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psnet.ahrq.gov/issue/theres-more-60-minutes-story-heparin-errors
March 15, 2022 - Newspaper/Magazine Article
There's more to the 60 Minutes story on heparin errors.
Citation Text:
There's more to the 60 Minutes story on heparin errors. ISMP Medication Safety Alert! Acute Care Edition. March 27, 2008;13:1-2.
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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/lurking-danger-business-case-patient-safety
May 13, 2020 - Commentary
The lurking danger in the “business case” for patient safety
Citation Text:
The lurking danger in the “business case” for patient safety Millenson ML. Health Affairs Blog. December 2, 2019.
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psnet.ahrq.gov/issue/beyond-error-qualitative-study-human-factors-serious-adverse-events
December 18, 2024 - Study
Beyond error: a qualitative study of human factors in serious adverse events.
Citation Text:
Mujuru C, Peisah C. Beyond error: a qualitative study of human factors in serious adverse events. J Healthc Risk Manag. 2024;44(2):7-13. doi:10.1002/jhrm.21583.
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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/oral-syringes-crucial-and-economical-risk-reduction-strategy-has-not-been-fully-utilized
June 10, 2018 - Newspaper/Magazine Article
Oral syringes: a crucial and economical risk-reduction strategy that has not been fully utilized.
Citation Text:
Oral syringes: a crucial and economical risk-reduction strategy that has not been fully utilized. ISMP Medication Safety Alert! Acute Care Edition. …
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psnet.ahrq.gov/issue/veterans-accountability-improvement-act
March 25, 2020 - Legislation/Case Law
Veterans Accountability Improvement Act.
Citation Text:
Veterans Accountability Improvement Act. SB 1307, 117th Congress: 2021.
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psnet.ahrq.gov/issue/communication-nurses-how-prevent-harmful-events-and-promote-patient-safety
January 04, 2017 - Book/Report
Communication for Nurses: How to Prevent Harmful Events and Promote Patient Safety.
Citation Text:
Communication for Nurses: How to Prevent Harmful Events and Promote Patient Safety. Schuster PM, Nykolyn L. Philadelphia, PA: F.A. Davis Company; 2010. ISBN: 9780803625303. …
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psnet.ahrq.gov/issue/medical-errors-and-patient-safety-curriculum-guide-teaching-medical-students-and-family
September 16, 2015 - Course Material/Curriculum
Medical Errors and Patient Safety: A Curriculum Guide for Teaching Medical Students and Family Practice Residents.
Citation Text:
Medical Errors and Patient Safety: A Curriculum Guide for Teaching Medical Students and Family Practice Residents. Halbach JL; Sull…
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psnet.ahrq.gov/issue/administering-saline-flush-site-unseen-can-lead-wrong-route-error
June 10, 2018 - Newspaper/Magazine Article
Administering a saline flush "site unseen" can lead to a wrong route error.
Citation Text:
Administering a saline flush "site unseen" can lead to a wrong route error. ISMP Medication Safety Alert! Acute care edition. May 16, 2013;18:1-3.
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psnet.ahrq.gov/issue/hospitals-find-confession-good-bottom-line
November 23, 2016 - Newspaper/Magazine Article
Hospitals find confession good for the bottom line.
Citation Text:
Hospitals find confession good for the bottom line. Greene J.
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psnet.ahrq.gov/issue/shared-mdis-can-cross-contamination-be-avoided
May 03, 2023 - Newspaper/Magazine Article
Shared MDIs: can cross-contamination be avoided?
Citation Text:
Shared MDIs: can cross-contamination be avoided? ISMP Medication Safety Alert! Acute Care Edition. April 9, 2009;14:1-3.
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psnet.ahrq.gov/issue/should-doctors-apologize-mistakes
December 18, 2019 - Newspaper/Magazine Article
Should doctors apologize for mistakes?
Citation Text:
Should doctors apologize for mistakes? Bendix J. Medical Economics. November 10, 2019;96(21):17.
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psnet.ahrq.gov/issue/hospitals-put-emphasis-collection-medication-data
September 14, 2011 - Newspaper/Magazine Article
Hospitals put emphasis on collection of medication data.
Citation Text:
Hospitals put emphasis on collection of medication data. Krizner K. Managed Healthcare Executive. August 1, 2006.
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psnet.ahrq.gov/issue/developing-adverse-event-reporting-system-using-administrative-data
September 23, 2009 - Study
Developing an adverse event reporting system using administrative data.
Citation Text:
Developing an adverse event reporting system using administrative data. Bahl V; Thompson MA; Commisky EL; Anderson S; Campbell DA Jr.
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psnet.ahrq.gov/issue/dangerous-connections-health-care-community-tackles-tubing-risks-small-bore-connector
October 26, 2007 - Newspaper/Magazine Article
Dangerous connections: health care community tackles tubing risks, small-bore connector standards.
Citation Text:
Dangerous connections: health care community tackles tubing risks, small-bore connector standards. Vockley M. Joint Commission: The Source. Jun…
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psnet.ahrq.gov/issue/leadership-and-vision-culture-safety
May 27, 2021 - Commentary
Leadership and vision for a culture of safety.
Citation Text:
Leadership and vision for a culture of safety. Gandhi TK. NEJM Catalyst. February 8, 2018.
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psnet.ahrq.gov/issue/sway-unravelling-unconscious-bias
August 02, 2016 - Book/Report
Sway: Unravelling Unconscious Bias
Citation Text:
Sway: Unravelling Unconscious Bias Agarwal P. London, UK: Bloomsbury Sigma; 2020. ISBN 9781472971357.
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psnet.ahrq.gov/issue/health-care-errors-and-patient-safety
August 29, 2017 - Book/Report
Health Care Errors and Patient Safety.
Citation Text:
Health Care Errors and Patient Safety. Hurwitz B, Sheikh A, eds. Hoboken, NJ: Wiley-Blackwell; 2009. ISBN: 9781405146432.
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psnet.ahrq.gov/issue/looking-future-patient-safety
February 13, 2018 - Newspaper/Magazine Article
Looking to the future of patient safety.
Citation Text:
Looking to the future of patient safety. Carr S. Patient Saf Qual Healthc. July/August 2014;11:30-35.
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