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psnet.ahrq.gov/node/49821/psn-pdf
February 01, 2018 - Right Place, Right Drug, Wrong Strength
February 1, 2018
Jelincic V, Greenall J. Right Place, Right Drug, Wrong Strength. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength
The Case
A 2-year-old girl was admitted to a hospital burn unit for a 10% total body surface area bur…
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psnet.ahrq.gov/node/861838/psn-pdf
January 31, 2024 - Adverse Drug Event (ADE) Surveillance and Pharmacist
Counseling
January 31, 2024
https://psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
Summary
Adverse events resulting from medications are a common occurrence that often go undetected, unreported,
and unaddressed.1 The imp…
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psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength
March 26, 2015 - Right Place, Right Drug, Wrong Strength
Citation Text:
Jelincic V, Greenall J. Right Place, Right Drug, Wrong Strength. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
June 15, 2022 - SPOTLIGHT CASE
Anchoring Bias With Critical Implications
Citation Text:
Etchells E. Anchoring Bias With Critical Implications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/issue/when-surgeon-too-old-operate
February 12, 2016 - Newspaper/Magazine Article
When is the surgeon too old to operate?
Citation Text:
When is the surgeon too old to operate? Span P. New York Times. February 1, 2019.
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psnet.ahrq.gov/issue/right-tech-dose-helps-medicine-go-down
October 28, 2020 - Newspaper/Magazine Article
Right tech dose helps medicine go down.
Citation Text:
Right tech dose helps medicine go down. Patton S. CIO Magazine. July 12, 2006.
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psnet.ahrq.gov/issue/first-protect-patient-harm-applying-adult-learning-principles-patient-safety
June 09, 2011 - Newspaper/Magazine Article
First, protect the patient from harm: applying adult learning principles to patient safety.
Citation Text:
First, protect the patient from harm: applying adult learning principles to patient safety. Duffy B.
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psnet.ahrq.gov/issue/fluorouracil-incident-root-cause-analysis-report
September 02, 2014 - Book/Report
Fluorouracil Incident Root Cause Analysis Report.
Citation Text:
Fluorouracil Incident Root Cause Analysis Report. Toronto, CA: Institute for Safe Medication Practices Canada; May 2007.
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psnet.ahrq.gov/issue/fellowships-and-mentorships-program
January 26, 2023 - Press Release/Announcement
Fellowships and Mentorships Program.
Citation Text:
Fellowships and Mentorships Program. Institute for Safe Medication Practices.
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psnet.ahrq.gov/issue/healthcare-practitioners-vaccine-error-reporting-form
January 26, 2023 - Measurement Tool/Indicator
Healthcare Practitioner’s Vaccine Error Reporting Form.
Citation Text:
Healthcare Practitioner’s Vaccine Error Reporting Form. Institute for Safe Medication Practices.
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psnet.ahrq.gov/issue/whack-mole-price-we-pay-expecting-perfection
May 24, 2015 - Book/Report
Whack-a-Mole: The Price We Pay For Expecting Perfection.
Citation Text:
Whack-a-Mole: The Price We Pay For Expecting Perfection. Marx D. Plano, TX: By Your Side Studios; 2009. ISBN: 9780615283074.
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psnet.ahrq.gov/issue/safety-critical-care-medicine
July 14, 2021 - Special or Theme Issue
Safety in Critical Care Medicine.
Citation Text:
Safety in Critical Care Medicine. Fein AM, Heffner JE, eds. Crit Care Clin. 2005;21(1):1-176.
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psnet.ahrq.gov/issue/distributing-cognition-icu-handoffs-conform-grices-maxims
May 09, 2015 - Image/Poster
Distributing Cognition: ICU Handoffs Conform to Grice's Maxims.
Citation Text:
Distributing Cognition: ICU Handoffs Conform to Grice's Maxims. Brandwijk M; Nemeth C; O'Conner M; Kahana M; Cook RI
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psnet.ahrq.gov/issue/european-union-network-patient-safety-and-quality-care
August 04, 2021 - Multi-use Website
European Union Network for Patient Safety and Quality of Care.
Citation Text:
European Union Network for Patient Safety and Quality of Care. European Union Network for Patient Safety and Quality of Care; PaSQ.
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psnet.ahrq.gov/issue/hsmr-new-approach-measuring-hospital-mortality-trends-canada
June 22, 2015 - Book/Report
HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada.
Citation Text:
HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada. Ottowa, Ontario, CA: Canadian Institute for Health Information; 2007. ISBN 9781554651832.
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psnet.ahrq.gov/issue/vincristine-and-other-vinca-alkaloids-should-only-be-given-intravenously-minibag
July 18, 2018 - Press Release/Announcement
Vincristine (and other vinca alkaloids) should only be given intravenously via a minibag.
Citation Text:
Vincristine (and other vinca alkaloids) should only be given intravenously via a minibag. World Health Organization. Alert 115. July 18, 2007.
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-health-care-proactive-risk-reduction-third-edition
May 18, 2016 - Book/Report
Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition.
Citation Text:
Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition. Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404066.
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psnet.ahrq.gov/issue/manchester-patient-safety-framework-mapsaf
October 27, 2021 - Toolkit
Manchester Patient Safety Framework (MaPSaF).
Citation Text:
Manchester Patient Safety Framework (MaPSaF). Manchester, UK: University of Manchester; 2006.
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psnet.ahrq.gov/issue/patient-safety-21
October 14, 2020 - Multi-use Website
Patient Safety
Citation Text:
Patient Safety Organisation for Economic Co-operation and Development.
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psnet.ahrq.gov/issue/mha-person-and-family-centered-care
May 13, 2024 - Toolkit
MHA Person- and Family-Centered Care.
Citation Text:
MHA Person- and Family-Centered Care. MHA Keystone Center. Michigan Health and Hospital Association.
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