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  1. psnet.ahrq.gov/issue/public-meeting-improving-patient-safety-enhancing-container-labeling-parenteral-infusion-drug
    December 16, 2020 - Government Resource Public Meeting on Improving Patient Safety by Enhancing the Container Labeling for Parenteral Infusion Drug Products. Citation Text: Public Meeting on Improving Patient Safety by Enhancing the Container Labeling for Parenteral Infusion Drug Products. Fed Reg. Nov. 28,…
  2. psnet.ahrq.gov/issue/speaking-about-patient-safety-requires-observant-questioner-and-high-index-suspicion
    June 10, 2018 - Newspaper/Magazine Article Speaking up about patient safety requires an observant questioner and a high index of suspicion. Citation Text: Speaking up about patient safety requires an observant questioner and a high index of suspicion. ISMP Medication Safety Alert! Acute Care Edition. Oc…
  3. psnet.ahrq.gov/issue/just-culture-and-its-critical-link-patient-safety-part-1-and-part-2
    June 10, 2018 - Newspaper/Magazine Article Just Culture and its critical link to patient safety—part 1 and part 2. Citation Text: Just Culture and its critical link to patient safety—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. May 17, 2012;17:1-4; July 12, 2012;17:1-3. Copy …
  4. psnet.ahrq.gov/issue/appropriate-prescribing-medications-eight-step-approach
    January 10, 2024 - Commentary Appropriate prescribing of medications: an eight-step approach. Citation Text: Pollock M, Bazaldua O, Dobbie AE. Appropriate prescribing of medications: an eight-step approach. Am Fam Physician. 2007;75(2):231-236. Copy Citation Format: Google Scholar PubMed Bi…
  5. psnet.ahrq.gov/issue/promoting-civility-or-ethical-imperative
    September 12, 2016 - Commentary Promoting civility in the OR: an ethical imperative. Citation Text: Clark CM, Kenski D. Promoting Civility in the OR: An Ethical Imperative. AORN J. 2017;105(1):60-66. doi:10.1016/j.aorn.2016.10.019. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …
  6. psnet.ahrq.gov/issue/adherence-medication-safety-protocol-current-practice-labeling-medications-and-solutions
    July 19, 2023 - Study Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field. Citation Text: Brown-Brumfield D, DeLeon A. Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile f…
  7. psnet.ahrq.gov/issue/creating-safety-culture-nursing-units-human-performance-and-organizational-system-factors
    May 29, 2013 - Study Creating safety culture on nursing units: human performance and organizational system factors that make a difference. Citation Text: Moody RF, Pesut DJ, Harrington CF. Creating Safety Culture on Nursing Units. J Patient Saf. 2008;2(4). doi:10.1097/01.jps.0000242978.40424.24. Co…
  8. psnet.ahrq.gov/issue/aviation-tools-improve-patient-safety
    June 19, 2024 - Commentary Aviation tools to improve patient safety. Citation Text: Ross J. Aviation tools to improve patient safety. J Perianesth Nurs. 2014;29(6):508-10. doi:10.1016/j.jopan.2014.09.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…
  9. psnet.ahrq.gov/issue/perinatal-patient-safety-and-quality
    January 19, 2022 - Commentary Perinatal patient safety and quality. Citation Text: Simpson KR. Perinatal patient safety and quality. J Perinat Neonatal Nurs. 2011;25(2):103-107. doi:10.1097/JPN.0b013e318215b9e5. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…
  10. psnet.ahrq.gov/issue/sensemaking-organizations
    June 20, 2018 - Book/Report Classic Sensemaking in Organizations. Citation Text: Sensemaking in Organizations. Weick KE. Thousand Oaks, CA: Sage Publications; 1995. ISBN: 9780803971776. Copy Citation Save Save to your library Print Download PDF…
  11. psnet.ahrq.gov/issue/recommendations-practitioners-and-manufacturers-address-system-based-causes-vaccine-errors
    June 18, 2014 - Newspaper/Magazine Article Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors. Citation Text: Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors. ISMP Medication Safety Alert! Acute ca…
  12. psnet.ahrq.gov/issue/survey-suggests-possible-downward-trend-identifying-key-drugsdrug-classes-high-alert
    July 30, 2014 - Newspaper/Magazine Article Survey suggests possible downward trend in identifying key drugs/drug classes as high-alert medications. Citation Text: Survey suggests possible downward trend in identifying key drugs/drug classes as high-alert medications. ISMP Medication Safety Alert! Acute …
  13. psnet.ahrq.gov/issue/oral-chemotherapy-we-simply-must-do-better
    February 13, 2019 - Newspaper/Magazine Article With oral chemotherapy, we simply must do better! Citation Text: With oral chemotherapy, we simply must do better! ISMP Medication Safety Alert! Acute Care Edition. July 17, 2014;19:1-4. Copy Citation Save Save to your library Prin…
  14. psnet.ahrq.gov/issue/still-outside-bulls-eye-2014-2015-targeted-medication-safety-best-practices
    March 15, 2022 - Newspaper/Magazine Article Still outside the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. Citation Text: Still outside the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. ISMP Medication Safety Alert! Acute care edition. March 27, 2014;19:1-5. Copy …
  15. psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error
    February 10, 2021 - Newspaper/Magazine Article Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error Citation Text: Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error ISMP Medication Safety Alert! Acute care edition. 2021;26(13);1-2. …
  16. psnet.ahrq.gov/issue/improving-care-transitions-current-practice-and-future-opportunities-pharmacists
    December 12, 2012 - Commentary Improving care transitions: current practice and future opportunities for pharmacists. Citation Text: Pharmacy AC of C, Hume AL, Kirwin J, et al. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326-37. doi…
  17. psnet.ahrq.gov/issue/accuracies-diagnostic-methods-acute-appendicitis
    September 06, 2017 - Study Accuracies of diagnostic methods for acute appendicitis. Citation Text: Park JS, Jeong JH, Lee JI, et al. Accuracies of diagnostic methods for acute appendicitis. Am Surg. 2013;79(1):101-106. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…
  18. psnet.ahrq.gov/issue/assessing-and-monitoring-override-medications-automated-dispensing-devices
    May 06, 2009 - Study Assessing and monitoring override medications in automated dispensing devices. Citation Text: Kowiatek JG, Weber RJ, Skledar S, et al. Assessing and monitoring override medications in automated dispensing devices. Jt Comm J Qual Patient Saf. 2006;32(6):309-17. Copy Citation F…
  19. psnet.ahrq.gov/issue/three-new-best-practices-2022-2023-targeted-medication-safety-best-practices-hospitals
    March 15, 2022 - Newspaper/Magazine Article Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. Citation Text: Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. ISMP Medication Safety Alert! Acute care edition…
  20. psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture
    June 14, 2017 - Commentary Improving patient safety by practicing in a just culture. Citation Text: Duffy W. Improving Patient Safety by Practicing in a Just Culture. AORN J. 2017;106(1):66-68. doi:10.1016/j.aorn.2017.05.005. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

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