/issue/pharmacist-and-prescriber-responsibilities-avoiding-prescription-drug-misuse
      October 13, 2018 - Commentary Pharmacist and prescriber responsibilities for avoiding prescription drug misuse. Citation Text: Pharmacist and prescriber responsibilities for avoiding prescription drug misuse. AMA J Ethics. 2021;23(6):E471-479. doi:10.1001/amajethics.2021.471. Copy Citation Format: …

8606. Patient safety in the pediatric emergency care setting. | PSNet
      psnet.ahrq.gov/issue/patient-safety-pediatric-emergency-care-setting
      March 14, 2018 - Organizational Policy/Guidelines Patient safety in the pediatric emergency care setting. Citation Text: Medicine AMERICANACADEMYOFPEDIATRICSC on PE, Krug SE, Frush K. Patient safety in the pediatric emergency care setting. Pediatrics. 2007;120(6):1367-1375. Copy Citation Format: …

8607. The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process.  | PSNet
      psnet.ahrq.gov/issue/hospital-discharge-review-high-risk-care-transition-highlights-reengineered-discharge-process
      December 16, 2014 - Study The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process.  Citation Text: Greenwald JL, Denham CR, Jack BW. The Hospital Discharge. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000236916.94696.12. Copy Citation For…

8608. The effects of on-screen, point of care computer reminders on processes and outcomes of care. | PSNet
      psnet.ahrq.gov/issue/effects-screen-point-care-computer-reminders-processes-and-outcomes-care
      September 20, 2011 - Review The effects of on-screen, point of care computer reminders on processes and outcomes of care. Citation Text: Shojania KG, Jennings A, Mayhew A, et al. The effects of on-screen, point of care computer reminders on processes and outcomes of care. Cochrane Database Syst Rev. 2009;(3…

8609. System approach to prevent common bile duct injury and enhance performance of laparoscopic cholecystectomy. | PSNet
      psnet.ahrq.gov/issue/system-approach-prevent-common-bile-duct-injury-and-enhance-performance-laparoscopic
      March 09, 2009 - Commentary System approach to prevent common bile duct injury and enhance performance of laparoscopic cholecystectomy. Citation Text: Lien H-H, Huang C-C, Liu J-S, et al. System approach to prevent common bile duct injury and enhance performance of laparoscopic cholecystectomy. Surg La…

8610. Unintended errors with EHR-based result management: a case series. | PSNet
      psnet.ahrq.gov/issue/unintended-errors-ehr-based-result-management-case-series
      April 29, 2018 - Commentary Unintended errors with EHR-based result management: a case series. Citation Text: Yackel TR, Embi P. Unintended errors with EHR-based result management: a case series. J Am Med Inform Assoc. 2010;17(1):104-7. doi:10.1197/jamia.M3294. Copy Citation Format: DOI G…

8611. Preventing unintended retained foreign objects. | PSNet
      psnet.ahrq.gov/issue/preventing-unintended-retained-foreign-objects
      January 25, 2023 - Sentinel Event Alerts Preventing unintended retained foreign objects. Citation Text: Preventing unintended retained foreign objects. Sentinel event alert. 2013;(51):1-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

8612. Working conditions that support patient safety. | PSNet
      psnet.ahrq.gov/issue/working-conditions-support-patient-safety
      June 23, 2009 - Commentary Working conditions that support patient safety. Citation Text: Hughes RG, Clancy CM. Working conditions that support patient safety. J Nurs Care Qual. 2005;20(4):289-292. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

8613. Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center. | PSNet
      psnet.ahrq.gov/issue/studying-critical-values-adverse-event-identification-following-critical-laboratory-values
      September 01, 2018 - Study Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center. Citation Text: Jenkins JJ, Crawford M, Bissell MG. Studying critical values: adverse event identification following a critical laborato…

8614. Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quality of Care. | PSNet
      psnet.ahrq.gov/issue/electronic-health-record-programs-participation-has-increased-action-needed-achieve-goals
      September 07, 2016 - Book/Report Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quality of Care. Citation Text: Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quali…

8615. FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. | PSNet
      psnet.ahrq.gov/issue/fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded
      February 15, 2024 - Press Release/Announcement FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. Citation Text: FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injecta…

8616. Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. | PSNet
      psnet.ahrq.gov/issue/risk-evaluation-and-mitigation-strategy-rems-programs-and-medication-safety-parts-i-and-ii
      March 15, 2022 - Special or Theme Issue Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. Citation Text: Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. ISMP Medication Safety Alert! Acute care edition. July 13, 2…

8617. Myths and realities of the 80-hour work week. | PSNet
      psnet.ahrq.gov/issue/myths-and-realities-80-hour-work-week
      November 21, 2012 - Review Myths and realities of the 80-hour work week. Citation Text: Schenarts PJ, Schenarts KDA, Rotondo MF. Myths and realities of the 80-hour work week. Curr Surg. 2006;63(4):269-274. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…

8618. Organisational paradoxes in speaking up for safety: implications for the interprofessional field. | PSNet
      psnet.ahrq.gov/issue/organisational-paradoxes-speaking-safety-implications-interprofessional-field
      March 08, 2023 - Commentary Organisational paradoxes in speaking up for safety: implications for the interprofessional field. Citation Text: Rowland P. Organisational paradoxes in speaking up for safety: Implications for the interprofessional field. J Interprof Care. 2017;31(5):553-556. doi:10.1080/13561…

8619. The case for simulation as part of a comprehensive patient safety program. | PSNet
      psnet.ahrq.gov/issue/case-simulation-part-comprehensive-patient-safety-program
      September 02, 2015 - Review The case for simulation as part of a comprehensive patient safety program. Citation Text: Argani CH, Eichelberger M, Deering S, et al. The case for simulation as part of a comprehensive patient safety program. Am J Obstet Gynecol. 2012;206(6):451-5. doi:10.1016/j.ajog.2011.09.01…

8620. Better off at home--how we fail children with complex medical conditions. | PSNet
      psnet.ahrq.gov/issue/better-home-how-we-fail-children-complex-medical-conditions
      December 14, 2022 - Commentary Better off at home--how we fail children with complex medical conditions. Citation Text: Newcomer CA. Better off at home--how we fail children with complex medical conditions. N Engl J Med. 2023;388(3):198-200. doi:10.1056/nejmp2213657. Copy Citation Format: DOI …