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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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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
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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
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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…
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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…
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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…
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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…
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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…
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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…