%0 Journal Article %B Jt Comm J Qual Patient Saf %D 2019 %G eng %N 4 %P 295-303 %R 10.1016/j.jcjq.2018.11.003 %T Implementing Strategies to Identify and Mitigate Adverse Safety Events: A Case Study with Unplanned Extubations. %V 45 %1 https://www.ncbi.nlm.nih.gov/pubmed/30583986 %8 04/2019