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psnet.ahrq.gov/issue/medication-errors-affecting-pediatric-patients-unique-challenges-special-population
January 20, 2016 - Newspaper/Magazine Article
Medication errors affecting pediatric patients: unique challenges for this special population.
Citation Text:
Medication errors affecting pediatric patients: unique challenges for this special population. Grissinger M. PA-PSRS Patient Saf Advis. September 2015;…
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psnet.ahrq.gov/issue/another-tragic-parenteral-nutrition-compounding-error
June 10, 2018 - Newspaper/Magazine Article
Another tragic parenteral nutrition compounding error.
Citation Text:
Another tragic parenteral nutrition compounding error. ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3.
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psnet.ahrq.gov/issue/ahrq-announces-interest-research-digital-healthcare-safety
November 12, 2008 - Press Release/Announcement
AHRQ announces interest in research on digital healthcare safety.
Citation Text:
AHRQ announces interest in research on digital healthcare safety. Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 28, 2021 Publication N…
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psnet.ahrq.gov/issue/safe-practices-drug-allergies-using-cds-and-health-it
March 10, 2021 - Book/Report
Safe Practices for Drug Allergies—Using CDS and Health IT.
Citation Text:
Safe Practices for Drug Allergies—Using CDS and Health IT. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2019.
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psnet.ahrq.gov/issue/ismp-survey-shows-provider-text-messaging-often-runs-afoul-patient-safety
May 07, 2018 - Newspaper/Magazine Article
ISMP survey shows provider text messaging often runs afoul of patient safety.
Citation Text:
ISMP survey shows provider text messaging often runs afoul of patient safety. ISMP Medication Safety Alert! Acute Care Edition. November 16, 2017;22:1-5.
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psnet.ahrq.gov/issue/deep-medicine-how-artificial-intelligence-can-make-healthcare-human-again
January 07, 2019 - Book/Report
Classic
Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again.
Citation Text:
Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again. Topol E. New York, NY: Basic Books; 2019. ISBN: 9781541644632.
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psnet.ahrq.gov/issue/lean-six-sigma-reduces-medication-errors
January 18, 2023 - Commentary
Lean Six Sigma reduces medication errors.
Citation Text:
Lean Six Sigma reduces medication errors. Esimai G. Quality Progress; 2005;38(4):51-57.
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psnet.ahrq.gov/issue/safety-risk-air-embolus-associated-central-venous-catheters-used-haemodialysis-treatment
April 05, 2023 - Book/Report
Safety Risk of Air Embolus Associated with Central Venous Catheters Used for Haemodialysis Treatment.
Citation Text:
Safety Risk of Air Embolus Associated with Central Venous Catheters Used for Haemodialysis Treatment. Farnborough, UK: Healthcare Safety Investigation Branch. …
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psnet.ahrq.gov/issue/profiles-patient-safety-confirmation-bias-emergency-medicine
November 23, 2016 - Commentary
Profiles in patient safety: confirmation bias in emergency medicine.
Citation Text:
Pines JM. Profiles in patient safety: confirmation bias in emergency medicine. Acad Emerg Med. 2006;13(1):90-4.
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psnet.ahrq.gov/issue/mind-implementation-gap-persistence-avoidable-harm-nhs
March 04, 2010 - Book/Report
Mind the Implementation Gap. The Persistence of Avoidable Harm in the NHS.
Citation Text:
Mind the Implementation Gap. The Persistence of Avoidable Harm in the NHS. London UK: Patient Safety Learning: 2022.
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psnet.ahrq.gov/issue/patient-safety-tools-primary-care
May 17, 2023 - Commentary
Patient safety tools for primary care.
Citation Text:
Patient safety tools for primary care. Domdera J. Fam Pract Manag. 2023;30(2):24-28.
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psnet.ahrq.gov/issue/human-factors-patient-safety-innovation
June 09, 2021 - Commentary
Human factors in patient safety as an innovation.
Citation Text:
Carayon P. Human factors in patient safety as an innovation. Appl Ergon. 2010;41(5):657-65. doi:10.1016/j.apergo.2009.12.011.
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psnet.ahrq.gov/issue/ismp-long-term-care-advise-err
June 07, 2017 - Newsletter/Journal
ISMP Long-Term Care Advise-ERR.
Citation Text:
ISMP Long-Term Care Advise-ERR. Horsham, PA; Institute for Safe Medication Practices.
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psnet.ahrq.gov/issue/hospital-black-boxes-put-surgical-practices-under-microscope
March 29, 2023 - Newspaper/Magazine Article
Hospital ‘black boxes’ put surgical practices under the microscope.
Citation Text:
Hospital ‘black boxes’ put surgical practices under the microscope. Sadick B. Wall Street Journal. March 19, 2023.
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psnet.ahrq.gov/issue/parents-can-detect-contribute-or-be-affected-critical-events-during-childs-hospitalization
June 10, 2018 - Newspaper/Magazine Article
Parents can detect, contribute to, or be affected by critical events during a child’s hospitalization.
Citation Text:
Parents can detect, contribute to, or be affected by critical events during a child’s hospitalization. ISMP Medication Safety Alert! Acute Care…
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psnet.ahrq.gov/issue/correlates-medication-error-hospitals
August 24, 2022 - Book/Report
Correlates of Medication Error in Hospitals.
Citation Text:
Correlates Of Medication Error In Hospitals.
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psnet.ahrq.gov/issue/adoption-electronic-medical-record-technology-order-prevent-medical-errors-matter-american
March 07, 2018 - Commentary
The adoption of electronic medical record technology in order to prevent medical errors: a matter for American public policy.
Citation Text:
The adoption of electronic medical record technology in order to prevent medical errors: a matter for American public policy. Crane JN; …
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psnet.ahrq.gov/issue/study-clinicians-copy-and-paste-about-half-text-ehr-progress-notes
July 13, 2022 - Newspaper/Magazine Article
Study: clinicians copy and paste about half of text in EHR progress notes.
Citation Text:
Study: clinicians copy and paste about half of text in EHR progress notes. Landi H. Healthcare Innovation. October 2, 2017.
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psnet.ahrq.gov/issue/generic-drug-names-fertile-ground-errors
August 11, 2021 - Newspaper/Magazine Article
Generic drug names: fertile ground for errors?
Citation Text:
Generic drug names: fertile ground for errors? Wynn P. Drug Topics. August 8, 2005.
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psnet.ahrq.gov/issue/ismp-2007-survey-high-alert-medications-differences-between-nursing-and-pharmacy-perspectives
February 13, 2019 - Newspaper/Magazine Article
ISMP 2007 survey on high-alert medications. Differences between nursing and pharmacy perspectives still prevalent.
Citation Text:
ISMP 2007 survey on high-alert medications. Differences between nursing and pharmacy perspectives still prevalent. ISMP Medication …