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  1. psnet.ahrq.gov/issue/perianesthesia-nurses-role-prevention-opioid-related-sentinel-events
    November 25, 2020 - Commentary The perianesthesia nurse's role in the prevention of opioid-related sentinel events. Citation Text: Pasero C. The perianesthesia nurse's role in the prevention of opioid-related sentinel events. J Perianesth Nurs. 2013;28(1):31-7. doi:10.1016/j.jopan.2012.11.001. Copy Citat…
  2. psnet.ahrq.gov/issue/swiss-cheese-model-adverse-event-occurrence-closing-holes
    September 25, 2024 - Commentary The Swiss cheese model of adverse event occurrence—closing the holes. Citation Text: Stein JE, Heiss K. The Swiss cheese model of adverse event occurrence--Closing the holes. Semin Pediatr Surg. 2015;24(6):278-82. doi:10.1053/j.sempedsurg.2015.08.003. Copy Citation Forma…
  3. psnet.ahrq.gov/issue/nurses-perception-error-reporting-and-patient-safety-culture-korea
    July 08, 2020 - Study Nurses' perception of error reporting and patient safety culture in Korea. Citation Text: Kim J, An K. Nurses' Perception of Error Reporting and Patient Safety Culture in Korea. West J Nurs Res. 2007;29(7). doi:10.1177/0193945906297370. Copy Citation Format: DOI Goo…
  4. psnet.ahrq.gov/issue/managing-patients-identical-names-same-ward
    November 16, 2022 - Study Managing patients with identical names in the same ward. Citation Text: Lee ACW, Leung M, So KT. Managing patients with identical names in the same ward. Int J Health Care Qual Assur Inc Leadersh Health Serv. 2005;18(1):15-23. Copy Citation Format: Google Scholar PubM…
  5. psnet.ahrq.gov/issue/missed-steps-preanesthetic-set
    June 26, 2019 - Study Missed steps in the preanesthetic set-up. Citation Text: DeMaria S, Blasius K, Neustein SM. Missed steps in the preanesthetic set-up. Anesth Analg. 2011;113(1):84-8. doi:10.1213/ANE.0b013e318219645e. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …
  6. psnet.ahrq.gov/issue/hospital-patient-safety-characteristics-best-performing-hospitals
    February 03, 2011 - Study Hospital patient safety: characteristics of best-performing hospitals. Citation Text: Longo DR, Hewett JE, Ge B, et al. Hospital patient safety: characteristics of best-performing hospitals. J Healthc Manag. 2007;52(3):188-204; discussion 204-5. Copy Citation Format: …
  7. psnet.ahrq.gov/issue/computer-assisted-diagnostic-checklist-clinical-neurology
    January 23, 2019 - Commentary Computer-assisted diagnostic checklist in clinical neurology. Citation Text: Finelli PF, McCabe AL. Computer-assisted Diagnostic Checklist in Clinical Neurology. Neurologist. 2016;21(2):23-7. doi:10.1097/NRL.0000000000000071. Copy Citation Format: DOI Google Scho…
  8. psnet.ahrq.gov/issue/rules-and-guidelines-clinical-practice-qualitative-study-operating-theatres-doctors-and
    January 06, 2018 - Study Rules and guidelines in clinical practice: a qualitative study in operating theatres of doctors' and nurses' views. Citation Text: McDonald R. Rules and guidelines in clinical practice: a qualitative study in operating theatres of doctors' and nurses' views. Quality and Safety in…
  9. psnet.ahrq.gov/issue/why-your-doctors-white-coat-can-be-threat-your-health
    November 18, 2016 - Newspaper/Magazine Article Why your doctor's white coat can be a threat to your health. Citation Text: Haun N, Hooper-Lane C, Safdar N. Healthcare Personnel Attire and Devices as Fomites: A Systematic Review. Infect Control Hosp Epidemiol. 2016;37(11):1367-1373. Copy Citation Forma…
  10. psnet.ahrq.gov/issue/medication-reconciliation-rural-trauma-population
    April 24, 2018 - Study Medication reconciliation in a rural trauma population. Citation Text: Miller L, Miller S, Balon J, et al. Medication reconciliation in a rural trauma population. Ann Emerg Med. 2008;52(5):483-91. doi:10.1016/j.annemergmed.2008.03.021. Copy Citation Format: DOI Goog…
  11. psnet.ahrq.gov/issue/management-reasoning-beyond-diagnosis
    June 26, 2019 - Commentary Management reasoning: beyond the diagnosis. Citation Text: Cook DA, Sherbino J, Durning SJ. Management Reasoning: Beyond the Diagnosis. JAMA. 2018;319(22):2267-2268. doi:10.1001/jama.2018.4385. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…
  12. psnet.ahrq.gov/issue/evaluation-medication-errors-pediatric-surgical-service-experience
    March 02, 2011 - Study An evaluation of medication errors—the pediatric surgical service experience. Citation Text: Engum SA, Breckler FD. An evaluation of medication errors-the pediatric surgical service experience. J Pediatr Surg. 2008;43(2):348-52. doi:10.1016/j.jpedsurg.2007.10.042. Copy Citation…
  13. psnet.ahrq.gov/issue/development-and-evaluation-required-patient-safety-course
    January 11, 2023 - Commentary Development and evaluation of a required patient safety course.  Citation Text: Sukkari SR, Sasich LD, Tuttle DA, et al. Development and evaluation of a required patient safety course. Am J Pharm Educ. 2008;72(3):65. Copy Citation Format: Google Scholar PubMed …
  14. psnet.ahrq.gov/issue/decimal-numbers-and-safe-interpretation-clinical-pathology-results
    July 16, 2014 - Study Decimal numbers and safe interpretation of clinical pathology results. Citation Text: Sinnott M, Eley R, Steinle V, et al. Decimal numbers and safe interpretation of clinical pathology results. J Clin Pathol. 2014;67(2):179-81. doi:10.1136/jclinpath-2013-201865. Copy Citation …
  15. psnet.ahrq.gov/issue/it-vulnerabilities-highlighted-errors-malfunctions-veterans-medical-centers
    January 31, 2024 - Commentary IT vulnerabilities highlighted by errors, malfunctions at veterans' medical centers. Citation Text: Kuehn BM. IT Vulnerabilities Highlighted by Errors, Malfunctions at Veterans’ Medical Centers. JAMA. 2009;301(9):919. doi:10.1001/jama.2009.239. Copy Citation Format: …
  16. psnet.ahrq.gov/issue/new-legal-protections-reporting-patient-errors-under-patient-safety-and-quality-improvement
    November 16, 2022 - Review New legal protections for reporting patient errors under the Patient Safety and Quality Improvement Act: a review of the medical literature and analysis. Citation Text: Howard J, Levy F, Mareiniss DP, et al. New legal protections for reporting patient errors under the Patient Sa…
  17. psnet.ahrq.gov/issue/adverse-event-reporting-lessons-learned-4-years-florida-office-data
    November 16, 2022 - Study Adverse event reporting: lessons learned from 4 years of Florida office data. Citation Text: Coldiron BM, Fisher AH, Adelman E, et al. Adverse event reporting: lessons learned from 4 years of Florida office data. Dermatol Surg. 2005;31(9 Pt 1):1079-92; discussion 1093. Copy Cit…
  18. psnet.ahrq.gov/issue/medication-errors-and-patient-complications-continuous-renal-replacement-therapy
    June 25, 2009 - Study Medication errors and patient complications with continuous renal replacement therapy. Citation Text: Barletta JF, Barletta G-M, Brophy PD, et al. Medication errors and patient complications with continuous renal replacement therapy. Pediatr Nephrol. 2006;21(6):842-5. Copy Cita…
  19. psnet.ahrq.gov/issue/nurse-prescribing-reflections-safety-practice
    June 21, 2017 - Study Nurse prescribing: reflections on safety in practice. Citation Text: Bradley E, Hynam B, Nolan P. Nurse prescribing: reflections on safety in practice. Soc Sci Med. 2007;65(3):599-609. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…
  20. psnet.ahrq.gov/issue/management-adverse-surgical-events-structured-education-module-residents
    August 26, 2011 - Study Management of adverse surgical events: a structured education module for residents. Citation Text: Brewster LP, Risucci DA, Joehl RJ, et al. Management of adverse surgical events: a structured education module for residents. Am J Surg. 2005;190(5):687-90. Copy Citation Form…

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