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psnet.ahrq.gov/issue/circle-training
February 22, 2023 - Multi-use Website
Circle Up Training.
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Circle Up Training. Center for Medical Simulation.
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psnet.ahrq.gov/issue/maximizing-smart-pump-technology-enhance-patient-safety
April 25, 2018 - Commentary
Maximizing smart pump technology to enhance patient safety.
Citation Text:
Makic MBF. Maximizing smart pump technology to enhance patient safety. Clin Nurs Spec. 2015;29(4):195-197. doi:10.1097/NUR.0000000000000139.
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psnet.ahrq.gov/issue/patient-safety-nursing-practice
November 24, 2021 - Commentary
Patient safety in nursing practice.
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Clancy CM, Farquhar MB, Sharp BAC. Patient safety in nursing practice. J Nurs Care Qual. 2005;20(3):193-197.
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psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting-and-decreasing-patient-harm
January 27, 2021 - Newspaper/Magazine Article
Pump up the volume: tips for increasing error reporting and decreasing patient harm.
Citation Text:
Pump up the volume: tips for increasing error reporting and decreasing patient harm. ISMP Medication Safety Alert! Acute care edition. August 26, 2021;26(17);1-5…
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psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-reach-patient
March 14, 2023 - Newspaper/Magazine Article
Latent and active failures perfectly align to allow a preventable adverse event to reach a patient.
Citation Text:
Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. ISMP Medication Safety Alert! Acute care editi…
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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.
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psnet.ahrq.gov/issue/survey-shows-room-improvement-two-new-ismp-targeted-medication-safety-best-practices
February 12, 2020 - Newspaper/Magazine Article
Survey shows room for improvement with two new ISMP Targeted Medication Safety Best Practices.
Citation Text:
Survey shows room for improvement with two new ISMP Targeted Medication Safety Best Practices. ISMP Medication Safety Alert! Acute care edition. July 3…
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psnet.ahrq.gov/issue/its-not-our-ass-medical-resident-sense-making-regarding-lawsuits
December 02, 2015 - Study
"It's not our ass": medical resident sense-making regarding lawsuits.
Citation Text:
Noland CM, Carl WJ. "It's not our ass": medical resident sense-making regarding lawsuits. Health Commun. 2006;20(1):81-9.
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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…
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psnet.ahrq.gov/issue/use-duodenoscopes-innovative-designs-enhance-safety-fda-safety-communication
October 19, 2022 - Press Release/Announcement
Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication.
Citation Text:
Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; April 5, 2022.
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psnet.ahrq.gov/issue/standardization-inpatient-handoff-communication
April 26, 2023 - Organizational Policy/Guidelines
Standardization of inpatient handoff communication.
Citation Text:
Jewell JA. Standardization of Inpatient Handoff Communication. Pediatrics. 2016;138(5):e20162681. doi:10.1542/peds.2016-2681.
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psnet.ahrq.gov/issue/error-traps-acute-pain-management-children
August 24, 2022 - Commentary
Error traps in acute pain management in children.
Citation Text:
Vecchione TM, Agarwal R, Monitto CL. Error traps in acute pain management in children. Paediatr Anaesth. 2022;32(9):982-992. doi:10.1111/pan.14514.
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psnet.ahrq.gov/issue/role-chief-executive-officer-maximizing-patient-safety
January 03, 2017 - Newspaper/Magazine Article
The role of the chief executive officer in maximizing patient safety.
Citation Text:
Shorr AS. The role of the chief executive officer in maximizing patient safety. Healthcare executive. 2007;22(2):20-2, 24, 26.
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psnet.ahrq.gov/issue/quest-ideal-redesign-medication-use-system
September 16, 2020 - Commentary
Quest for the ideal: a redesign of the medication use system.
Citation Text:
Dang D, Feroli R, Gill C, et al. Quest for the ideal: a redesign of the medication use system. J Nurs Care Qual. 2007;22(1):11-19.
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psnet.ahrq.gov/issue/safety-lessons-nih-clinical-center
April 10, 2024 - Commentary
Safety lessons from the NIH Clinical Center.
Citation Text:
Gandhi TK. Safety Lessons from the NIH Clinical Center. N Engl J Med. 2016;375(18):1705-1707.
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psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals
June 16, 2019 - Study
Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals.
Citation Text:
Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. Smetzer JL, Cohen MR. Hosp Pharm. 1998;33(6):640-642,645-646,654-65…
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psnet.ahrq.gov/issue/infants-risk-when-nurse-fatigue-jeopardizes-quality-care
September 13, 2006 - Study
Infants at risk: when nurse fatigue jeopardizes quality care.
Citation Text:
Infants at risk: when nurse fatigue jeopardizes quality care. Dean GE; Scott LD; Rogers AE.
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psnet.ahrq.gov/issue/cybersecurity-patient-safety-policy-options-health-care-sector
December 16, 2020 - Book/Report
Cybersecurity is Patient Safety: Policy Options in the Health Care Sector.
Citation Text:
Cybersecurity is Patient Safety: Policy Options in the Health Care Sector. Washington DC; Office of Senator Mark Warner: November 25, 2022.
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psnet.ahrq.gov/issue/safety-and-quality-perioperative-anesthesia-care
June 15, 2011 - Special or Theme Issue
Safety and Quality in Perioperative Anesthesia Care.
Citation Text:
Safety and Quality in Perioperative Anesthesia Care. Preckel B, ed. Best Pract Res Clin Anaesthesiol. 2021;35(1):1-154.
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psnet.ahrq.gov/issue/smart-pumps-practice-survey-results-reveal-widespread-use-optimization-challenging
December 27, 2018 - Newspaper/Magazine Article
Smart pumps in practice: survey results reveal widespread use, but optimization is challenging.
Citation Text:
Smart pumps in practice: survey results reveal widespread use, but optimization is challenging. ISMP Medication Safety Alert! Acute Care Edition. Apri…