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121. High-alert medication administration and intravenous smart pumps: a descriptive analysis of clinical practice. | PSNet
     psnet.ahrq.gov/issue/high-alert-medication-administration-and-intravenous-smart-pumps-descriptive-analysis
     December 12, 2018 - Study High-alert medication administration and intravenous smart pumps: a descriptive analysis of clinical practice. Citation Text: Marwitz KK, Giuliano KK, Su W-T, et al. High-alert medication administration and intravenous smart pumps: A descriptive analysis of clinical practice. Res S…

122. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.239_slideshow.ppt
     May 01, 2011 - Spotlight Case July 2008 Spotlight Case Duty to Disclose Someone Else’s Error * * Source and Credits This presentation is based on the May 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Thomas H. Gallagher, MD University of Washington …

123. Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. | PSNet
     psnet.ahrq.gov/issue/difficult-diagnosis-icu-making-right-call-beware-uncertainty-and-bias
     March 01, 2023 - Review Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. Citation Text: Pisciotta W, Arina P, Hofmaenner D, Singer M. Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. Anaesthesia. 2023;78(4):501-509. doi:10.1…

124. Wrong site surgery. | PSNet
     psnet.ahrq.gov/issue/wrong-site-surgery
     May 25, 2011 - Commentary Wrong site surgery. Citation Text: Fraser SG, Adams W. Wrong site surgery. Br J Ophthalmol. 2006;90(7):814-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

125. The impact of organisational and individual factors on team communication in surgery: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/impact-organisational-and-individual-factors-team-communication-surgery-qualitative-study
     March 31, 2010 - Study The impact of organisational and individual factors on team communication in surgery: a qualitative study. Citation Text: Gillespie BM, Chaboyer W, Longbottom P, et al. The impact of organisational and individual factors on team communication in surgery: a qualitative study. Int …

126. Why isn't 'time out' being implemented? An exploratory study. | PSNet
     psnet.ahrq.gov/issue/why-isnt-time-out-being-implemented-exploratory-study
     December 16, 2009 - Study Why isn't 'time out' being implemented? An exploratory study. Citation Text: Gillespie BM, Chaboyer W, Wallis M, et al. Why isn't 'time out' being implemented? An exploratory study. Qual Saf Health Care. 2010;19(2):103-6. doi:10.1136/qshc.2008.030593. Copy Citation Format: …

127. Using pharmacogenetics to improve drug safety and efficacy. | PSNet
     psnet.ahrq.gov/issue/using-pharmacogenetics-improve-drug-safety-and-efficacy
     April 13, 2016 - Commentary Using pharmacogenetics to improve drug safety and efficacy. Citation Text: Haga SB, Burke W. Using pharmacogenetics to improve drug safety and efficacy. JAMA. 2004;291(23):2869-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

128. A piece of my mind. Coping with fallibility. | PSNet
     psnet.ahrq.gov/issue/piece-my-mind-coping-fallibility
     March 06, 2005 - Commentary Classic A piece of my mind. Coping with fallibility. Citation Text: Levinson W, Dunn PM. A piece of my mind. Coping with fallibility. JAMA. 1989;261(15):2252. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

129. Patient safety in genomic medicine: an exploratory study. | PSNet
     psnet.ahrq.gov/issue/patient-safety-genomic-medicine-exploratory-study
     August 31, 2005 - Study Patient safety in genomic medicine: an exploratory study. Citation Text: Korngiebel DM, Fullerton SM, Burke W. Patient safety in genomic medicine: an exploratory study. Genet Med. 2016;18(11):1136-1142. doi:10.1038/gim.2016.16. Copy Citation Format: DOI Google Scholar…

130. Effects of work hour reduction on residents' lives: a systematic review. | PSNet
     psnet.ahrq.gov/issue/effects-work-hour-reduction-residents-lives-systematic-review
     September 28, 2005 - Review Effects of work hour reduction on residents' lives: a systematic review. Citation Text: Fletcher KE, Underwood W, Davis SQ, et al. Effects of Work Hour Reduction on Residents’ Lives. JAMA. 2005;294(9):1088. doi:10.1001/jama.294.9.1088. Copy Citation Format: DOI Goo…

131. Systematic review: effects of resident work hours on patient safety. | PSNet
     psnet.ahrq.gov/issue/systematic-review-effects-resident-work-hours-patient-safety
     September 28, 2005 - Review Systematic review: effects of resident work hours on patient safety. Citation Text: Fletcher KE, Davis SQ, Underwood W, et al. Systematic review: effects of resident work hours on patient safety. Ann Intern Med. 2004;141(11):851-857. Copy Citation Format: Google Sc…

132. A model for medication safety event detection. | PSNet
     psnet.ahrq.gov/issue/model-medication-safety-event-detection
     May 14, 2008 - Commentary A model for medication safety event detection. Citation Text: Snyder RA, Fields W. A model for medication safety event detection. Int J Qual Health Care. 2010;22(3):179-86. doi:10.1093/intqhc/mzq014. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

133. Understanding medication safety in healthcare settings: a critical review of conceptual models. | PSNet
     psnet.ahrq.gov/issue/understanding-medication-safety-healthcare-settings-critical-review-conceptual-models
     February 26, 2014 - Commentary Understanding medication safety in healthcare settings: a critical review of conceptual models. Citation Text: Liu W, Manias E, Gerdtz M. Understanding medication safety in healthcare settings: a critical review of conceptual models. Nurs Inq. 2011;18(4):290-302. doi:10.1111…

134. Quality improvement in medical education: current state and future directions. | PSNet
     psnet.ahrq.gov/issue/quality-improvement-medical-education-current-state-and-future-directions
     June 30, 2010 - Review Quality improvement in medical education: current state and future directions. Citation Text: Wong BM, Levinson W, Shojania KG. Quality improvement in medical education: current state and future directions. Med Educ. 2012;46(1):107-19. doi:10.1111/j.1365-2923.2011.04154.x. Cop…

135. E-prescribing and adverse drug events: an observational study of the Medicare Part D population with diabetes. | PSNet
     psnet.ahrq.gov/issue/e-prescribing-and-adverse-drug-events-observational-study-medicare-part-d-population-diabetes
     May 20, 2015 - Study E-prescribing and adverse drug events: an observational study of the Medicare Part D population with diabetes. Citation Text: Gabriel MH, Powers C, Encinosa W, et al. E-Prescribing and Adverse Drug Events: An Observational Study of the Medicare Part D Population With Diabetes. Med …

136. Factors influencing perioperative nurses' error reporting preferences. | PSNet
     psnet.ahrq.gov/issue/factors-influencing-perioperative-nurses-error-reporting-preferences
     January 11, 2006 - Study Factors influencing perioperative nurses' error reporting preferences. Citation Text: Espin S, Regehr G, Levinson W, et al. Factors influencing perioperative nurses' error reporting preferences. AORN J. 2007;85(3):527-43. Copy Citation Format: Google Scholar PubMed …

137. Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose. | PSNet
     psnet.ahrq.gov/issue/frequency-medication-errors-intravenous-acetylcysteine-acetaminophen-overdose
     March 03, 2010 - Study Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose. Citation Text: Hayes BD, Klein-Schwartz W, Doyon S. Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose. Ann Pharmacother. 2008;42(6):766-70. doi:10.13…

138. Operating room clinicians' attitudes and perceptions of a pediatric surgical safety checklist at 1 institution. | PSNet
     psnet.ahrq.gov/issue/operating-room-clinicians-attitudes-and-perceptions-pediatric-surgical-safety-checklist-1
     July 14, 2010 - Study Operating room clinicians' attitudes and perceptions of a pediatric surgical safety checklist at 1 institution. Citation Text: Norton EK, Singer SJ, Sparks W, et al. Operating Room Clinicians' Attitudes and Perceptions of a Pediatric Surgical Safety Checklist at 1 Institution. J Pa…

139. A model for developing high-reliability teams. | PSNet
     psnet.ahrq.gov/issue/model-developing-high-reliability-teams
     February 08, 2017 - Commentary A model for developing high-reliability teams. Citation Text: Riley W, Davis SE, Miller KK, et al. A model for developing high-reliability teams. J Nurs Manag. 2010;18(5):556-63. doi:10.1111/j.1365-2834.2010.01121.x. Copy Citation Format: DOI Google Scholar Pub…

140. Systematic review: the evidence that publishing patient care performance data improves quality of care. | PSNet
     psnet.ahrq.gov/issue/systematic-review-evidence-publishing-patient-care-performance-data-improves-quality-care
     September 06, 2017 - Review Systematic review: the evidence that publishing patient care performance data improves quality of care. Citation Text: Fung CH, Lim Y-W, Mattke S, et al. Systematic review: the evidence that publishing patient care performance data improves quality of care. Ann Intern Med. 2008;…