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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.
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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.…
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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…
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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.
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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…
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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. …
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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.
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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…
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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.
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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.
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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 …
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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.
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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.
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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.
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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.
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hcup-us.ahrq.gov/reports/methods/Comparison_Report_NIS11988-92Final.pdf
July 11, 1996 - Comparisons by Procedure Category
13
Table 8 lists the top 50 procedure categories, ranked according … Comparisons by Diagnosis Category
Table 15 lists the top 50 diagnosis categories, ranked according to … Comparisons by Procedure Category
18
Table 16 lists the top 50 procedure categories ranked according
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hcup-us.ahrq.gov/db/nation/nis/NIS_Introduction_2006.jsp
January 01, 2006 - Figure 2 highlights the NIS States by region, and Table 6 lists the States that comprise each region … Table 2 in Appendix I lists the number of NIS States, hospitals, and discharges by year. … of Data Elements — details uniform coding and state-specific idiosyncrasies
Summary Statistics — lists
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digital.ahrq.gov/sites/default/files/docs/citation/quality-performance-monitoring-data-collection-and-reporting-final-report.pdf
April 01, 2015 - Practice physicians manually reviewed the PQRI patient lists and corresponding records to assess
the … Joint Commission requirements
and included such topics as adequacy of problem, medication, and allergy lists … Prescribed medication
§ Recommended diet
§ Exercise
§ Other
Manual query
of PQRI
patient lists … ,
paper
charts
Patients identified
by nurses, PQRI
lists and 120
paper charts
manually
retrospectively
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017220-wolf-final-report-2012.pdf
January 01, 2012 - ) a patient-initiated medication reconciliation strategy to reduce
discrepancies in EHR medication lists … how treatment plans fit into
their own lives and are the best source of information about medication lists … In addition, discrepancies between
medication lists and actual use are common and have a detrimental … a treatment plan fits
into their own lives and are the best source of information about medication lists … However, blinding was not possible since the presence of the generated medication
lists would
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs022674-adler-milstein-final-report-2014.pdf
January 01, 2014 - First,
although statewide survey data revealed agreement that problem lists, medications and medication … For example, some practices
used task lists or orders to track referrals or manage communication with … ) diagnoses or prescriptions
that were entered into the EHR, cluttering the problem and medication lists … ability to support de-duplication or collapsing of similar entries to produce cleaner,
more usable lists … Some practices included diagnosis codes in the problem lists
within their referral request for clarity