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  1. 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. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…
  2. 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…
  3. 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…
  4. 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…
  5. 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…
  6. 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. …
  7. 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 Copy Citation Save …
  8. 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. Copy Citation Save …
  9. 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. Copy Citation Save Save to your library Print Download …
  10. 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. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote …
  11. 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. Copy Citation Save Save to you…
  12. 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. Co…
  13. 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. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download C…
  14. 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. Copy Citation Save Save to your library…
  15. 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. Copy Citati…
  16. 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. Copy Citation Format: Google Scholar PubMed BibT…
  17. 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…
  18. 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. Copy Citation …
  19. 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. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…
  20. 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. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Sa…

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