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Showing results for "learned".

  1. psnet.ahrq.gov/issue/measures-improve-diagnostic-safety-clinical-practice
    September 01, 2021 - Commentary Measures to improve diagnostic safety in clinical practice. Citation Text: Singh H, Graber ML, Hofer TP. Measures to Improve Diagnostic Safety in Clinical Practice. J Patient Saf. 2019;15(4):311-316. doi:10.1097/PTS.0000000000000338. Copy Citation Format: DOI Goo…
  2. psnet.ahrq.gov/issue/approaches-and-challenges-electronically-matching-patients-records-across-providers
    September 25, 2019 - Book/Report Approaches and Challenges to Electronically Matching Patients' Records Across Providers. Citation Text: Approaches and Challenges to Electronically Matching Patients' Records Across Providers. Washington, DC: United States Government Accountability Office; January 2019. Publi…
  3. psnet.ahrq.gov/issue/there-real-cost-covid-shows-barring-bedside-visitors-icu-deprives-patients-best-care
    July 19, 2023 - Newspaper/Magazine Article 'There is a real cost’: as Covid shows, barring bedside visitors from ICU deprives patients of the best care. Citation Text: 'There is a real cost’: as Covid shows, barring bedside visitors from ICU deprives patients of the best care. Renault M. STAT. July 28, …
  4. psnet.ahrq.gov/issue/strategies-improving-clinician-psychological-safety-reporting-and-discussing-diagnostic-error
    October 06, 2021 - Book/Report Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error. Citation Text: Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error. Amin D, Cosby K. Rockville, MD: Agency for Healthcare Res…
  5. psnet.ahrq.gov/issue/report-safe-use-pick-lists-ambulatory-care-settings
    June 29, 2016 - Government Resource Report on the Safe Use of Pick Lists in Ambulatory Care Settings. Citation Text: Report on the Safe Use of Pick Lists in Ambulatory Care Settings. Rizk S, Oguntebi G, Graber ML, Johnston D. Research Triangle Park, NC: RTI International; 2016. Copy Citation …
  6. psnet.ahrq.gov/issue/mix-ups-between-epidural-analgesia-and-iv-antibiotics-labor-and-delivery-units-continue-cause
    January 24, 2018 - Newspaper/Magazine Article Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. Citation Text: Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. ISMP Medication Safety Alert! Acut…
  7. psnet.ahrq.gov/issue/failure-weigh-patients-hospital-medication-safety-risk
    April 22, 2015 - Study Failure to weigh patients in hospital: a medication safety risk. Citation Text: Hilmer SN, Rangiah C, Bajorek B, et al. Failure to weigh patients in hospital: a medication safety risk. Intern Med J. 2007;37(9):647-50. Copy Citation Format: Google Scholar PubMed BibT…
  8. psnet.ahrq.gov/issue/start-year-right-addressing-these-top-10-medication-safety-concerns-2021
    April 20, 2022 - Newspaper/Magazine Article Start the year off right by addressing these top 10 medication safety concerns from 2021. Citation Text: Start the year off right by addressing these top 10 medication safety concerns from 2021. ISMP Medication Safety Alert! Acute care edition. January 27, 2022…
  9. psnet.ahrq.gov/issue/circle-training
    February 22, 2023 - Multi-use Website Circle Up Training. Citation Text: Circle Up Training. Center for Medical Simulation. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL May …
  10. psnet.ahrq.gov/issue/using-ventilator-splitters-during-covid-19-pandemic-letter-health-care-providers
    June 02, 2021 - Press Release/Announcement Using ventilator splitters during the COVID-19 pandemic--letter to health care providers. Citation Text: Using ventilator splitters during the COVID-19 pandemic--letter to health care providers. Silver Spring, MD: Division of Industry and Consumer Education, US…
  11. psnet.ahrq.gov/issue/non-english-speakers-drug-label-instructions-can-be-lost-translation
    September 12, 2016 - Newspaper/Magazine Article For non-English speakers, drug label instructions can be lost in translation. Citation Text: Mitka M. For non-english speakers, drug label instructions can be lost in translation. JAMA. 2007;297(23):2575-7. Copy Citation Format: Google Scholar P…
  12. psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger
    March 14, 2023 - Newspaper/Magazine Article Using information from external errors to signal a "clear and present danger." Citation Text: Using information from external errors to signal a "clear and present danger." ISMP Medication Safety Alert! Acute care edition. February 9, 2017;22:1-5. Copy Citati…
  13. psnet.ahrq.gov/issue/survey-shows-room-improvement-three-new-best-practices-hospitals
    June 01, 2022 - Newspaper/Magazine Article Survey shows room for improvement with three new best practices for hospitals. Citation Text: Survey shows room for improvement with three new best practices for hospitals. ISMP Medication Safety Alert! Acute care edition. May 5, 2022;27(9):1-5.  Copy Ci…
  14. psnet.ahrq.gov/issue/analysis-ismp-national-vaccine-errors-reporting-program-part-1-and-part-2
    July 08, 2015 - Newspaper/Magazine Article Analysis of ISMP National Vaccine Errors Reporting Program—part 1 and part 2. Citation Text: Analysis of ISMP National Vaccine Errors Reporting Program—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. December 4, 2014;19:1-6. March 26, 2015;…
  15. psnet.ahrq.gov/issue/adopt-strategies-manage-look-alike-andor-sound-alike-medication-name-mix-ups
    June 24, 2020 - Newspaper/Magazine Article Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. Citation Text: Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. ISMP Medication Safety Alert! Acute care edition. June 2, 2022;27(11):1-4. Copy …
  16. psnet.ahrq.gov/issue/education-predictably-disappointing-and-should-never-be-relied-upon-alone-improve-safety
    June 15, 2022 - Newspaper/Magazine Article Education is “predictably disappointing” and should never be relied upon alone to improve safety. Citation Text: Education is “predictably disappointing” and should never be relied upon alone to improve safety. ISMP Medication Safety Alert! Acute care edition. …
  17. psnet.ahrq.gov/issue/look-alike-and-sound-alike-medicines-risks-and-solutions
    March 29, 2023 - Commentary Look-alike and sound-alike medicines: risks and 'solutions.' Citation Text: Emmerton LM, Rizk MFS. Look-alike and sound-alike medicines: risks and 'solutions'. Int J Clin Pharm. 2012;34(1):4-8. doi:10.1007/s11096-011-9595-x. Copy Citation Format: DOI Google Sch…
  18. psnet.ahrq.gov/issue/rethinking-rapid-response-teams
    February 23, 2019 - Commentary Rethinking rapid response teams. Citation Text: Litvak E, Pronovost P. Rethinking rapid response teams. JAMA. 2010;304(12):1375-6. doi:10.1001/jama.2010.1385. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…
  19. psnet.ahrq.gov/issue/potential-role-pharmacogenomics-reducing-adverse-drug-reactions-systematic-review
    August 04, 2021 - Review Potential role of pharmacogenomics in reducing adverse drug reactions: a systematic review. Citation Text: Phillips KA, Veenstra DL, Oren E, et al. Potential role of pharmacogenomics in reducing adverse drug reactions: a systematic review. JAMA. 2001;286(18):2270-9. Copy Citat…
  20. psnet.ahrq.gov/issue/surgical-checklists-detailed-review-their-emergence-development-and-relevance-neurosurgical
    September 29, 2017 - Review Surgical checklists: a detailed review of their emergence, development, and relevance to neurosurgical practice. Citation Text: McConnell DJ, Fargen KM, Mocco J. Surgical checklists: A detailed review of their emergence, development, and relevance to neurosurgical practice. Surg…

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