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psnet.ahrq.gov/issue/paradoxes-defensive-medicine
June 08, 2022 - Commentary
The paradoxes of defensive medicine.
Citation Text:
The paradoxes of defensive medicine. Saks MJ, Landsman S. Health Matrix: J Law-Med. 2020;30(1):25-84.
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psnet.ahrq.gov/issue/latest-heparin-fatality-speaks-loudly-what-have-you-done-stop-bleeding
May 03, 2023 - Newspaper/Magazine Article
Latest heparin fatality speaks loudly—what have you done to stop the bleeding?
Citation Text:
Latest heparin fatality speaks loudly—what have you done to stop the bleeding? ISMP Medication Safety Alert! Acute Care Edition. April 8, 2010;15:1-3.
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psnet.ahrq.gov/issue/eric-cropp-weighs-error-sent-him-prison
May 07, 2018 - Newspaper/Magazine Article
Eric Cropp weighs in on the error that sent him to prison.
Citation Text:
Eric Cropp weighs in on the error that sent him to prison. ISMP Medication Safety Alert! Acute Care Edition. December 3, 2009;14:1-3.
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psnet.ahrq.gov/issue/challenges-requiring-five-characters-during-adc-drug-searches-override
October 20, 2021 - Newspaper/Magazine Article
Challenges with requiring five characters during ADC drug searches via override.
Citation Text:
Challenges with requiring five characters during ADC drug searches via override. ISMP Medication Safety Alert! Acute care edition. October 21, 2021;26(21):1-3.
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psnet.ahrq.gov/issue/your-high-alert-medication-list-relatively-useless-without-associated-risk-reduction
May 07, 2014 - Newspaper/Magazine Article
Your high-alert medication list—relatively useless without associated risk-reduction strategies.
Citation Text:
Your high-alert medication list—relatively useless without associated risk-reduction strategies. ISMP Medication Safety Alert! Acute Care Edition. Ap…
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psnet.ahrq.gov/issue/side-tracks-safety-express-interruptions-lead-errors-and-unfinishedwait-what-was-i-doing
June 10, 2018 - Newspaper/Magazine Article
Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing?
Citation Text:
Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing? ISMP Medication Safety Alert! Acute care…
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psnet.ahrq.gov/issue/survey-lasa-drug-name-pairs-who-knows-whats-your-list-and-best-ways-prevent-mix-ups
June 10, 2018 - Newspaper/Magazine Article
Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups?
Citation Text:
Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups? ISMP Medication Safety Alert! Acute Care Editi…
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psnet.ahrq.gov/issue/efforts-improve-safety-culture-elderly-nursing-homes-qualitative-study
April 18, 2018 - Study
Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study.
Citation Text:
Indarwati R, Efendi F, Fauziningtyas R, et al. Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. Risk Manag Healthc Policy. 2023;16:3…
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psnet.ahrq.gov/issue/doctors-turned-my-sister-away-less-two-years-later-she-died-cervical-cancer
September 09, 2020 - Newspaper/Magazine Article
Doctors turned my sister away; less than two years later she died of cervical cancer.
Citation Text:
Doctors turned my sister away; less than two years later she died of cervical cancer. Harvey-Jenner C. Cosmopolitan. August 27, 2020.
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psnet.ahrq.gov/issue/no-place-home-advancing-safety-care-home
January 09, 2019 - Book/Report
No Place Like Home: Advancing the Safety of Care in the Home.
Citation Text:
No Place Like Home: Advancing the Safety of Care in the Home. Boston, MA: Institute for Healthcare Improvement; 2018.
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psnet.ahrq.gov/issue/complications-surgeons-notes-imperfect-science
January 13, 2010 - Book/Report
Classic
Complications: A Surgeon's Notes on an Imperfect Science.
Citation Text:
Complications: A Surgeon's Notes on an Imperfect Science. Gawande A. New York, NY: Metropolitan Books; 2002. ISBN: 9780805063196.
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psnet.ahrq.gov/issue/lessons-learned-radonda-vaught-ruling
April 26, 2023 - Newspaper/Magazine Article
Lessons learned from the RaDonda Vaught ruling.
Citation Text:
Lessons learned from the RaDonda Vaught ruling. Bilski J. Outpatient Surgery. February 2023;16-21
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psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
November 19, 2014 - Book/Report
Classic
When Things Go Wrong: Responding to Adverse Events.
Citation Text:
When Things Go Wrong: Responding to Adverse Events. Boston, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2006.
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psnet.ahrq.gov/issue/optimal-use-telehealth-deliver-safe-patient-care
October 10, 2018 - Newspaper/Magazine Article
The optimal use of telehealth to deliver safe patient care.
Citation Text:
The optimal use of telehealth to deliver safe patient care. Quick Safety. October 6, 2020;55:1-4.
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psnet.ahrq.gov/issue/access-clinical-information-bedside
March 16, 2022 - Book/Report
Access to Clinical Information at the Bedside.
Citation Text:
Access to Clinical Information at the Bedside. Farnborough, UK: Healthcare Safety Investigation Branch; February 2023.
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psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards-2024
April 17, 2024 - Newspaper/Magazine Article
Implement strategies to prevent persistent medication errors and hazards: 2024.
Citation Text:
Implement strategies to prevent persistent medication errors and hazards: 2024. ISMP Medication Safety Alert! Acute Care. 2024;29(6):1-4.
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psnet.ahrq.gov/issue/sops-nursing-home-survey-what-you-need-know
May 29, 2013 - Meeting/Conference Proceedings
SOPS Nursing Home Survey: What You Need to Know.
Citation Text:
SOPS Nursing Home Survey: What You Need to Know. Agency for Healthcare Research and Quality. May 3, 2022.
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psnet.ahrq.gov/issue/guardians-grafts-reducing-medication-errors-transplant-recipients
July 17, 2024 - Newspaper/Magazine Article
Guardians of grafts: reducing medication errors in transplant recipients.
Citation Text:
Guardians of grafts: reducing medication errors in transplant recipients. ISMP Medication Safety Alert! Acute care. April 4, 2024;29(7):1-4.
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psnet.ahrq.gov/issue/ers-are-swamped-seriously-ill-patients-although-many-dont-have-covid
November 01, 2023 - Newspaper/Magazine Article
ERs are swamped with seriously ill patients, although many don’t have Covid.
Citation Text:
ERs are swamped with seriously ill patients, although many don’t have Covid. Wells K. Health Shots. National Public Radio. October 29, 2021.
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psnet.ahrq.gov/issue/drug-name-confusion-preventing-medication-errors
January 29, 2018 - Newspaper/Magazine Article
Drug name confusion: preventing medication errors.
Citation Text:
Rados C. Drug name confusion: preventing medication errors. FDA consumer. 2005;39(4):35-7.
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