This podcast discusses the preoperative, operative, and postoperative considerations for patients undergoing tonsillectomy, including anatomy and pathophysiology, preoperative evaluation, anesthetic management, operative approach, and postoperative care. LEARNING OBJECTIVES Upon listening to this podcast, learners will be able to: • Identify high-alert medications that may require an independent double check (IDC) • Describe how confirmation bias can negatively impact an independent double check • Describe the steps of an independent double check for intermittent and continuous medications AUTHORS Julie A. Murphy, PhD, MBA, RN, CPHQ Senior Clinical Quality Improvement Specialist Clinical Education, Informatics, Quality, and Practice Boston Children's Hospital Kathryn Gustafson, BSN, RN, CPST Clinical Quality Improvement Specialist CEI, Quality and Professional Practice Boston Children's Hospital DATES Initial publication date: July 2, 2025. Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: [email protected] CITATION Murphy JA, Becla K, Donovan K, Miller DM, Paulson A, Treseler J, DeGrazia M, Gustafson K. Independent Double Checks and Line Reconciliation. 07/2025. OPENPediatrics. Podcast: https://soundcloud.com/openpediatrics/independent-double-checks-and-line-reconciliation-by-j-murphy-k-gustafson-openpediatrics?si=5de838d7cc36468abc6168889e0f74b2&utm_source=clipboard&utm_medium=text&utm_campaign=social_sharing.