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psnet.ahrq.gov/issue/advancing-diagnostic-excellence-maternal-health-care-proceedings-workshop-brief
September 12, 2018 - Book/Report
Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief.
Citation Text:
Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief. National Academies of Sciences, Engineering, and Medicine. Washington, DC…
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psnet.ahrq.gov/issue/eu-tackle-issue-patient-safety
September 06, 2023 - Newspaper/Magazine Article
EU to tackle issue of patient safety.
Citation Text:
Watson R. EU to tackle issue of patient safety. BMJ (Clinical research ed.). 2005;330(7496):866.
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psnet.ahrq.gov/issue/updated-guidance-needed-longstanding-large-volume-parenteral-lvp-labeling-and-packaging
March 10, 2021 - Newspaper/Magazine Article
Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems.
Citation Text:
Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems. ISMP Medication Safety Alert! Acute ca…
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psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-they-suggest-carefully-following
February 24, 2016 - Newspaper/Magazine Article
Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors.
Citation Text:
Government and industry fail to protect the public when they suggest "carefully following instructions" i…
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psnet.ahrq.gov/issue/cognitive-biases-associated-medical-decisions-systematic-review
March 01, 2023 - Review
Cognitive biases associated with medical decisions: a systematic review.
Citation Text:
Saposnik G, Redelmeier DA, Ruff CC, et al. Cognitive biases associated with medical decisions: a systematic review. BMC Med Inform Decis Mak. 2016;16(1):138.
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psnet.ahrq.gov/issue/patient-safety-listen-whistleblowers
May 22, 2019 - Commentary
Patient safety: listen to whistleblowers.
Citation Text:
Kirkup B, Titcombe J. Patient safety: listen to whistleblowers. BMJ. 2023;382:1972. doi:10.1136/bmj.p1972.
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psnet.ahrq.gov/issue/nursing-home-workers-warned-government-about-safety-violations-covid-19-outbreaks-and-deaths
September 15, 2021 - Newspaper/Magazine Article
Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths.
Citation Text:
Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths. Ellis B, Hicken M. CNN. May 14, 2020.
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psnet.ahrq.gov/issue/crisis-within-crisis
May 05, 2021 - Newspaper/Magazine Article
A crisis within a crisis.
Citation Text:
A crisis within a crisis. Ellis NT, Broaddus A. CNN. August 25, 2021.
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psnet.ahrq.gov/issue/safety-maternity-services-england
February 04, 2015 - Book/Report
The Safety of Maternity Services in England.
Citation Text:
The Safety of Maternity Services in England. Fourth Report of Session 2021–22. House of Commons Health Committee. London, England: The Stationery Office; July 6, 2021. Publication HC 19.
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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. …
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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.
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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…
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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.
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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.
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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.
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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. …
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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.
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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…
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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…
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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.…