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  1. psnet.ahrq.gov/issue/residual-anaesthesia-drugs-intravenous-lines-silent-threat
    July 13, 2010 - Commentary Residual anaesthesia drugs in intravenous lines—a silent threat? Citation Text: Bowman S, Raghavan K, Walker IA. Residual anaesthesia drugs in intravenous lines--a silent threat? Anaesthesia. 2013;68(6):557-61. doi:10.1111/anae.12287. Copy Citation Format: DOI G…
  2. psnet.ahrq.gov/issue/implementation-modified-bedside-handoff-postpartum-unit
    November 16, 2022 - Commentary Implementation of a modified bedside handoff for a postpartum unit. Citation Text: Wollenhaup CA, Stevenson EL, Thompson J, et al. Implementation of a Modified Bedside Handoff for a Postpartum Unit. J Nurs Admin. 2017;47(6):320-326. doi:10.1097/NNA.0000000000000487. Copy Cit…
  3. psnet.ahrq.gov/issue/medication-based-trigger-tool-identify-adverse-events-pediatric-anesthesiology
    April 22, 2020 - Commentary A medication-based trigger tool to identify adverse events in pediatric anesthesiology. Citation Text: Taghon T, Elsey N, Miler V, et al. A medication-based trigger tool to identify adverse events in pediatric anesthesiology. Jt Comm J Qual Patient Saf. 2014;40(7):326-334. C…
  4. psnet.ahrq.gov/issue/facilitated-survey-instrument-captures-significantly-more-anesthesia-events-does-traditional
    September 13, 2017 - Study A facilitated survey instrument captures significantly more anesthesia events than does traditional voluntary event reporting. Citation Text: Oken A, Rasmussen MD, Slagle JM, et al. A facilitated survey instrument captures significantly more anesthesia events than does traditiona…
  5. psnet.ahrq.gov/issue/paediatric-nurses-understanding-process-and-procedure-double-checking-medications
    May 03, 2023 - Study Paediatric nurses' understanding of the process and procedure of double-checking medications. Citation Text: Dickinson A, McCall E, Twomey B, et al. Paediatric nurses' understanding of the process and procedure of double-checking medications. J Clin Nurs. 2010;19(5-6). doi:10.111…
  6. psnet.ahrq.gov/issue/examining-markers-safety-homecare-using-international-classification-patient-safety
    March 02, 2016 - Review Examining markers of safety in homecare using the international classification for patient safety. Citation Text: Macdonald M, Lang A, Storch J, et al. Examining markers of safety in homecare using the international classification for patient safety. BMC Health Serv Res. 2013;13:…
  7. psnet.ahrq.gov/issue/learning-action-developing-safety-improvement-capabilities-through-action-learning
    October 16, 2012 - Study Learning in action: developing safety improvement capabilities through action learning. Citation Text: Christiansen A, Prescott T, Ball J. Learning in action: developing safety improvement capabilities through action learning. Nurse Educ Today. 2014;34(2):243-7. doi:10.1016/j.ned…
  8. psnet.ahrq.gov/issue/crossing-safety-transforming-healthcare-organizations-patient-safety
    January 05, 2012 - Commentary Crossing to safety: transforming healthcare organizations for patient safety. Citation Text: Ralston JD, Larson EB. Crossing to safety: transforming healthcare organizations for patient safety. J Postgrad Med. 2005;51(1):61-67. Copy Citation Format: Google Scho…
  9. psnet.ahrq.gov/issue/association-between-license-status-and-medication-errors
    June 18, 2014 - Study Association between license status and medication errors. Citation Text: Conroy S. Association between licence status and medication errors. Arch Dis Child. 2011;96(3):305-6. doi:10.1136/adc.2010.191940. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…
  10. psnet.ahrq.gov/issue/using-abcs-situational-awareness-patient-safety
    November 16, 2022 - Commentary Using the ABCs of situational awareness for patient safety. Citation Text: Cohen NL. Using the ABCs of situational awareness for patient safety. Nursing (Brux). 2013;43(4):64-5. doi:10.1097/01.NURSE.0000428332.23978.82. Copy Citation Format: DOI Google Scholar…
  11. psnet.ahrq.gov/issue/epidemiology-medication-related-adverse-events-nursing-homes
    March 28, 2012 - Review Epidemiology of medication-related adverse events in nursing homes. Citation Text: Handler S, Wright RM, Ruby CM, et al. Epidemiology of medication-related adverse events in nursing homes. Am J Geriatr Pharmacother. 2006;4(3):264-72. Copy Citation Format: Google Sc…
  12. psnet.ahrq.gov/issue/ethical-and-legal-issues-use-health-information-technology-improve-patient-safety
    July 30, 2014 - Review Ethical and legal issues in the use of health information technology to improve patient safety. Citation Text: Berner ES. Ethical and legal issues in the use of health information technology to improve patient safety. HEC Forum. 2008;20(3):243-58. doi:10.1007/s10730-008-9074-5. …
  13. psnet.ahrq.gov/issue/heroism-safe-design-leveraging-technology
    August 17, 2017 - Commentary From heroism to safe design: leveraging technology. Citation Text: Pronovost P, Bo-Linn GW, Sapirstein A. From heroism to safe design: leveraging technology. Anesthesiology. 2014;120(3):526-9. doi:10.1097/ALN.0000000000000127. Copy Citation Format: DOI Google S…
  14. psnet.ahrq.gov/issue/fatal-errors-nitrous-oxide-delivery
    March 02, 2011 - Review Fatal errors in nitrous oxide delivery. Citation Text: Herff H, Paal P, Von Goedecke A, et al. Fatal errors in nitrous oxide delivery. Anaesthesia. 2007;62(12):1202-1206. doi:10.1111/j.1365-2044.2007.05193.x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…
  15. psnet.ahrq.gov/issue/duration-anesthesia-indicator-morbidity-and-mortality-office-based-facial-plastic-surgery
    March 19, 2018 - Study Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases. Citation Text: Gordon NA, Koch ME. Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surger…
  16. psnet.ahrq.gov/issue/effectiveness-clinical-knowledge-support-system-reducing-diagnostic-errors-outpatient-care
    July 31, 2019 - Study Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient care in Japan: a retrospective study. Citation Text: Shimizu T, Nemoto T, Tokuda Y. Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient ca…
  17. psnet.ahrq.gov/issue/value-inking-breast-cores-reduce-specimen-mix
    January 14, 2011 - Study The value of inking breast cores to reduce specimen mix-up. Citation Text: Renshaw AA, Kish R, Gould EW. The value of inking breast cores to reduce specimen mix-up. Am J Clin Pathol. 2007;127(2):271-2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…
  18. psnet.ahrq.gov/issue/nursing-student-medication-errors-involving-tubing-and-catheters-descriptive-study
    July 14, 2010 - Study Nursing student medication errors involving tubing and catheters: a descriptive study. Citation Text: Wolf ZR, Hicks RW, Altmiller G, et al. Nursing student medication errors involving tubing and catheters: A descriptive study. Nurse Educ Today. 2009;29(6). doi:10.1016/j.nedt.200…
  19. psnet.ahrq.gov/issue/multidisciplinary-crisis-simulations-way-forward-training-surgical-teams
    July 31, 2008 - Study Multidisciplinary crisis simulations: the way forward for training surgical teams. Citation Text: Undre S, Koutantji M, Sevdalis N, et al. Multidisciplinary crisis simulations: the way forward for training surgical teams. World J Surg. 2007;31(9):1843-53. Copy Citation Form…
  20. psnet.ahrq.gov/issue/deciphering-harm-measurement
    December 01, 2010 - Commentary Deciphering harm measurement. Citation Text: Parry G, Cline A, Goldmann D. Deciphering harm measurement. JAMA. 2012;307(20):2155-6. doi:10.1001/jama.2012.3649. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

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