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psnet.ahrq.gov/issue/patient-safety-rounds-description-inexpensive-important-strategy-improve-safety-culture
December 15, 2008 - Commentary
Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture.
Citation Text:
Campbell D, Thompson M. Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture. Am J Med Qual. 2007;22…
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psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside-intravenous-iv-pole
April 17, 2024 - Newspaper/Magazine Article
Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole.
Citation Text:
Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. ISMP Medication Safety Alert! Acute Care. 20…
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psnet.ahrq.gov/issue/addiction-disease-isolation-so-pandemic-puts-recovery-risk
May 05, 2021 - Newspaper/Magazine Article
Addiction is ‘A disease of isolation’ — so pandemic puts recovery at risk.
Citation Text:
Addiction is ‘A disease of isolation’ — so pandemic puts recovery at risk. Bebinger M. Kaiser Health News. March 30, 2020.
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psnet.ahrq.gov/issue/medication-bar-coding-scan-or-not-scan
October 19, 2022 - Commentary
Medication bar coding: to scan or not to scan?
Citation Text:
Galvin L, McBeth S, Hasdorff C, et al. Medication bar coding: to scan or not to scan? Comput Inform Nurs. 2007;25(2):86-92.
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psnet.ahrq.gov/issue/utility-online-medication-error-reporting-system
September 30, 2020 - Study
Utility of an online medication-error-reporting system.
Citation Text:
Savage SW, Schneider PJ, Pedersen CA. Utility of an online medication-error-reporting system. Am J Health Syst Pharm. 2005;62(21):2265-70.
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psnet.ahrq.gov/issue/time-prefilled-syringes-everywhere
July 13, 2010 - Commentary
Time for prefilled syringes - everywhere.
Citation Text:
Whitaker DK, Lomas JP. Time for prefilled syringes – everywhere. Anaesthesia. 2024;79(2):119-122. doi:10.1111/anae.16181.
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psnet.ahrq.gov/issue/avoiding-medical-emergencies
April 07, 2021 - Commentary
Avoiding medical emergencies.
Citation Text:
Omar Y. Avoiding medical emergencies. Br Dent J. 2013;214(5):255-9. doi:10.1038/sj.bdj.2013.217.
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psnet.ahrq.gov/issue/tracking-intraoperative-complications
April 30, 2014 - Study
Tracking intraoperative complications.
Citation Text:
Platz J, Hyman N. Tracking intraoperative complications. J Am Coll Surg. 2012;215(4):519-23. doi:10.1016/j.jamcollsurg.2012.06.001.
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psnet.ahrq.gov/issue/62-year-old-woman-skin-cancer-who-experienced-wrong-site-surgery
December 01, 2021 - Commentary
Classic
A 62-year-old woman with skin cancer who experienced wrong-site surgery.
Citation Text:
Gallagher TH. A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error. JAMA. 2009;302(6):669-77. doi:10.1001/jam…
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psnet.ahrq.gov/issue/emergency-physicians-and-disclosure-medical-errors
October 19, 2022 - Study
Emergency physicians and disclosure of medical errors.
Citation Text:
Moskop JC, Geiderman JM, Hobgood CD, et al. Emergency physicians and disclosure of medical errors. Ann Emerg Med. 2006;48(5):523-31.
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psnet.ahrq.gov/issue/designing-safer-radiology-department
March 04, 2015 - Commentary
Designing a safer radiology department.
Citation Text:
Johnson D, Miranda R, Osborn HH, et al. Designing a safer radiology department. AJR Am J Roentgenol. 2012;198(2):398-404. doi:10.2214/AJR.11.7234.
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psnet.ahrq.gov/issue/patient-safety-and-medical-liability-current-status-and-agenda-future
January 01, 2015 - Review
Patient safety and medical liability: current status and an agenda for the future.
Citation Text:
Abuhamad A, Grobman WA. Patient safety and medical liability: current status and an agenda for the future. Obstet Gynecol. 2010;116(3):570-7. doi:10.1097/AOG.0b013e3181eeb785.
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psnet.ahrq.gov/issue/sleep-quality-and-fatigue-among-prehospital-providers
March 14, 2018 - Study
Sleep quality and fatigue among prehospital providers.
Citation Text:
Patterson D, Suffoletto BP, Kupas DF, et al. Sleep quality and fatigue among prehospital providers. Prehosp Emerg Care. 2010;14(2):187-93. doi:10.3109/10903120903524971.
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psnet.ahrq.gov/issue/interception-potential-adverse-drug-events-long-term-psychiatric-care-units
May 31, 2023 - Study
Interception of potential adverse drug events in long-term psychiatric care units.
Citation Text:
Sawamura K, Ito H, Yamazumi S, et al. Interception of potential adverse drug events in long-term psychiatric care units. Psychiatry Clin Neurosci. 2005;59(4):379-84.
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psnet.ahrq.gov/issue/performing-wrong-procedure
April 24, 2018 - Commentary
Performing the wrong procedure.
Citation Text:
Minnier T, Phrampus P, Waddell L. Performing the Wrong Procedure. JAMA. 2016;316(11):1207-1208. doi:10.1001/jama.2016.9134.
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psnet.ahrq.gov/issue/intravenous-admixture-preparation-considerations-parts-9-and-9-b-error-prevention-intravenous
December 22, 2021 - Special or Theme Issue
Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation.
Citation Text:
Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation. Al…
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psnet.ahrq.gov/issue/serious-threat-patient-safety-unintended-misuse-fentanyl-patches
September 24, 2010 - Commentary
A serious threat to patient safety: the unintended misuse of FentaNYL patches.
Citation Text:
Paparella S. A serious threat to patient safety: the unintended misuse of FentaNYL patches. J Emerg Nurs. 2013;39(3):245-247. doi:10.1016/j.jen.2013.01.007.
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psnet.ahrq.gov/issue/cost-serious-fall-related-injuries-three-midwestern-hospitals
January 03, 2017 - Study
The cost of serious fall-related injuries at three midwestern hospitals.
Citation Text:
Wong CA, Recktenwald AJ, Jones ML, et al. The cost of serious fall-related injuries at three Midwestern hospitals. Jt Comm J Qual Patient Saf. 2011;37(2):81-87.
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psnet.ahrq.gov/issue/nurses-sleep-work-hours-and-patient-care-quality-and-safety
April 23, 2012 - Study
Nurses' sleep, work hours, and patient care quality, and safety
Citation Text:
Nurses' sleep, work hours, and patient care quality, and safety Stimpfel AW, Fatehi F, Kovner C. Sleep Health. 2020;6(3):314-320.
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psnet.ahrq.gov/issue/fda-updates-vinca-alkaloid-labeling-preparation-intravenous-infusion-bags-only
February 10, 2021 - Press Release/Announcement
FDA updates vinca alkaloid labeling for preparation in intravenous infusion bags only.
Citation Text:
FDA updates vinca alkaloid labeling for preparation in intravenous infusion bags only. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administratio…