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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. hcup-us.ahrq.gov/reports/methods/2012_03.pdf
    January 01, 2012 - HCUP (09/07/12) Methods for HCUP Data in 2013 NHQR and NHDR 9 The table below lists the States that
  14. hcup-us.ahrq.gov/db/nation/nis/NIS_Introduction_2017.jsp
    January 01, 2017 - users analyzing outcomes that may be affected by the transition to the ICD-10-CM/PCS coding system and lists … users analyzing outcomes that may be affected by the transition to the ICD-10-CM/PCS coding system and lists … Select the data year and the database ("NIS") from the drop down lists on this page. … Data Elements - details uniform coding and State-specific idiosyncrasies NIS Summary Statistics - lists
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848108/psn-pdf
    April 26, 2023 - The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. April 26, 2023 Amashta ML, Barnes DK. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/do…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.pdf
    June 02, 2025 - On-Time Falls Prevention: Electronic Reports On-Time Falls Prevention: Electronic Reports Four types of reports are described here. Each section presents a sample report followed by purpose, description, and users and potential uses. The types of reports are: • On-Time Falls High-Risk Report. • Quarterly Summar…
  17. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/icu-assessment-guide.pdf
    April 01, 2022 - ICU Assessment Response Guide AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI ICU Assessment Response Guide This guide is intended to be used to respond to and evaluate the intensive care unit (ICU) team’s responses to the ICU assessment. The guide offers an explanation of the…
  18. hcup-us.ahrq.gov/reports/statbriefs/sb201-Mastectomies-Inpatient-Outpatient.jsp
    November 01, 2014 - Trends in Bilateral and Unilateral Mastectomies in Hospital Inpatient and Ambulatory Settings, 2005-2013 #201 An official website of the Department of Health & Human Services Search All AHRQ Website…
  19. hcup-us.ahrq.gov/db/nation/nass/stats/nass_summary_stats_encounter_unweighted_2020.pdf
    January 01, 2020 - NASS Summary Statistics 2020 04:02 Wednesday, October 5, 2022 1 Encounter File Contents: unweighted Alphabetic List of Variables and Attributes Num Variable Type Len Pos Label 4 AGE Num 3 145 Age in years at admission 8 AMONTH Num 3 157 Admission Month, 1-12 9 AWEEKEND Num 3 160 Admission day is a weekend 46 CPT1…
  20. hcup-us.ahrq.gov/db/nation/nass/stats/nass_summary_stats_encounter_unweighted_2019.pdf
    January 01, 2019 - NASS Summary Statistics 2019 12:17 Tuesday, September 21, 2021 1 Encounter File Contents: unweighted Alphabetic List of Variables and Attributes Num Variable Type Len Pos Label 4 AGE Num 3 145 Age in years at admission 8 AMONTH Num 3 157 Admission Month, 1-12 9 AWEEKEND Num 3 160 Admission day is a weekend 46 CPT…