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9041. The increased incidence of anesthetic adverse events in late afternoon surgeries. | PSNet
      psnet.ahrq.gov/issue/increased-incidence-anesthetic-adverse-events-late-afternoon-surgeries
      October 19, 2022 - Commentary The increased incidence of anesthetic adverse events in late afternoon surgeries. Citation Text: Johnson J. The increased incidence of anesthetic adverse events in late afternoon surgeries. AORN J. 2008;88(1):79-87. doi:10.1016/j.aorn.2008.02.020. Copy Citation Format:…

9042. Medication-attributed adverse effects in placebo groups: implications for assessment of adverse effects. | PSNet
      psnet.ahrq.gov/issue/medication-attributed-adverse-effects-placebo-groups-implications-assessment-adverse-effects
      January 08, 2018 - Review Medication-attributed adverse effects in placebo groups: implications for assessment of adverse effects. Citation Text: Rief W, Avorn J, Barsky AJ. Medication-attributed adverse effects in placebo groups: implications for assessment of adverse effects. Arch Intern Med. 2006;166(…

9043. Get a clue: it can be all too easy to make assessment errors in the field; here's some tips to prevent you from making mistakes. | PSNet
      psnet.ahrq.gov/issue/get-clue-it-can-be-all-too-easy-make-assessment-errors-field-heres-some-tips-prevent-you
      May 01, 2024 - Newspaper/Magazine Article Get a clue: it can be all too easy to make assessment errors in the field; here's some tips to prevent you from making mistakes. Citation Text: Rubin M. Get a clue: It can be all too easy to make assessment errors in the field; here's some tips to prevent you …

9044. Setting priorities for patient safety: ethics, accountability, and public engagement. | PSNet
      psnet.ahrq.gov/issue/setting-priorities-patient-safety-ethics-accountability-and-public-engagement
      September 29, 2017 - Commentary Setting priorities for patient safety: ethics, accountability, and public engagement. Citation Text: Pronovost P, Faden RR. Setting priorities for patient safety: ethics, accountability, and public engagement. JAMA. 2009;302(8):890-1. doi:10.1001/jama.2009.1177. Copy Citat…

9045. Pediatric drug labeling: improving the safety and efficacy of pediatric therapies. | PSNet
      psnet.ahrq.gov/issue/pediatric-drug-labeling-improving-safety-and-efficacy-pediatric-therapies
      January 24, 2024 - Study Pediatric drug labeling: improving the safety and efficacy of pediatric therapies. Citation Text: Roberts R, Rodriguez W, Murphy D, et al. Pediatric Drug Labeling. JAMA. 2003;290(7). doi:10.1001/jama.290.7.905. Copy Citation Format: DOI Google Scholar BibTeX EndNote…

9046. Determining the state of knowledge for implementing the Universal Protocol recommendations: an integrative review of the literature. | PSNet
      psnet.ahrq.gov/issue/determining-state-knowledge-implementing-universal-protocol-recommendations-integrative
      March 15, 2016 - Review Determining the state of knowledge for implementing the Universal Protocol recommendations: an integrative review of the literature. Citation Text: Conrardy JA, Brenek B, Myers S. Determining the State of Knowledge for Implementing the Universal Protocol Recommendations: An Inte…

9047. My life was upended for 35 years by a cancer diagnosis. A doctor just told me I was misdiagnosed. | PSNet
      psnet.ahrq.gov/issue/my-life-was-upended-35-years-cancer-diagnosis-doctor-just-told-me-i-was-misdiagnosed
      April 11, 2018 - Newspaper/Magazine Article My life was upended for 35 years by a cancer diagnosis. A doctor just told me I was misdiagnosed. Citation Text: My life was upended for 35 years by a cancer diagnosis. A doctor just told me I was misdiagnosed. Henigson J. Washington Post. March 26, 2021. …

9048. A common body of care: the ethics and politics of teamwork in the operating theater are inseparable. | PSNet
      psnet.ahrq.gov/issue/common-body-care-ethics-and-politics-teamwork-operating-theater-are-inseparable
      September 27, 2016 - Commentary A common body of care: the ethics and politics of teamwork in the operating theater are inseparable. Citation Text: Bleakley A. A common body of care: the ethics and politics of teamwork in the operating theater are inseparable. J Med Philos. 2006;31(3):305-22. Copy Citati…

9049. Requirements for the design and implementation of checklists for surgical processes. | PSNet
      psnet.ahrq.gov/issue/requirements-design-and-implementation-checklists-surgical-processes
      September 25, 2008 - Review Requirements for the design and implementation of checklists for surgical processes. Citation Text: Verdaasdonk EGG, Stassen LPS, Widhiasmara PP, et al. Requirements for the design and implementation of checklists for surgical processes. Surg Endosc. 2009;23(4):715-26. doi:10.10…

9050. Avoiding wrong site surgery: a systematic review. | PSNet
      psnet.ahrq.gov/issue/avoiding-wrong-site-surgery-systematic-review
      October 19, 2022 - Review Avoiding wrong site surgery: a systematic review. Citation Text: Devine J, Chutkan N, Norvell DC, et al. Avoiding wrong site surgery: a systematic review. Spine (Phila Pa 1976). 2010;35(9 Suppl):S28-36. doi:10.1097/BRS.0b013e3181d833ac. Copy Citation Format: DOI Goo…

9051. Implementing No Interruption Zones in the perioperative environment. | PSNet
      psnet.ahrq.gov/issue/implementing-no-interruption-zones-perioperative-environment
      June 09, 2021 - Commentary Implementing No Interruption Zones in the perioperative environment. Citation Text: Wright I. Implementing No Interruption Zones in the Perioperative Environment. AORN J. 2016;104(6):536-540. doi:10.1016/j.aorn.2016.09.018. Copy Citation Format: DOI Google Schola…

9052. Clarifying adverse drug events: a clinician's guide to terminology, documentation, and reporting. | PSNet
      psnet.ahrq.gov/issue/clarifying-adverse-drug-events-clinicians-guide-terminology-documentation-and-reporting
      February 03, 2011 - Study Clarifying adverse drug events: a clinician's guide to terminology, documentation, and reporting. Citation Text: Nebeker JR, Barach P, Samore MH. Clarifying adverse drug events: a clinician's guide to terminology, documentation, and reporting. Ann Intern Med. 2004;140(10):795-801…

9053. A spotlight on strategies for increasing safety reporting in nursing education. | PSNet
      psnet.ahrq.gov/issue/spotlight-strategies-increasing-safety-reporting-nursing-education
      October 19, 2022 - Commentary A spotlight on strategies for increasing safety reporting in nursing education. Citation Text: Cooper EE. A spotlight on strategies for increasing safety reporting in nursing education. J Contin Educ Nurs. 2012;43(4):162-8. doi:10.3928/00220124-20111201-02. Copy Citation …

9054. Risk models to improve safety of dispensing high-alert medications in community pharmacies. | PSNet
      psnet.ahrq.gov/issue/risk-models-improve-safety-dispensing-high-alert-medications-community-pharmacies
      December 02, 2020 - Study Risk models to improve safety of dispensing high-alert medications in community pharmacies. Citation Text: Cohen MR, Smetzer JL, Westphal JE, et al. Risk models to improve safety of dispensing high-alert medications in community pharmacies. J Am Pharm Assoc (2003). 2012;52(5):584-6…

9055. The Leapfrog Group's CPOE standard and evaluation tool. | PSNet
      psnet.ahrq.gov/issue/leapfrog-groups-cpoe-standard-and-evaluation-tool
      November 17, 2009 - Newspaper/Magazine Article The Leapfrog Group's CPOE standard and evaluation tool. Citation Text: The Leapfrog Group's CPOE standard and evaluation tool. Metzger JB, Welebob E, Turisco F, et al. Patient Saf Qual Healthc. July/August 2008;5:22-25. Copy Citation…

9056. SHOT Annual Report. | PSNet
      psnet.ahrq.gov/issue/shot-annual-report-2019
      July 10, 2019 - Book/Report SHOT Annual Report. Citation Text: SHOT Annual Report. S Narayan, ed. Manchester, UK: Serious Hazards of Transfusion (SHOT) Steering Group; 2023. ISBN: 9781999596859. Copy Citation Save Save to your library Print Download PDF Share …

9057. Effect of computerisation on the quality and safety of chemotherapy prescription. | PSNet
      psnet.ahrq.gov/issue/effect-computerisation-quality-and-safety-chemotherapy-prescription
      December 29, 2014 - Study Effect of computerisation on the quality and safety of chemotherapy prescription. Citation Text: Voeffray M, Pannatier A, Stupp R, et al. Effect of computerisation on the quality and safety of chemotherapy prescription. Qual Saf Health Care. 2006;15(6):418-21. Copy Citation …

9058. A performance improvement plan to increase nurse adherence to use of medication safety software. | PSNet
      psnet.ahrq.gov/issue/performance-improvement-plan-increase-nurse-adherence-use-medication-safety-software
      March 13, 2024 - Commentary A performance improvement plan to increase nurse adherence to use of medication safety software. Citation Text: Gavriloff C. A Performance Improvement Plan to Increase Nurse Adherence to Use of Medication Safety Software. J Pediatr Nurs. 2011;27(4). doi:10.1016/j.pedn.2011.0…

9059. Effective approaches to control non-actionable alarms and alarm fatigue. | PSNet
      psnet.ahrq.gov/issue/effective-approaches-control-non-actionable-alarms-and-alarm-fatigue
      January 15, 2025 - Commentary Effective approaches to control non-actionable alarms and alarm fatigue. Citation Text: Winters BD. Effective approaches to control non-actionable alarms and alarm fatigue. J Electrocardiol. 2018;51(6S):S49-S51. doi:10.1016/j.jelectrocard.2018.07.007. Copy Citation Forma…

9060. Interruptions and blood transfusion checks: lessons from the simulated operating room. | PSNet
      psnet.ahrq.gov/issue/interruptions-and-blood-transfusion-checks-lessons-simulated-operating-room
      September 24, 2016 - Study Interruptions and blood transfusion checks: lessons from the simulated operating room. Citation Text: Liu D, Grundgeiger T, Sanderson P, et al. Interruptions and blood transfusion checks: lessons from the simulated operating room. Anesth Analg. 2009;108(1):219-22. doi:10.1213/ane.0…