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psnet.ahrq.gov/node/43771/psn-pdf
May 01, 2015 - The Public's Views on Medical Error in Massachusetts.
May 1, 2015
Boston, MA: Harvard School of Public Health; December 2014.
https://psnet.ahrq.gov/issue/publics-views-medical-error-massachusetts
This statewide public telephone survey in Massachusetts found that more than 20% of respondents
experienced a medical …
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psnet.ahrq.gov/node/61036/psn-pdf
October 21, 2020 - Incidence of nosocomial COVID-19 in patients
hospitalized at a large US academic medical center.
October 21, 2020
Rhee C, Baker M, Vaidya V, et al. Incidence of nosocomial COVID-19 in patients hospitalized at a large US
academic medical center. JAMA Netw Open. 2020;3(9):e2020498-e.
doi:10.1001/jamanetworkopen.2020…
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psnet.ahrq.gov/node/37114/psn-pdf
October 04, 2011 - A descriptive study of morbidity and mortality
conferences and their conformity to medical incident
analysis models: results of the morbidity and mortality
conference improvement study, phase 1.
October 4, 2011
Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of morbidity and mortality conference…
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psnet.ahrq.gov/node/36909/psn-pdf
January 05, 2017 - Medical team training: applying crew resource
management in the Veterans Health Administration.
January 5, 2017
Dunn EJ, Mills PD, Neily J, et al. Medical team training: applying crew resource management in the
Veterans Health Administration. Jt Comm J Qual Patient Saf. 2007;33(6):317-325.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/33699/psn-pdf
August 01, 2010 - Operationalizing Patient Safety at Academic Medical
Centers
August 1, 2010
Chakraborti C, Kahn MJ, Krane K. Operationalizing Patient Safety at Academic Medical Centers. PSNet
[internet]. 2010.
https://psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
Perspective
Academic medical…
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psnet.ahrq.gov/issue/pediatric-safety
March 08, 2015 - Newspaper/Magazine Article
Pediatric safety.
Citation Text:
Runy LA. Pediatric safety. Hospitals & health networks. 2009;83(5):8 p following 32, 2.
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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/information-design-patient-safety-guide-graphic-design-medication-packaging-2nd-edition
April 06, 2016 - Book/Report
Information Design for Patient Safety: A Guide to the Graphic Design of Medication Packaging. 2nd edition.
Citation Text:
Information Design for Patient Safety: A Guide to the Graphic Design of Medication Packaging. 2nd edition. Swayne T. London, UK: National Patient S…
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psnet.ahrq.gov/issue/strategic-plan-preventing-and-mitigating-drug-shortages
October 09, 2013 - Book/Report
Strategic Plan for Preventing and Mitigating Drug Shortages.
Citation Text:
Strategic Plan for Preventing and Mitigating Drug Shortages. Silver Spring, MD: Food and Drug Administration; October 2013.
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psnet.ahrq.gov/issue/technological-methods-used-prevent-errors-arent-infallible
January 05, 2017 - Newspaper/Magazine Article
Technological methods used to prevent errors aren't infallible.
Citation Text:
Santell JP. Technological methods used to prevent errors aren't infallible. Mater Manag Health Care. 2006;15(12):26-30.
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psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines
October 21, 2021 - Newspaper/Magazine Article
Learning from errors with the new COVID-19 vaccines.
Citation Text:
Learning from errors with the new COVID-19 vaccines. ISMP Medication Safety Alert! Acute Care Edition. January 14, 2021;26(1);1-5.
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psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-involuntary-manslaughter
May 07, 2018 - Newspaper/Magazine Article
Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter.
Citation Text:
Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter. ISMP Medication Safety Alert! Ac…
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psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-services-helping-identify-and-reduce-high-risk
September 29, 2021 - Book/Report
Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital.
Citation Text:
Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hos…
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psnet.ahrq.gov/issue/heparin-sodium-injection-10000-unitsml-and-hep-lock-10-unitsml-medication-errors
February 17, 2021 - Press Release/Announcement
Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication errors.
Citation Text:
Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication errors. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Adm…
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psnet.ahrq.gov/issue/my-medicines
January 13, 2016 - Tools/Toolkit
My Medicines.
Citation Text:
My Medicines. Silver Spring, MD: US Food and Drug Administration. Office of Women's Health and National Association of Chain Drug Stores.
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psnet.ahrq.gov/issue/us-hospitals-drug-mix-just-few-keystrokes-away
March 30, 2022 - Newspaper/Magazine Article
At US hospitals, a drug mix-up is just a few keystrokes away.
Citation Text:
At US hospitals, a drug mix-up is just a few keystrokes away. Kelman B. Kaiser Health News. April 29, 2022.
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psnet.ahrq.gov/issue/ingestion-or-aspiration-foreign-objects-or-toxic-substances-not-just-safety-concern-children
June 05, 2018 - Newspaper/Magazine Article
Ingestion or aspiration of foreign objects or toxic substances is not just a safety concern with children.
Citation Text:
Ingestion or aspiration of foreign objects or toxic substances is not just a safety concern with children. ISMP Medication Safety Alert! Ac…
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psnet.ahrq.gov/issue/tenfold-errors-can-lead-tragedy
February 21, 2007 - Newspaper/Magazine Article
Tenfold errors can lead to tragedy.
Citation Text:
Tenfold errors can lead to tragedy. Sipkoff M. Drug Topics. August 21, 2006.
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psnet.ahrq.gov/issue/exploring-alternatives-malpractice-litigation
September 01, 2018 - Special or Theme Issue
Exploring Alternatives To Malpractice Litigation.
Citation Text:
Improved safety, eliminating errors top policy agenda. Health Aff (Millwood). 2014;33(1):6-66.
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psnet.ahrq.gov/issue/patient-deaths-arbour-health-systems-westwood-lodge-hospital-and-pembroke-hospital
May 24, 2023 - Book/Report
Patient Deaths at Arbour Health Systems—Westwood Lodge Hospital and Pembroke Hospital.
Citation Text:
Patient Deaths at Arbour Health Systems—Westwood Lodge Hospital and Pembroke Hospital. Disability Law Center. Boston, MA: February 2018.
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