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psnet.ahrq.gov/issue/vincristine-and-other-vinca-alkaloids-should-only-be-given-intravenously-minibag
July 18, 2018 - Press Release/Announcement
Vincristine (and other vinca alkaloids) should only be given intravenously via a minibag.
Citation Text:
Vincristine (and other vinca alkaloids) should only be given intravenously via a minibag. World Health Organization. Alert 115. July 18, 2007.
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psnet.ahrq.gov/issue/are-vital-home-health-workers-now-safety-threat
March 28, 2018 - Newspaper/Magazine Article
Are vital home health workers now a safety threat?
Citation Text:
Are vital home health workers now a safety threat? Galewitz P. Kaiser Health News. March 25, 2020.
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psnet.ahrq.gov/issue/two-words-can-soothe-patients-who-have-been-harmed-were-sorry
July 26, 2017 - Newspaper/Magazine Article
Two words can soothe patients who have been harmed: we're sorry.
Citation Text:
Two words can soothe patients who have been harmed: we're sorry. Boodman SG. Kaiser Health News. March 15, 2017.
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psnet.ahrq.gov/issue/patient-safety-pediatric-emergency-medicine
December 09, 2014 - Special or Theme Issue
Patient Safety in Pediatric Emergency Medicine.
Citation Text:
Patient Safety in Pediatric Emergency Medicine. Frush KS, Hohenhaus SM eds. Clin Pediatr Emerg Med. 2006;7(4):213-283.
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psnet.ahrq.gov/issue/avoiding-unconscious-bias-guide-surgeons
May 29, 2019 - Book/Report
Avoiding Unconscious Bias: a Guide for Surgeons.
Citation Text:
Avoiding Unconscious Bias: a Guide for Surgeons. London, UK: Royal College of Surgeons of England; 2016.
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psnet.ahrq.gov/issue/rating-hospitals-stars-feds-latest-plan-measure-quality-most-controversial
May 11, 2016 - Newspaper/Magazine Article
Rating hospitals by the stars: the feds' latest plan to measure quality is the most controversial.
Citation Text:
Rating hospitals by the stars: the feds' latest plan to measure quality is the most controversial. Rau J. Washington Post. May 17, 2016.
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psnet.ahrq.gov/issue/medical-errors-dentistry
September 18, 2013 - Newspaper/Magazine Article
Medical errors in dentistry.
Citation Text:
Medical errors in dentistry. Nagelberg R. RDH. September 2015;35:79-85.
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psnet.ahrq.gov/issue/boys-life-lost-sepsis-thousands-are-saved-his-wake
November 07, 2012 - Newspaper/Magazine Article
A boy's life is lost to sepsis. Thousands are saved in his wake.
Citation Text:
A boy's life is lost to sepsis. Thousands are saved in his wake. Dwyer J. New York Times. April 13, 2017.
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psnet.ahrq.gov/issue/near-injury-alters-procedures-virginia-mason
September 21, 2005 - Newspaper/Magazine Article
"Near injury" alters procedures at Virginia Mason.
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"Near injury" alters procedures at Virginia Mason. Ostrom CM. Seattle Times. May 21, 2005.
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psnet.ahrq.gov/issue/quality-improvement-series
July 05, 2013 - Special or Theme Issue
Quality Improvement Series.
Citation Text:
Quality Improvement Series. British Medical Journal. 2022.
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psnet.ahrq.gov/issue/introducing-ahrq-ambulatory-surgery-center-survey-patient-safety-culture
October 06, 2016 - Meeting/Conference Proceedings
Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture.
Citation Text:
Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. Agency for Healthcare Research and Quality. July 15, 2015.
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psnet.ahrq.gov/issue/complaints-and-raising-concerns
November 16, 2015 - Book/Report
Complaints and Raising Concerns.
Citation Text:
Complaints and Raising Concerns. Fourth Report of Session 2014–15. House of Commons Health Committee. London, England: The Stationery Office; January 13, 2015. Publication HC 350.
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psnet.ahrq.gov/issue/medication-errors-involving-overrides-healthcare-technology
January 11, 2017 - Newspaper/Magazine Article
Medication errors involving overrides of healthcare technology.
Citation Text:
Medication errors involving overrides of healthcare technology. Grissinger M. PA-PSRS Patient Saf Advis. December 2015;12:141-148.
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psnet.ahrq.gov/issue/stop-using-these-adult-bed-rails-warns-consumer-product-safety-commission
June 21, 2023 - Newspaper/Magazine Article
Stop using these adult bed rails, warns the Consumer Product Safety Commission.
Citation Text:
Stop using these adult bed rails, warns the Consumer Product Safety Commission. Treisman R. National Public Radio. June 6, 2022
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psnet.ahrq.gov/issue/reminder-pay-attention-appearance-your-medicines
September 09, 2015 - Newspaper/Magazine Article
Reminder: pay attention to the appearance of your medicines.
Citation Text:
Reminder: pay attention to the appearance of your medicines. ISMP Canada. SafeMedicationUse Newsletter. December 2, 2014;5:1-2.
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psnet.ahrq.gov/issue/healthgrades-quality-study-second-annual-patient-safety-american-hospitals-study
October 25, 2013 - Book/Report
HealthGrades Quality Study: Second Annual Patient Safety in American Hospitals Study.
Citation Text:
HealthGrades Quality Study: Second Annual Patient Safety in American Hospitals Study. Health Grades, Inc; 2005.
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psnet.ahrq.gov/issue/comments-common-formats-event-reporting-hospital-version-03-beta
September 06, 2011 - Measurement Tool/Indicator
Common Formats for Event Reporting.
Citation Text:
Common Formats for Event Reporting. National Quality Forum.
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psnet.ahrq.gov/issue/benefits-and-risks-including-patients-rca-teams
May 02, 2018 - Newspaper/Magazine Article
Benefits and risks of including patients on RCA teams.
Citation Text:
Benefits and risks of including patients on RCA teams. ISMP Medication Safety Alert! Acute Care Edition. June 5, 2008;13:1-3.
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psnet.ahrq.gov/issue/choosing-patient-safety-organization
April 01, 2020 - Fact Sheet/FAQs
Choosing a Patient Safety Organization
Citation Text:
Choosing a Patient Safety Organization Rockville, MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0030.
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psnet.ahrq.gov/issue/oral-medications-inadvertently-given-intravenous-route
December 19, 2016 - Government Resource
Oral medications inadvertently given via the intravenous route.
Citation Text:
Oral medications inadvertently given via the intravenous route. Shah-Mohammadi AR, Gaunt MJ. PA-PSRS Patient Saf Advis. September 2013;10:85-91.
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