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  1. 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…
  2. 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.…
  3. 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…
  4. 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 …
  5. 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…
  6. 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. …
  7. 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 …
  8. 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…
  9. 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 …
  10. 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 …
  11. 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 …
  12. 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…
  13. 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…
  14. 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 …
  15. 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…
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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