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9201. Preprinted order sets as a safety intervention in pediatric sedation. | PSNet
      psnet.ahrq.gov/issue/preprinted-order-sets-safety-intervention-pediatric-sedation
      April 16, 2010 - Study Preprinted order sets as a safety intervention in pediatric sedation. Citation Text: Broussard M, Bass PF, Arnold CL, et al. Preprinted order sets as a safety intervention in pediatric sedation. J Pediatr. 2009;154(6):865-8. doi:10.1016/j.jpeds.2008.12.022. Copy Citation Fo…

9202. Errors in diagnosis of spinal epidural abscesses in the era of electronic health records. | PSNet
      psnet.ahrq.gov/issue/errors-diagnosis-spinal-epidural-abscesses-era-electronic-health-records
      April 24, 2018 - Study Errors in diagnosis of spinal epidural abscesses in the era of electronic health records. Citation Text: Bhise V, Meyer AND, Singh H, et al. Errors in Diagnosis of Spinal Epidural Abscesses in the Era of Electronic Health Records. Am J Med. 2017;130(8). doi:10.1016/j.amjmed.2017.03…

9203. Breaking the mould in patient safety. | PSNet
      psnet.ahrq.gov/issue/breaking-mould-patient-safety
      June 20, 2011 - Commentary Breaking the mould in patient safety. Citation Text: Degos L, Amalberti R, Bacou J, et al. Breaking the mould in patient safety. BMJ. 2009;338:b2585. doi:10.1136/bmj.b2585. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endn…

9204. Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. | PSNet
      psnet.ahrq.gov/issue/handoff-checklists-improve-reliability-patient-handoffs-operating-room-and-postanesthesia
      December 29, 2014 - Study Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Citation Text: Boat AC, Spaeth JP. Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Paediatr Anaes…

9205. Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. | PSNet
      psnet.ahrq.gov/issue/three-new-best-practices-2022-2023-targeted-medication-safety-best-practices-hospitals
      March 15, 2022 - Newspaper/Magazine Article Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. Citation Text: Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. ISMP Medication Safety Alert! Acute care edition…

9206. Following the patient journey to improve medicines management and reduce errors. | PSNet
      psnet.ahrq.gov/issue/following-patient-journey-improve-medicines-management-and-reduce-errors
      October 27, 2010 - Newspaper/Magazine Article Following the patient journey to improve medicines management and reduce errors. Citation Text: Crocker C. Following the patient journey to improve medicines management and reduce errors. Nursing times. 2009;105(46):12-5. Copy Citation Format: Go…

9207. The science of improvement. | PSNet
      psnet.ahrq.gov/issue/science-improvement
      August 04, 2021 - Commentary Classic The science of improvement. Citation Text: Berwick DM. The science of improvement. JAMA. 2008;299(10):1182-4. doi:10.1001/jama.299.10.1182. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

9208. Patient safety issues in advanced practice nursing students' care settings. | PSNet
      psnet.ahrq.gov/issue/patient-safety-issues-advanced-practice-nursing-students-care-settings
      April 10, 2013 - Study Patient safety issues in advanced practice nursing students' care settings. Citation Text: Schnall R, Cook S, John RM, et al. Patient Safety Issues in Advanced Practice Nursing Studentsʼ Care Settings. J Nurs Care Qual. 2011;27(2). doi:10.1097/ncq.0b013e3182310d27. Copy Citatio…

9209. Improving medication reconciliation in hospitals. | PSNet
      psnet.ahrq.gov/issue/improving-medication-reconciliation-hospitals
      October 25, 2017 - Commentary Improving medication reconciliation in hospitals. Citation Text: Improving medication reconciliation in hospitals. Schnipper JL. Ann Intern Med. 2022;175(8):ho2-ho3. Copy Citation Save Save to your library Print Download PDF Sha…

9210. Fatal Solutions: How a Healthcare System Used Tragedy to Transform Itself and Redefine Just Culture. | PSNet
      psnet.ahrq.gov/issue/fatal-solutions-how-healthcare-system-used-tragedy-transform-itself-and-redefine-just-culture
      May 16, 2019 - Book/Report Fatal Solutions: How a Healthcare System Used Tragedy to Transform Itself and Redefine Just Culture. Citation Text: Fatal Solutions: How a Healthcare System Used Tragedy to Transform Itself and Redefine Just Culture. Davies JM, Steinke C, Flemons WW. New York, NY: Productivit…

9211. Examples of Medical Device Misconnections. | PSNet
      psnet.ahrq.gov/issue/examples-medical-device-misconnections
      March 04, 2015 - Multi-use Website Examples of Medical Device Misconnections. Citation Text: Examples of Medical Device Misconnections. Food and Drug Administration. February 23. 2023. Copy Citation Save Save to your library Print Download PDF Share Faceboo…

9212. Appropriate prescribing of medications: an eight-step approach. | PSNet
      psnet.ahrq.gov/issue/appropriate-prescribing-medications-eight-step-approach
      January 10, 2024 - Commentary Appropriate prescribing of medications: an eight-step approach. Citation Text: Pollock M, Bazaldua O, Dobbie AE. Appropriate prescribing of medications: an eight-step approach. Am Fam Physician. 2007;75(2):231-236. Copy Citation Format: Google Scholar PubMed Bi…

9213. Doctors' handovers in hospitals: a literature review. | PSNet
      psnet.ahrq.gov/issue/doctors-handovers-hospitals-literature-review
      February 29, 2012 - Review Doctors' handovers in hospitals: a literature review. Citation Text: Raduma-Tomàs MA, Flin R, Yule S, et al. Doctors' handovers in hospitals: a literature review. BMJ Qual Saf. 2011;20(2):128-33. doi:10.1136/bmjqs.2009.034389. Copy Citation Format: DOI Google Schol…

9214. The role of the chief executive officer in maximizing patient safety. | PSNet
      psnet.ahrq.gov/issue/role-chief-executive-officer-maximizing-patient-safety
      January 03, 2017 - Newspaper/Magazine Article The role of the chief executive officer in maximizing patient safety. Citation Text: Shorr AS. The role of the chief executive officer in maximizing patient safety. Healthcare executive. 2007;22(2):20-2, 24, 26. Copy Citation Format: Google Scho…

9215. Patient self-medication--a change in hospital practice. | PSNet
      psnet.ahrq.gov/issue/patient-self-medication-change-hospital-practice
      March 09, 2022 - Study Patient self-medication--a change in hospital practice. Citation Text: Grantham G, McMillan V, Dunn S, et al. Patient self-medication--a change in hospital practice. J Clin Nurs. 2006;15(8):962-70. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

9216. Failure mode and effect analysis: a technique to prevent chemotherapy errors. | PSNet
      psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-technique-prevent-chemotherapy-errors
      May 30, 2008 - Commentary Failure mode and effect analysis: a technique to prevent chemotherapy errors. Citation Text: Sheridan-Leos N, Schulmeister L, Hartranft S. Failure mode and effect analysis: a technique to prevent chemotherapy errors. Clin J Oncol Nurs. 2006;10(3):393-8. Copy Citation F…

9217. Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). | PSNet
      psnet.ahrq.gov/issue/advancing-patient-safety-implementation-through-safe-medication-use-research-r18
      December 20, 2023 - Government Resource Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). Citation Text: Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). Rockville, MD: Agency for Healthcare Research and Quality. PA-14-002. Copy Citation…

9218. Guidelines in Practice: prevention of unintentionally retained surgical items. | PSNet
      psnet.ahrq.gov/issue/guidelines-practice-prevention-unintentionally-retained-surgical-items
      August 03, 2022 - Commentary Guidelines in Practice: prevention of unintentionally retained surgical items. Citation Text: Cochran K. Guidelines in Practice: prevention of unintentionally retained surgical items. AORN J. 2022;116(5):427-440. doi:10.1002/aorn.13804. Copy Citation Format: DOI …

9219. System-related and cognitive errors in laboratory medicine. | PSNet
      psnet.ahrq.gov/issue/system-related-and-cognitive-errors-laboratory-medicine
      December 21, 2016 - Commentary System-related and cognitive errors in laboratory medicine. Citation Text: Plebani M. System-related and cognitive errors in laboratory medicine. Diagnosis (Berl). 2018;5(4):191-196. doi:10.1515/dx-2018-0085. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

9220. When machine learning goes off the rails. A guide to managing the risks. | PSNet
      psnet.ahrq.gov/issue/when-machine-learning-goes-rails-guide-managing-risks
      June 28, 2011 - Newspaper/Magazine Article When machine learning goes off the rails. A guide to managing the risks. Citation Text: When machine learning goes off the rails. A guide to managing the risks. Babic B, Cohen IG,  Evgeniou T, et al. Harv Bus Rev.  2021 January/February;99(1):76-…