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3141. Paralyzed by mistakes: reassess the safety of neuromuscular blockers in your facility. | PSNet
      psnet.ahrq.gov/issue/paralyzed-mistakes-reassess-safety-neuromuscular-blockers-your-facility
      July 27, 2016 - Newspaper/Magazine Article Paralyzed by mistakes: reassess the safety of neuromuscular blockers in your facility. Citation Text: Paralyzed by mistakes: reassess the safety of neuromuscular blockers in your facility. ISMP Medication Safety Alert! Acute Care Edition. June 16, 2016;21:1-6. …

3142. Using information from external errors to signal a "clear and present danger." | PSNet
      psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger
      March 14, 2023 - Newspaper/Magazine Article Using information from external errors to signal a "clear and present danger." Citation Text: Using information from external errors to signal a "clear and present danger." ISMP Medication Safety Alert! Acute care edition. February 9, 2017;22:1-5. Copy Citati…

3143. Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. | PSNet
      psnet.ahrq.gov/issue/getting-closer-bulls-eye-2014-2015-targeted-medication-safety-best-practices
      July 08, 2015 - Newspaper/Magazine Article Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. Citation Text: Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. ISMP Medication Safety Alert! Acute Care Edition. February 12, 2015;20:1…

3144. Is an indication-based prescribing system in our future? | PSNet
      psnet.ahrq.gov/issue/indication-based-prescribing-system-our-future
      February 24, 2016 - Newspaper/Magazine Article Is an indication-based prescribing system in our future? Citation Text: Is an indication-based prescribing system in our future? ISMP Medication Safety Alert! Acute Care Edition. November 17, 2016;21:1-5. Copy Citation Save Save to your …

3145. Medication errors: the year in review. | PSNet
      psnet.ahrq.gov/issue/medication-errors-year-review
      May 02, 2018 - Newspaper/Magazine Article Medication errors: the year in review. Citation Text: Medication errors: the year in review. Valentine D, Ingram V, Fobi B et al. Pharmacy Practice News. September 10, 2019. Copy Citation Save Save to your library Print Down…

3146. Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. | PSNet
      psnet.ahrq.gov/issue/adopt-strategies-manage-look-alike-andor-sound-alike-medication-name-mix-ups
      June 24, 2020 - Newspaper/Magazine Article Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. Citation Text: Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. ISMP Medication Safety Alert! Acute care edition. June 2, 2022;27(11):1-4. Copy …

3147. Education is “predictably disappointing” and should never be relied upon alone to improve safety. | PSNet
      psnet.ahrq.gov/issue/education-predictably-disappointing-and-should-never-be-relied-upon-alone-improve-safety
      June 15, 2022 - Newspaper/Magazine Article Education is “predictably disappointing” and should never be relied upon alone to improve safety. Citation Text: Education is “predictably disappointing” and should never be relied upon alone to improve safety. ISMP Medication Safety Alert! Acute care edition. …

3148. Drug shortages continue to compromise patient care. | PSNet
      psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care
      February 24, 2016 - Newspaper/Magazine Article Drug shortages continue to compromise patient care. Citation Text: Drug shortages continue to compromise patient care. ISMP Medication Safety Alert! Acute Care Edition. January 11, 2018;23:1-4. Copy Citation Save Save to your library …

3149. What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers. | PSNet
      psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-epinephrine-auto-injectors-leads-error-prone-use
      September 14, 2016 - Newspaper/Magazine Article What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers. Citation Text: What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-p…

3150. Stepping out further from the shadows: disclosure of harmful radiologic errors to patients. | PSNet
      psnet.ahrq.gov/issue/stepping-out-further-shadows-disclosure-harmful-radiologic-errors-patients
      April 21, 2011 - Commentary Stepping out further from the shadows: disclosure of harmful radiologic errors to patients. Citation Text: Brown SD, Lehman CD, Truog RD, et al. Stepping Out Further from the Shadows: Disclosure of Harmful Radiologic Errors to Patients. Radiology. 2012;262(2):381-386. doi:10…

3151. ASPEN parenteral nutrition safety consensus recommendations: translation into practice. | PSNet
      psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-consensus-recommendations-translation-practice
      February 17, 2015 - Commentary ASPEN parenteral nutrition safety consensus recommendations: translation into practice. Citation Text: Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations: translation into practice. Nutr Clin Pract. 2014;29(3):277-82. doi:10.…

3152. Major congenital malformations after first-trimester exposure to ACE inhibitors. | PSNet
      psnet.ahrq.gov/issue/major-congenital-malformations-after-first-trimester-exposure-ace-inhibitors
      July 10, 2008 - Study Major congenital malformations after first-trimester exposure to ACE inhibitors. Citation Text: Cooper WO, Hernandez-Diaz S, Arbogast PG, et al. Major Congenital Malformations after First-Trimester Exposure to ACE Inhibitors. New England Journal of Medicine. 2006;354(23). doi:10.…

3153. Educational interventions to reduce prescribing errors. | PSNet
      psnet.ahrq.gov/issue/educational-interventions-reduce-prescribing-errors
      October 19, 2022 - Study Educational interventions to reduce prescribing errors. Citation Text: Conroy S, North C, Fox T, et al. Educational interventions to reduce prescribing errors. Arch Dis Child. 2008;93(4):313-5. doi:10.1136/adc.2007.127761. Copy Citation Format: DOI Google Scholar Pu…

3154. Ethical and practical aspects of disclosing adverse events in the emergency department. | PSNet
      psnet.ahrq.gov/issue/ethical-and-practical-aspects-disclosing-adverse-events-emergency-department
      April 04, 2011 - Review Ethical and practical aspects of disclosing adverse events in the emergency department. Citation Text: Stokes SL, Wu AW, Pronovost P. Ethical and practical aspects of disclosing adverse events in the emergency department. Emerg Med Clin North Am. 2006;24(3):703-714. Copy Citat…

3155. Workplace bullying in the OR: results of a descriptive study. | PSNet
      psnet.ahrq.gov/issue/workplace-bullying-or-results-descriptive-study
      December 21, 2017 - Study Workplace bullying in the OR: results of a descriptive study. Citation Text: Chipps E, Stelmaschuk S, Albert NM, et al. Workplace Bullying in the OR: Results of a Descriptive Study. AORN J. 2013;98(5). doi:10.1016/j.aorn.2013.08.015. Copy Citation Format: DOI Googl…

3156. Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi-experimental study. | PSNet
      psnet.ahrq.gov/issue/assessment-potential-impact-reminder-system-reduction-diagnostic-errors-quasi-experimental
      April 19, 2011 - Study Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi-experimental study. Citation Text: Ramnarayan P, Roberts GC, Coren M, et al. Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a qua…

3157. Error disclosure and apology in radiology: the case for further dialogue. | PSNet
      psnet.ahrq.gov/issue/error-disclosure-and-apology-radiology-case-further-dialogue
      October 19, 2022 - Commentary Error disclosure and apology in radiology: the case for further dialogue. Citation Text: Brown SD, Bruno MA, Shyu JY, et al. Error Disclosure and Apology in Radiology: The Case for Further Dialogue. Radiology. 2019;293(1):30-35. doi:10.1148/radiol.2019190126. Copy Citation …

3158. Time-ordered comorbidity correlations identify patients at risk of mis- and overdiagnosis. | PSNet
      psnet.ahrq.gov/issue/time-ordered-comorbidity-correlations-identify-patients-risk-mis-and-overdiagnosis
      December 07, 2022 - Study Time-ordered comorbidity correlations identify patients at risk of mis- and overdiagnosis. Citation Text: Time-ordered comorbidity correlations identify patients at risk of mis- and overdiagnosis. Jørgensen IF, Brunak S. NPJ Digital Med. 2021;4(1):12. Copy Citation …

3159. Spinal surgery and patient safety: a systems approach. | PSNet
      psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach
      January 12, 2022 - Review Spinal surgery and patient safety: a systems approach. Citation Text: Wong DA. Spinal surgery and patient safety: a systems approach. J Am Acad Orthop Surg. 2006;14(4):226-32. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

3160. Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. | PSNet
      psnet.ahrq.gov/issue/day-passes-vulnerable-patients-psychiatric-hospitals-can-have-dangerous-even-fatal
      October 29, 2014 - Newspaper/Magazine Article Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. Citation Text: Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. Woodruff E. Baltimore Sun. June 9, 2…