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psnet.ahrq.gov/issue/preventing-errors-when-preparing-and-administering-medications-enteral-feeding-tubes
November 30, 2016 - Newspaper/Magazine Article
Preventing errors when preparing and administering medications via enteral feeding tubes.
Citation Text:
Preventing errors when preparing and administering medications via enteral feeding tubes. ISMP Medication Safety Alert! Acute care edition. November 17, 202…
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psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes
March 27, 2018 - Newspaper/Magazine Article
Perioperative medication errors: uncovering risk from behind the drapes.
Citation Text:
Perioperative medication errors: uncovering risk from behind the drapes. Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. 2018;15(4):1-17.
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psnet.ahrq.gov/issue/toolkit-preventing-clabsi-and-cauti-icus
December 24, 2008 - Toolkit
Toolkit for Preventing CLABSI and CAUTI in ICUs.
Citation Text:
Toolkit for Preventing CLABSI and CAUTI in ICUs. Rockville, MD: Agency for Healthcare Research and Quality; April 2022.
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psnet.ahrq.gov/issue/ahrq-health-literacy-universal-precautions-toolkit-2nd-edition
April 30, 2008 - Toolkit
AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition.
Citation Text:
AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition. Brach C, ed. Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Publication No. 15-0023-EF.
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psnet.ahrq.gov/issue/national-report-findings-2016-issue-brief-no-2-patient-safety
November 18, 2020 - Book/Report
National Report of Findings 2016: Issue Brief No. 2: Patient Safety.
Citation Text:
National Report of Findings 2016: Issue Brief No. 2: Patient Safety. Clinical Learning Environment Review. Chicago, IL: Accreditation Council for Graduate Medical Education; 2016.
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psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-surveillance
September 11, 2019 - Newspaper/Magazine Article
Partnering with families and patient advocates: another line of defense in adverse event surveillance.
Citation Text:
Partnering with families and patient advocates: another line of defense in adverse event surveillance. ISMP Medication Safety Alert! Acute Care…
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psnet.ahrq.gov/issue/effect-nurse-staffing-patterns-medical-errors-and-nurse-burnout
October 11, 2023 - Review
The effect of nurse staffing patterns on medical errors and nurse burnout.
Citation Text:
Garrett C. The effect of nurse staffing patterns on medical errors and nurse burnout. AORN J. 2008;87(6):1191-204. doi:10.1016/j.aorn.2008.01.022.
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psnet.ahrq.gov/issue/workarounds-are-routinely-used-nurses-are-they-ethical
October 27, 2016 - Commentary
Workarounds are routinely used by nurses—but are they ethical?
Citation Text:
Berlinger N. Workarounds Are Routinely Used by Nurses-But Are They Ethical? Am J Nurs. 2017;117(10):53-55. doi:10.1097/01.NAJ.0000525875.82101.b7.
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psnet.ahrq.gov/issue/cyberattack-led-harrowing-lapses-ascension-hospitals-clinicians-say
March 06, 2024 - Newspaper/Magazine Article
Cyberattack led to harrowing lapses at Ascension hospitals, clinicians say.
Citation Text:
Cyberattack led to harrowing lapses at Ascension hospitals, clinicians say. Pradhan R, Wells K. KFF Health News and Morning Edition, Michigan Public Radio: June 19, 2024.…
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psnet.ahrq.gov/issue/key-principles-quality-and-safety-radiology
September 09, 2009 - Review
Key principles in quality and safety in radiology.
Citation Text:
Abujudeh H, Kaewlai R, Shaqdan K, et al. Key Principles in Quality and Safety in Radiology. American Journal of Roentgenology. 2017;208(3). doi:10.2214/ajr.16.16951.
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psnet.ahrq.gov/issue/taking-risky-business-out-mri-suite
September 12, 2016 - Newspaper/Magazine Article
Taking risky business out of the MRI suite.
Citation Text:
Rozovsky FA, Gilk TB, Latina RJ. Managing liability exposure and safety. Taking risky business out of the MRI suite. Materials management in health care. 2006;15(1):18-23.
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psnet.ahrq.gov/issue/managing-risks-concurrent-surgeries
September 24, 2017 - Commentary
Managing the risks of concurrent surgeries.
Citation Text:
Mello MM, Livingston EH. Managing the Risks of Concurrent Surgeries. JAMA. 2016;315(15):1563-4. doi:10.1001/jama.2016.2305.
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psnet.ahrq.gov/issue/safety-improvements-urged-mri-facilities
February 02, 2011 - Newspaper/Magazine Article
Safety improvements urged for MRI facilities.
Citation Text:
Mitka M. Safety improvements urged for MRI facilities. JAMA. 2005;294(17):2145-8.
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psnet.ahrq.gov/issue/ashp-guidelines-safe-use-automated-dispensing-devices
July 05, 2017 - Organizational Policy/Guidelines
ASHP guidelines on the safe use of automated dispensing devices.
Citation Text:
Cello R, Conley M, Cooley TW, et al. ASHP Guidelines on the Safe Use of Automated Dispensing Cabinets. Am J Health Syst Pharm. 2021;79(1):e71-e82. doi:10.1093/ajhp/zxab325. …
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psnet.ahrq.gov/issue/do-not-let-depo-medications-be-depot-mistakes
March 15, 2022 - Newspaper/Magazine Article
Do not let "Depo-" medications be a depot for mistakes.
Citation Text:
Do not let "Depo-" medications be a depot for mistakes. ISMP Medication Safety Alert! Acute Care Edition. March 24, 2016;21:1-4.
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psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors
February 17, 2017 - Newspaper/Magazine Article
Could it happen here? Learning from other organizations' safety errors.
Citation Text:
Conway JB. Could it happen here? Learning from other organizations' safety errors. Healthcare Executive. 2008;23(6):64, 66-67.
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psnet.ahrq.gov/issue/toward-modelling-safety-violations-healthcare-systems
May 01, 2024 - Commentary
Toward the modelling of safety violations in healthcare systems.
Citation Text:
Catchpole K. Toward the modelling of safety violations in healthcare systems. BMJ Qual Saf. 2013;22(9):705-9. doi:10.1136/bmjqs-2012-001604.
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psnet.ahrq.gov/issue/learning-error-identifying-contributory-causes-medication-errors-australian-hospital
October 19, 2022 - Study
Learning from error: identifying contributory causes of medication errors in an Australian hospital.
Citation Text:
Nichols P, Copeland T-S, Craib IA, et al. Learning from error: identifying contributory causes of medication errors in an Australian hospital. Med J Aust. 2008;188(…
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psnet.ahrq.gov/issue/value-pharmacist-medication-reconciliation-process
March 27, 2024 - Commentary
Value of the pharmacist in the medication reconciliation process.
Citation Text:
Splawski J, Minger H. Value of the Pharmacist in the Medication Reconciliation Process. P T. 2016;41(3):176-8.
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psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident
February 21, 2024 - Book/Report
Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports.
Citation Text:
Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. Dorset, UK: Health Services Safety Inve…