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9481. The role of the anesthesiologist in perioperative patient safety. | PSNet
      psnet.ahrq.gov/issue/role-anesthesiologist-perioperative-patient-safety
      November 20, 2015 - Review The role of the anesthesiologist in perioperative patient safety. Citation Text: Wacker J, Staender S. The role of the anesthesiologist in perioperative patient safety. Curr Opin Anaesthesiol. 2014;27(6):649-656. doi:10.1097/ACO.0000000000000124. Copy Citation Format: …

9482. Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the core issue. | PSNet
      psnet.ahrq.gov/issue/three-quarters-preventable-patient-harm-stems-situation-awareness-breakdowns-recognizing-and
      September 11, 2009 - Newspaper/Magazine Article Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the core issue. Citation Text: Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the …

9483. Instrument readiness: an important link to patient safety. | PSNet
      psnet.ahrq.gov/issue/instrument-readiness-important-link-patient-safety
      January 05, 2011 - Commentary Instrument readiness: an important link to patient safety. Citation Text: McNamara SA. Instrument readiness: an important link to patient safety. AORN J. 2011;93(1):160-4. doi:10.1016/j.aorn.2010.09.027. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

9484. Organization and representation of patient safety data: current status and issues around generalizability and scalability. | PSNet
      psnet.ahrq.gov/issue/organization-and-representation-patient-safety-data-current-status-and-issues-around
      January 21, 2011 - Commentary Organization and representation of patient safety data: current status and issues around generalizability and scalability. Citation Text: Boxwala AA, Dierks M, Keenan M, et al. Organization and representation of patient safety data: current status and issues around generalizab…

9485. Are you using checklists? Check! | PSNet
      psnet.ahrq.gov/issue/are-you-using-checklists-check
      September 13, 2010 - Commentary Are you using checklists? Check! Citation Text: McNellis B, AAPA QCC of the. Are you using checklists? Check!. JAAPA. 2010;23(7):24-6, 31. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Down…

9486. Clinical decision support and malpractice risk. | PSNet
      psnet.ahrq.gov/issue/clinical-decision-support-and-malpractice-risk
      September 24, 2017 - Commentary Clinical decision support and malpractice risk. Citation Text: Greenberg MD, Ridgely MS. Clinical Decision Support and Malpractice Risk. JAMA. 2011;306(1). doi:10.1001/jama.2011.929. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…

9487. Assessing the performance of aging surgeons. | PSNet
      psnet.ahrq.gov/issue/assessing-performance-aging-surgeons
      September 07, 2016 - Commentary Assessing the performance of aging surgeons. Citation Text: Katlic MR, Coleman JA, Russell MM. Assessing the Performance of Aging Surgeons. JAMA. 2019;321(5):449-450. doi:10.1001/jama.2018.22216. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

9488. Caution: coloured medication and the colour blind. | PSNet
      psnet.ahrq.gov/issue/caution-coloured-medication-and-colour-blind
      April 24, 2018 - Image/Poster Caution: coloured medication and the colour blind. Citation Text: Cole BL, Harris RW. Caution: coloured medication and the colour blind. Lancet. 2009;374(9691):720. doi:10.1016/S0140-6736(09)60313-5. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

9489. The normalization of deviance: do we (un)knowingly accept doing the wrong thing? | PSNet
      psnet.ahrq.gov/issue/normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing
      May 23, 2018 - Commentary The normalization of deviance: do we (un)knowingly accept doing the wrong thing? Citation Text: Prielipp RC, Magro M, Morell RC, et al. The normalization of deviance: do we (un)knowingly accept doing the wrong thing? AANA J. 2010;78(4):284-7. Copy Citation Format: …

9490. Embedding quality and safety in otolaryngology–head and neck surgery education. | PSNet
      psnet.ahrq.gov/issue/embedding-quality-and-safety-otolaryngology-head-and-neck-surgery-education
      August 11, 2010 - Commentary Embedding quality and safety in otolaryngology–head and neck surgery education. Citation Text: McCormick ME, Stadler ME, Shah RK. Embedding quality and safety in otolaryngology-head and neck surgery education. Otolaryngol Head Neck Surg. 2015;152(5):778-782. doi:10.1177/019459…

9491. Error reduction through team leadership: applying aviation's CRM model in the OR. | PSNet
      psnet.ahrq.gov/issue/error-reduction-through-team-leadership-applying-aviations-crm-model-or
      September 25, 2013 - Commentary Error reduction through team leadership: applying aviation's CRM model in the OR. Citation Text: Healy GB, Barker J, Madonna G. Error reduction through team leadership: applying aviation's CRM model in the OR. Bull Am Coll Surg. 2006;91(2):10-5. Copy Citation Format: …

9492. ‘Fear of falling’: how hospitals do even more harm by keeping patients in bed. | PSNet
      psnet.ahrq.gov/issue/fear-falling-how-hospitals-do-even-more-harm-keeping-patients-bed
      October 26, 2011 - Newspaper/Magazine Article ‘Fear of falling’: how hospitals do even more harm by keeping patients in bed. Citation Text: ‘Fear of falling’: how hospitals do even more harm by keeping patients in bed. Bailey M. Kaiser Health News. October 17, 2019. Copy Citation Save …

9493. Quality and safety in surgical care. | PSNet
      psnet.ahrq.gov/issue/quality-and-safety-surgical-care
      August 26, 2011 - Commentary Quality and safety in surgical care. Citation Text: Polk HC, Birkmeyer JD, Hunt D, et al. Quality and safety in surgical care. Ann Surg. 2006;243(4):439-48. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

9494. A serious threat to patient safety: the unintended misuse of FentaNYL patches. | PSNet
      psnet.ahrq.gov/issue/serious-threat-patient-safety-unintended-misuse-fentanyl-patches
      September 24, 2010 - Commentary A serious threat to patient safety: the unintended misuse of FentaNYL patches. Citation Text: Paparella S. A serious threat to patient safety: the unintended misuse of FentaNYL patches. J Emerg Nurs. 2013;39(3):245-247. doi:10.1016/j.jen.2013.01.007. Copy Citation Form…

9495. Risk of mistaken DNR orders. | PSNet
      psnet.ahrq.gov/issue/risk-mistaken-dnr-orders
      October 19, 2022 - Study Risk of mistaken DNR orders. Citation Text: Rohrer JE, Esler WV, Saeed Q, et al. Risk of mistaken DNR orders. Supportive Care in Cancer. 2006;14(8). doi:10.1007/s00520-006-0023-z. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

9496. Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment. | PSNet
      psnet.ahrq.gov/issue/time-get-pigs-back-human-factors-aspects-mismatch-between-device-and-real-world-knowledge
      June 09, 2011 - Commentary Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment. Citation Text: Nunnally M, Bitan Y. Time to Get Off this Pig's Back? J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000233827.90…

9497. Audibility of patient clinical alarms to hospital nursing personnel. | PSNet
      psnet.ahrq.gov/issue/audibility-patient-clinical-alarms-hospital-nursing-personnel
      November 15, 2023 - Study Audibility of patient clinical alarms to hospital nursing personnel. Citation Text: Sobieraj J, Ortega C, West I, et al. Audibility of patient clinical alarms to hospital nursing personnel. Mil Med. 2006;171(4):306-10. Copy Citation Format: Google Scholar PubMed Bib…

9498. No-fault compensation in New Zealand: harmonizing injury compensation, provider accountability, and patient safety. | PSNet
      psnet.ahrq.gov/issue/no-fault-compensation-new-zealand-harmonizing-injury-compensation-provider-accountability-and
      April 22, 2011 - Commentary No-fault compensation in New Zealand: harmonizing injury compensation, provider accountability, and patient safety. Citation Text: Bismark M, Paterson R. No-fault compensation in New Zealand: harmonizing injury compensation, provider accountability, and patient safety. Healt…

9499. A transdisciplinary team acting on evidence through analyses of moot malpractice cases. | PSNet
      psnet.ahrq.gov/issue/transdisciplinary-team-acting-evidence-through-analyses-moot-malpractice-cases
      November 03, 2021 - Study A transdisciplinary team acting on evidence through analyses of moot malpractice cases. Citation Text: Constantino RE. A transdisciplinary team acting on evidence through analyses of moot malpractice cases. Dimens Crit Care Nurs. 2007;26(4):150-5. Copy Citation Format: …

9500. Appendix B8: Unsafe Behavior Worksheet | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb5.html
      February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B8: Unsafe Behavior Worksheet Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview …