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9161. Preventable errors in organ transplantation: an emerging patient safety issue? | PSNet
      psnet.ahrq.gov/issue/preventable-errors-organ-transplantation-emerging-patient-safety-issue
      September 09, 2015 - Commentary Preventable errors in organ transplantation: an emerging patient safety issue? Citation Text: Ison MG, Holl JL, Ladner D. Preventable errors in organ transplantation: an emerging patient safety issue? Am J Transplant. 2012;12(9):2307-12. doi:10.1111/j.1600-6143.2012.04139.x.…

9162. The role of technology in clinician-to-clinician communication. | PSNet
      psnet.ahrq.gov/issue/role-technology-clinician-clinician-communication
      September 09, 2015 - Commentary The role of technology in clinician-to-clinician communication. Citation Text: McElroy LM, Ladner DP, Holl JL. The role of technology in clinician-to-clinician communication. BMJ Qual Saf. 2013;22(12):981-3. doi:10.1136/bmjqs-2013-002191. Copy Citation Format: …

9163. A medication-based trigger tool to identify adverse events in pediatric anesthesiology. | PSNet
      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…

9164. Paediatric nurses' understanding of the process and procedure of double-checking medications. | PSNet
      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…

9165. The patient who falls: "It's always a trade-off." | PSNet
      psnet.ahrq.gov/issue/patient-who-falls-its-always-trade
      February 17, 2011 - Commentary The patient who falls: "It's always a trade-off." Citation Text: Tinetti ME, Kumar C. The patient who falls: "It's always a trade-off". JAMA. 2010;303(3):258-66. doi:10.1001/jama.2009.2024. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

9166. Classification and detection of errors in minimally invasive surgery. | PSNet
      psnet.ahrq.gov/issue/classification-and-detection-errors-minimally-invasive-surgery
      June 17, 2014 - Review Classification and detection of errors in minimally invasive surgery. Citation Text: Rassweiler MC, Mamoulakis C, Kenngott HG, et al. Classification and detection of errors in minimally invasive surgery. J Endourol. 2011;25(11):1713-21. doi:10.1089/end.2011.0068. Copy Citation…

9167. Fatal errors in nitrous oxide delivery. | PSNet
      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…

9168. From good intentions to successful implementation: the case of patient safety in Canada. | PSNet
      psnet.ahrq.gov/issue/good-intentions-successful-implementation-case-patient-safety-canada
      February 24, 2011 - Commentary From good intentions to successful implementation: the case of patient safety in Canada. Citation Text: Thomas PG. From good intentions to successful implementation: the case of patient safety in Canada. Canadian Public Administration/Administration publique du Canada. 2008;…

9169. Nursing student medication errors involving tubing and catheters: a descriptive study. | PSNet
      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…

9170. Strategies to increase reporting of near misses and adverse events. | PSNet
      psnet.ahrq.gov/issue/strategies-increase-reporting-near-misses-and-adverse-events
      September 30, 2012 - Commentary Strategies to increase reporting of near misses and adverse events. Citation Text: Conerly C. Strategies to increase reporting of near misses and adverse events. J Nurs Care Qual. 2007;22(2):102-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…

9171. Medication error identification rates by pharmacy, medical, and nursing students. | PSNet
      psnet.ahrq.gov/issue/medication-error-identification-rates-pharmacy-medical-and-nursing-students
      June 02, 2021 - Study Medication error identification rates by pharmacy, medical, and nursing students. Citation Text: Warholak TL, Queiruga C, Roush R, et al. Medication error identification rates by pharmacy, medical, and nursing students. Am J Pharm Educ. 2011;75(2):24. Copy Citation Format: …

9172. Emergency medical and health providers' perceptions of key issues in prehospital patient safety. | PSNet
      psnet.ahrq.gov/issue/emergency-medical-and-health-providers-perceptions-key-issues-prehospital-patient-safety
      January 11, 2017 - Study Emergency medical and health providers' perceptions of key issues in prehospital patient safety. Citation Text: Atack L, Maher J. Emergency medical and health providers' perceptions of key issues in prehospital patient safety. Prehosp Emerg Care. 2010;14(1):95-102. doi:10.3109/10…

9173. Deciphering harm measurement. | PSNet
      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…

9174. Teaching patient safety in simulated learning experiences. | PSNet
      psnet.ahrq.gov/issue/teaching-patient-safety-simulated-learning-experiences
      October 21, 2020 - Commentary Teaching patient safety in simulated learning experiences. Citation Text: Jenkins S, Blake J, Brandy-Webb P, et al. Teaching patient safety in simulated learning experiences. Nurse Educ. 2011;36(3):112-7. doi:10.1097/NNE.0b013e31821611dc. Copy Citation Format: …

9175. The organizational and intraorganizational development of disasters. | PSNet
      psnet.ahrq.gov/issue/organizational-and-intraorganizational-development-disasters
      May 12, 2021 - Review Classic The organizational and intraorganizational development of disasters. Citation Text: Turner BA. The Organizational and Interorganizational Development of Disasters. Adm Sci Q. 1976;21(3):378. doi:10.2307/2391850. Copy Citation Format: …

9176. A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. | PSNet
      psnet.ahrq.gov/issue/qualitative-study-examining-influences-situation-awareness-and-identification-mitigation-and
      July 16, 2014 - Study A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. Citation Text: Brady PW, Goldenhar LM. A qualitative study examining the influences on situation awareness and the identification, miti…

9177. The lost art of doctoring: reflections of a pediatric resident. | PSNet
      psnet.ahrq.gov/issue/lost-art-doctoring-reflections-pediatric-resident
      November 21, 2021 - Commentary The lost art of doctoring: reflections of a pediatric resident. Citation Text: Mitchell SM. The Lost Art of Doctoring: Reflections of a Pediatric Resident. JAMA Pediatr. 2018;172(1):10. doi:10.1001/jamapediatrics.2017.3247. Copy Citation Format: DOI Google Schola…

9178. Pediatric medical errors part 1: the case. A pediatric drug overdose case. | PSNet
      psnet.ahrq.gov/issue/pediatric-medical-errors-part-1-case-pediatric-drug-overdose-case
      April 22, 2020 - Study Pediatric medical errors part 1: the case. A pediatric drug overdose case. Citation Text: Dowdell EB. Pediatric medical errors part 1: the case. A pediatric drug overdose case. Pediatr Nurs. 2004;30(4):328-30. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

9179. Toward higher-performance health systems: adults' health care experiences in seven countries, 2007. | PSNet
      psnet.ahrq.gov/issue/toward-higher-performance-health-systems-adults-health-care-experiences-seven-countries-2007
      February 22, 2010 - Study Toward higher-performance health systems: adults' health care experiences in seven countries, 2007. Citation Text: Schoen C, Osborn R, Doty M, et al. Toward higher-performance health systems: adults' health care experiences in seven countries, 2007. Health Aff (Millwood). 2007;26…

9180. Adverse drug events in the elderly. | PSNet
      psnet.ahrq.gov/issue/adverse-drug-events-elderly
      April 21, 2011 - Review Adverse drug events in the elderly. Citation Text: Cresswell KM, Fernando B, McKinstry B, et al. Adverse drug events in the elderly. Br Med Bull. 2007;83(1). doi:10.1093/bmb/ldm016. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…