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5081. Guide for Developing a Community-Based Patient Safety Advisory Council. | PSNet
      psnet.ahrq.gov/issue/guide-developing-community-based-patient-safety-advisory-council
      November 30, 2016 - Toolkit Guide for Developing a Community-Based Patient Safety Advisory Council. Citation Text: Guide for Developing a Community-Based Patient Safety Advisory Council. Leonhardt, K, Bonin D, Pagel P. Rockville, MD: Agency for Healthcare Research and Quality; April 2008. AHRQ Publication N…

5082. Beware of basal opioid infusions with PCA therapy. | PSNet
      psnet.ahrq.gov/issue/beware-basal-opioid-infusions-pca-therapy
      June 05, 2018 - Newspaper/Magazine Article Beware of basal opioid infusions with PCA therapy. Citation Text: Beware of basal opioid infusions with PCA therapy. ISMP Medication Safety Alert! Acute Care Edition. March 12, 2009;14:1-3. Copy Citation Save Save to your library P…

5083. 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…

5084. 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.…

5085. 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…

5086. 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 …

5087. 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…

5088. 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. …

5089. 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 …

5090. 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…

5091. 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 …

5092. 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…

5093. ECRI out with 10 deadly healthcare technology hazards for 2017. | PSNet
      psnet.ahrq.gov/issue/ecri-out-10-deadly-healthcare-technology-hazards-2017
      February 21, 2024 - Newspaper/Magazine Article ECRI out with 10 deadly healthcare technology hazards for 2017. Citation Text: ECRI out with 10 deadly healthcare technology hazards for 2017. Monegain B. Healthcare IT News. November 7, 2016. Copy Citation Save Save to your library …

5094. Cancer diagnoses delayed among prisoners in Washington state. | PSNet
      psnet.ahrq.gov/issue/cancer-diagnoses-delayed-among-prisoners-washington-state
      March 24, 2021 - Newspaper/Magazine Article Cancer diagnoses delayed among prisoners in Washington state. Citation Text: Cancer diagnoses delayed among prisoners in Washington state. Medscape Medical News. May 12, 2021. Copy Citation Save Save to your library Print Dow…

5095. 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 …

5096. Eric Cropp weighs in on the error that sent him to prison. | PSNet
      psnet.ahrq.gov/issue/eric-cropp-weighs-error-sent-him-prison
      May 07, 2018 - Newspaper/Magazine Article Eric Cropp weighs in on the error that sent him to prison. Citation Text: Eric Cropp weighs in on the error that sent him to prison. ISMP Medication Safety Alert! Acute Care Edition. December 3, 2009;14:1-3. Copy Citation Save Save to yo…

5097. 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 …

5098. 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…

5099. Can AI help doctors come up with better diagnoses? | PSNet
      psnet.ahrq.gov/issue/can-ai-help-doctors-come-better-diagnoses
      October 07, 2015 - Newspaper/Magazine Article Can AI help doctors come up with better diagnoses? Citation Text: Can AI help doctors come up with better diagnoses? Landro L. Wall Street Journal. September 24, 2023. Copy Citation Save Save to your library Print Download PD…

5100. Diversion is a Threat to Patient Safety: Adopting Best Practices. | PSNet
      psnet.ahrq.gov/issue/diversion-threat-patient-safety-adopting-best-practices
      April 20, 2022 - Webinar Diversion is a Threat to Patient Safety: Adopting Best Practices. Citation Text: Diversion is a Threat to Patient Safety: Adopting Best Practices. Institute for Safe Medication Practices. April 6, 2022.  Copy Citation Save Save to your library P…