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psnet.ahrq.gov/web-mm/round-trip-service
April 26, 2023 - Round-Trip Service
Citation Text:
McGrath MH. Round-Trip Service. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/issue/getting-started-communication-and-resolution-program-crp-policy-or-commitment-statement-cr
February 28, 2024 - Tools/Toolkit
Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR.
Citation Text:
Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR. Collaborative for Accountability and Improvement Po…
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psnet.ahrq.gov/issue/preventing-lawsuits-coalition-pushes-apologies-and-cash-front-dealing-medical-errors-when
February 20, 2019 - Newspaper/Magazine Article
Preventing lawsuits: Coalition pushes apologies and cash up-front. Dealing with medical errors when they happen--instead of in court--can benefit doctors and patients, supporters say.
Citation Text:
Preventing lawsuits: Coalition pushes apologies and cash up-fr…
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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/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead-data-entry-errors
June 10, 2018 - Newspaper/Magazine Article
Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors.
Citation Text:
Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. ISMP Medication Safety Alert! Acute care…
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psnet.ahrq.gov/issue/misidentification-alphanumeric-symbols-both-handwritten-and-computer-generated-information
May 07, 2018 - Newspaper/Magazine Article
Misidentification of alphanumeric symbols in both handwritten and computer-generated information.
Citation Text:
Misidentification of alphanumeric symbols in both handwritten and computer-generated information. ISMP Medication Safety Alert! Acute Care Edition. …
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psnet.ahrq.gov/issue/supplementary-advisory-results-pa-psrs-workgroup-pharmacy-computer-system-safety
October 21, 2020 - Government Resource
Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety.
Citation Text:
Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. Patient Safety Advisory
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psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
November 19, 2014 - Book/Report
Classic
When Things Go Wrong: Responding to Adverse Events.
Citation Text:
When Things Go Wrong: Responding to Adverse Events. Boston, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2006.
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psnet.ahrq.gov/issue/ability-practitioners-identify-solid-oral-dosage-tablets
January 02, 2017 - Study
Ability of practitioners to identify solid oral dosage tablets.
Citation Text:
Ability of practitioners to identify solid oral dosage tablets. Schiff GD; Kim S; Seger AC; Bult J; Bates DW.
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psnet.ahrq.gov/issue/fostering-rational-regulation-patient-safety
May 20, 2015 - Review
Fostering rational regulation of patient safety.
Citation Text:
Mello MM, Kelly CN, Brennan TA. Fostering rational regulation of patient safety. J Health Polit Policy Law. 2005;30(3):375-426.
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psnet.ahrq.gov/issue/rapid-response-team-activation-patients-can-mitigate-errors
July 18, 2018 - Newspaper/Magazine Article
Rapid response team activation by patients can mitigate errors.
Citation Text:
Rapid response team activation by patients can mitigate errors. ISMP Medication Safety Alert! Acute care edition. June 1, 2006.
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psnet.ahrq.gov/issue/telling-true-stories-ismp-hallmark-heres-why-you-should-tell-stories-too
June 10, 2018 - Newspaper/Magazine Article
Telling true stories is an ISMP hallmark: here's why you should tell stories, too.
Citation Text:
Telling true stories is an ISMP hallmark: here's why you should tell stories, too. ISMP Medication Safety Alert! Acute Care Edition. September 8, 2011;16:1-3.
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psnet.ahrq.gov/issue/growth-rapid-response-systems
April 24, 2018 - Meeting/Conference Proceedings
The growth of rapid response systems.
Citation Text:
Steel AC, Reynolds SF. The growth of rapid response systems.
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psnet.ahrq.gov/issue/another-tragic-parenteral-nutrition-compounding-error
June 10, 2018 - Newspaper/Magazine Article
Another tragic parenteral nutrition compounding error.
Citation Text:
Another tragic parenteral nutrition compounding error. ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3.
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psnet.ahrq.gov/issue/report-short-life-working-group-reducing-medication-related-harm
September 09, 2015 - Book/Report
The Report of the Short Life Working Group on Reducing Medication-related Harm.
Citation Text:
The Report of the Short Life Working Group on Reducing Medication-related Harm. Department of Health and Social Care. London, England: Crown Publishing; February 2018.
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psnet.ahrq.gov/issue/swiss-cheese-model-safety-incidents-are-there-holes-metaphor
February 24, 2011 - Commentary
The Swiss cheese model of safety incidents: are there holes in the metaphor?
Citation Text:
Perneger T. The Swiss cheese model of safety incidents: are there holes in the metaphor? BMC Health Serv Res. 2005;5:71.
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psnet.ahrq.gov/issue/parents-can-detect-contribute-or-be-affected-critical-events-during-childs-hospitalization
June 10, 2018 - Newspaper/Magazine Article
Parents can detect, contribute to, or be affected by critical events during a child’s hospitalization.
Citation Text:
Parents can detect, contribute to, or be affected by critical events during a child’s hospitalization. ISMP Medication Safety Alert! Acute Care…
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psnet.ahrq.gov/issue/disclosure-and-apology-whats-missing-advancing-programs-support-clinicians
December 07, 2016 - Book/Report
Disclosure and Apology: What's Missing? Advancing Programs that Support Clinicians.
Citation Text:
Disclosure and Apology: What's Missing? Advancing Programs that Support Clinicians. Carr S. Chestnut Hill, MA: Medically Induced Trauma Support Services; 2009.
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psnet.ahrq.gov/issue/employee-discipline-solution-patient-safety
September 15, 2011 - Commentary
Is employee discipline the solution for patient safety?
Citation Text:
Mace KA. Is employee discipline the solution for patient safety? Nurs Manag. 2005;36(12):57-59.
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psnet.ahrq.gov/issue/rudeness-work
May 29, 2014 - Commentary
Rudeness at work.
Citation Text:
Flin R. Rudeness at work. BMJ. 2010;340:c2480. doi:10.1136/bmj.c2480.
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