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psnet.ahrq.gov/issue/recommendations-and-low-technology-safety-solutions-following-neuromuscular-blocking-agent
October 02, 2024 - Commentary
Recommendations and low-technology safety solutions following neuromuscular blocking agent incidents.
Citation Text:
Graudins L, Downey G, Bui T, et al. Recommendations and Low-Technology Safety Solutions Following Neuromuscular Blocking Agent Incidents. Jt Comm J Qual Patient…
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psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treatment-persons-mental-health
May 03, 2023 - Book/Report
Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities.
Citation Text:
Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities. Massachusetts Protection …
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psnet.ahrq.gov/issue/interventions-reduce-medication-errors-pediatric-intensive-care
March 12, 2014 - Review
Interventions to reduce medication errors in pediatric intensive care.
Citation Text:
Manias E, Kinney S, Cranswick N, et al. Interventions to reduce medication errors in pediatric intensive care. Ann Pharmacother. 2014;48(10):1313-31. doi:10.1177/1060028014543795.
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psnet.ahrq.gov/issue/patient-misidentification-neonatal-intensive-care-unit-quantification-risk
April 11, 2011 - Study
Patient misidentification in the neonatal intensive care unit: quantification of risk.
Citation Text:
Gray J, Suresh G, Ursprung R, et al. Patient misidentification in the neonatal intensive care unit: quantification of risk. Pediatrics. 2006;117(1):e43-e47.
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psnet.ahrq.gov/issue/global-priorities-patient-safety-research
April 05, 2017 - Commentary
Global priorities for patient safety research.
Citation Text:
Bates DW, Larizgoitia I, Prasopa-Plaizier N, et al. Global priorities for patient safety research. BMJ. 2009;338:b1775. doi:10.1136/bmj.b1775.
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psnet.ahrq.gov/issue/measures-patient-safety-developing-and-emerging-countries-review-literature
April 05, 2017 - Review
Measures of patient safety in developing and emerging countries: a review of the literature.
Citation Text:
Carpenter KB, Duevel MA, Lee PW, et al. Measures of patient safety in developing and emerging countries: a review of the literature. Qual Saf Health Care. 2010;19(1):48-54…
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psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-hospitals-0
May 09, 2014 - Organizational Policy/Guidelines
Emerging Classic
ASHP guidelines on preventing medication errors in hospitals.
Citation Text:
Billstein-Leber M, Carrillo CJD, Cassano AT, et al. ASHP Guidelines on Preventing Medication Errors in Hospitals. Am J Health-Syst Phar…
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psnet.ahrq.gov/issue/investigation-occupational-subgroups-respect-patient-safety-culture
March 06, 2024 - Study
An investigation of occupational subgroups with respect to patient safety culture.
Citation Text:
Phipps DL, Ashcroft DM. An investigation of occupational subgroups with respect to patient safety culture. Saf Sci. 2012;50(5). doi:10.1016/j.ssci.2011.12.016.
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psnet.ahrq.gov/issue/directed-peer-review-surgical-pathology
December 03, 2014 - Commentary
Directed peer review in surgical pathology.
Citation Text:
Smith ML, Raab SS. Directed peer review in surgical pathology. Adv Anat Pathol. 2012;19(5):331-337. doi:10.1097/pap.0b013e31826661b7.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote…
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psnet.ahrq.gov/issue/potential-twitter-data-source-patient-safety
October 29, 2012 - Study
The potential of Twitter as a data source for patient safety.
Citation Text:
Nakhasi A, Bell SG, Passarella RJ, et al. The Potential of Twitter as a Data Source for Patient Safety. J Patient Saf. 2019;15(4):e32-e35. doi:10.1097/PTS.0000000000000253.
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psnet.ahrq.gov/issue/important-information-safe-use-tussionex-pennkinetic-extended-release-suspension
February 15, 2024 - Government Resource
Important information for the safe use of Tussionex Pennkinetic Extended-Release Suspension.
Citation Text:
Important information for the safe use of Tussionex Pennkinetic Extended-Release Suspension. FDA Consumer Health Information. Silver Spring, MD: US Food and…
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psnet.ahrq.gov/issue/using-human-error-theory-explore-supply-non-prescription-medicines-community-pharmacies
January 30, 2013 - Study
Using human error theory to explore the supply of non-prescription medicines from community pharmacies.
Citation Text:
Watson MC, Bond CM, Johnston M, et al. Using human error theory to explore the supply of non-prescription medicines from community pharmacies. Qual Saf Health Ca…
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psnet.ahrq.gov/issue/assessing-hospital-safety-nights-and-weekends-swan-tool
September 28, 2010 - Commentary
Assessing hospital safety on nights and weekends: the SWAN tool.
Citation Text:
Shulkin DJ. Assessing hospital safety on nights and weekends: the SWAN tool. J Patient Saf. 2009;5(2):75-8. doi:10.1097/PTS.0b013e3181a5db10.
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psnet.ahrq.gov/issue/how-talk-about-patient-safety
June 24, 2019 - Book/Report
How to Talk About Patient Safety.
Citation Text:
How to Talk About Patient Safety. Hendricks R, O'Neil M, Volmert A. Boston, MA: Betsy Lehman Center for Patient Safety; March 2019.
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psnet.ahrq.gov/issue/learning-every-death
June 28, 2011 - Commentary
Learning from every death.
Citation Text:
Huddleston JM, Diedrich DA, Kinsey GC, et al. Learning from every death. J Patient Saf. 2014;10(1):6-12. doi:10.1097/PTS.0000000000000053.
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psnet.ahrq.gov/issue/using-simulation-teach-patient-safety-behaviors-undergraduate-nursing-education
March 23, 2011 - Study
Using simulation to teach patient safety behaviors in undergraduate nursing education.
Citation Text:
Gantt LT, Webb-Corbett R. Using simulation to teach patient safety behaviors in undergraduate nursing education. J Nurs Educ. 2010;49(1):48-51. doi:10.3928/01484834-20090918-10. …
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psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone-overdose
June 03, 2020 - Newspaper/Magazine Article
Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose.
Citation Text:
Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. ISMP Medication Safety Alert! Acute care edition. May 7…
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psnet.ahrq.gov/issue/creating-oversight-infrastructure-electronic-health-record-related-patient-safety-hazards
May 22, 2015 - Commentary
Creating an oversight infrastructure for electronic health record–related patient safety hazards.
Citation Text:
Singh H, Classen D, Sittig DF. Creating an oversight infrastructure for electronic health record-related patient safety hazards. J Patient Saf. 2011;7(4):169-74. …
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psnet.ahrq.gov/issue/fate-pediatric-prescriptions-community-pharmacies
September 27, 2016 - Study
The fate of pediatric prescriptions in community pharmacies.
Citation Text:
Condren ME, Desselle SP. The fate of pediatric prescriptions in community pharmacies. J Patient Saf. 2015;11(2):79-88. doi:10.1097/PTS.0b013e3182948a7d.
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psnet.ahrq.gov/issue/medical-error-reduction-and-tort-reform-through-private-contractually-based-quality-medicine
October 13, 2010 - Commentary
Medical error reduction and tort reform through private contractually-based quality medicine societies.
Citation Text:
MacCourt D, Bernstein J. Medical error reduction and tort reform through private, contractually-based quality medicine societies. Am J Law Med. 2009;35(4):5…