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5581. A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! | PSNet
      psnet.ahrq.gov/issue/lot-happens-when-you-report-hazard-or-error-ismp-theres-no-black-hole-here
      December 27, 2018 - Newspaper/Magazine Article A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! Citation Text: A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! ISMP Medication Safety Alert! Acute Care Edition. November 7, 2019 Cop…

5582. Independent double checks: undervalued and misused. | PSNet
      psnet.ahrq.gov/issue/independent-double-checks-undervalued-and-misused
      July 12, 2023 - Newspaper/Magazine Article Independent double checks: undervalued and misused. Citation Text: Independent double checks: undervalued and misused. ISMP Medication Safety Alert! Acute care edition. June 13, 2013;18:1-4.   Copy Citation Save Save to your lib…

5583. 10 ways to guarantee a lawsuit. | PSNet
      psnet.ahrq.gov/issue/10-ways-guarantee-lawsuit
      February 10, 2021 - Newspaper/Magazine Article 10 ways to guarantee a lawsuit. Citation Text: Rice B. 10 ways to guarantee a lawsuit. Medical economics. 2005;82(13):66-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

5584. Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community. | PSNet
      psnet.ahrq.gov/issue/reduce-readmissions-pharmacy-programs-focus-transitions-hospital-community
      September 26, 2016 - Newspaper/Magazine Article Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community. Citation Text: Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community. ISMP Medication Safety Alert! Acute …

5585. First annual review of data submitted to the ISMP National Vaccine Errors Reporting Program (VERP). | PSNet
      psnet.ahrq.gov/issue/first-annual-review-data-submitted-ismp-national-vaccine-errors-reporting-program-verp
      June 10, 2018 - Newspaper/Magazine Article First annual review of data submitted to the ISMP National Vaccine Errors Reporting Program (VERP). Citation Text: First annual review of data submitted to the ISMP National Vaccine Errors Reporting Program (VERP). ISMP Medication Safety Alert! Acute Care Editi…

5586. Unverified patient-reported error: a false alarm can have real consequences. | PSNet
      psnet.ahrq.gov/issue/unverified-patient-reported-error-false-alarm-can-have-real-consequences
      June 05, 2018 - Newspaper/Magazine Article Unverified patient-reported error: a false alarm can have real consequences. Citation Text: Unverified patient-reported error: a false alarm can have real consequences. ISMP Medication Safety Alert! Acute care edition. November 20, 2014;19:1-3. Copy Citation …

5587. CMS 30-minute rule for drug administration needs revision. | PSNet
      psnet.ahrq.gov/issue/cms-30-minute-rule-drug-administration-needs-revision
      October 21, 2021 - Newspaper/Magazine Article CMS 30-minute rule for drug administration needs revision. Citation Text: CMS 30-minute rule for drug administration needs revision. ISMP Medication Safety Alert! Acute Care Edition. September 9, 2010;15:1-6.  Copy Citation Save …

5588. Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside. | PSNet
      psnet.ahrq.gov/issue/oops-sorry-wrong-patient-patient-verification-process-needed-everywhere-not-just-bedside
      March 15, 2022 - Newspaper/Magazine Article Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside. Citation Text: Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside. ISMP Medication Safety Alert! Acut…

5589. Building patient safety skills: common pitfalls when conducting a root cause analysis. | PSNet
      psnet.ahrq.gov/issue/building-patient-safety-skills-common-pitfalls-when-conducting-root-cause-analysis
      May 07, 2018 - Newspaper/Magazine Article Building patient safety skills: common pitfalls when conducting a root cause analysis. Citation Text: Building patient safety skills: common pitfalls when conducting a root cause analysis. ISMP Medication Safety Alert! Acute Care Edition. April 22, 2010;15:1-4.…

5590. Challenges with requiring five characters during ADC drug searches via override. | PSNet
      psnet.ahrq.gov/issue/challenges-requiring-five-characters-during-adc-drug-searches-override
      October 20, 2021 - Newspaper/Magazine Article Challenges with requiring five characters during ADC drug searches via override. Citation Text: Challenges with requiring five characters during ADC drug searches via override. ISMP Medication Safety Alert! Acute care edition. October 21, 2021;26(21):1-3. Cop…

5591. Death and neurological devastation from intrathecal vinca alkaloids: prepared in syringes = 120; prepared in minibags = 0. | PSNet
      psnet.ahrq.gov/issue/death-and-neurological-devastation-intrathecal-vinca-alkaloids-prepared-syringes-120-prepared
      June 10, 2018 - Newspaper/Magazine Article Death and neurological devastation from intrathecal vinca alkaloids: prepared in syringes = 120; prepared in minibags = 0. Citation Text: Death and neurological devastation from intrathecal vinca alkaloids: prepared in syringes = 120; prepared in minibags = 0. …

5592. FDA Advise-ERR: avoid using the error-prone abbreviation, TPA. | PSNet
      psnet.ahrq.gov/issue/fda-advise-err-avoid-using-error-prone-abbreviation-tpa
      April 29, 2015 - Newspaper/Magazine Article FDA Advise-ERR: avoid using the error-prone abbreviation, TPA. Citation Text: FDA Advise-ERR: avoid using the error-prone abbreviation, TPA. ISMP Medication Safety Alert! Acute Care Edition. September 24, 2015;20:1,4-5. Copy Citation Save …

5593. Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives. | PSNet
      psnet.ahrq.gov/issue/results-ismp-survey-high-alert-medications-differences-between-nursing-pharmacy-and
      March 14, 2023 - Newspaper/Magazine Article Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives. Citation Text: Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspe…

5594. Pharmacist Staffing and the Use of Technology in Small Rural Hospitals: Implications for Medication Safety. | PSNet
      psnet.ahrq.gov/issue/pharmacist-staffing-and-use-technology-small-rural-hospitals-implications-medication-safety
      August 01, 2012 - Book/Report Pharmacist Staffing and the Use of Technology in Small Rural Hospitals: Implications for Medication Safety. Citation Text: Pharmacist Staffing and the Use of Technology in Small Rural Hospitals: Implications for Medication Safety. Casey MM, Moscovice I, Davidson G. Minn…

5595. Medication safety issues with newly authorized PAXLOVID. | PSNet
      psnet.ahrq.gov/issue/medication-safety-issues-newly-authorized-paxlovid
      May 07, 2018 - Press Release/Announcement Medication safety issues with newly authorized PAXLOVID. Citation Text: Medication safety issues with newly authorized PAXLOVID. Institute for Safe Medication Practices. Medication Safety Alerts. January 3, 2022. Copy Citation Save …

5596. FDA Advise-ERR: medication errors associated with Cerebyx. | PSNet
      psnet.ahrq.gov/issue/fda-advise-err-medication-errors-associated-cerebyx
      May 02, 2018 - Newspaper/Magazine Article FDA Advise-ERR: medication errors associated with Cerebyx. Citation Text: FDA Advise-ERR: medication errors associated with Cerebyx. ISMP Medication Safety Alert! Acute Care Edition. April 10, 2008;13:1-2. Copy Citation Save Save to your…

5597. Medical Office Survey on Patient Safety Culture. | PSNet
      psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture
      December 24, 2008 - Measurement Tool/Indicator Medical Office Survey on Patient Safety Culture. Citation Text: Medical Office Survey on Patient Safety Culture. Rockville, MD: Agency for Healthcare Research and Quality; June 2023. Copy Citation Save Save to your library Print …

5598. A Framework for Safe, Reliable, and Effective Care. | PSNet
      psnet.ahrq.gov/issue/framework-safe-reliable-and-effective-care
      January 27, 2016 - Book/Report A Framework for Safe, Reliable, and Effective Care. Citation Text: A Framework for Safe, Reliable, and Effective Care. Frankel A, Haraden C, Federico F, Lenoci-Edwards J. Cambridge, MA: Institute for Healthcare Improvement and Safe & Reliable Healthcare; 2017. Copy Citation…

5599. AHRQ's Safety Program for Ambulatory Surgery. | PSNet
      psnet.ahrq.gov/issue/ahrqs-safety-program-ambulatory-surgery
      January 24, 2018 - Book/Report AHRQ's Safety Program for Ambulatory Surgery. Citation Text: AHRQ's Safety Program for Ambulatory Surgery. Health Research & Educational Trust. Rockville, MD: Agency for Healthcare Research and Quality; May 2017. AHRQ Publication No. 16(17)-0019-1-EF. Copy Citation …

5600. Diagnosis: Interpreting the Shadows. | PSNet
      psnet.ahrq.gov/issue/diagnosis-interpreting-shadows
      June 29, 2016 - Book/Report Diagnosis: Interpreting the Shadows. Citation Text: Diagnosis: Interpreting the Shadows. Croskerry P, Cosby KS, Graber ML, Singh H. Boca Raton, FL: CRC Press; 2017. ISBN: 9781409432333. Copy Citation Save Save to your library Print Download P…