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psnet.ahrq.gov/issue/introduction-improved-fda-prescription-drug-labeling
September 29, 2010 - Meeting/Conference Proceedings
An Introduction to the Improved FDA Prescription Drug Labeling.
Citation Text:
An Introduction to the Improved FDA Prescription Drug Labeling. Silver Spring MD; US Food and Drug Administration: 2006.
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psnet.ahrq.gov/issue/usa-today-news-series-clarifying-issues-and-embracing-community-pharmacy-safety
March 14, 2023 - Newspaper/Magazine Article
USA Today news series: clarifying the issues and embracing community pharmacy safety.
Citation Text:
USA Today news series: clarifying the issues and embracing community pharmacy safety. ISMP Medication Safety Alert! Acute care edition. February 28, 2008.
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psnet.ahrq.gov/issue/remote-cpoe-error-situation-thats-more-remotely-possible
May 07, 2018 - Newspaper/Magazine Article
Remote CPOE error—a situation that's more than remotely possible.
Citation Text:
Remote CPOE error—a situation that's more than remotely possible. ISMP Medication Safety Alert! Acute Care Edition. May 31, 2007;12:1-3.
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psnet.ahrq.gov/issue/fatal-1000-fold-overdoses-can-occur-particularly-neonates-transposing-mcg-and-mg
June 10, 2018 - Newspaper/Magazine Article
Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg.
Citation Text:
Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg. ISMP Medication Safety Alert! Acute Care Edition. September 6, 2…
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psnet.ahrq.gov/issue/inpatient-computerized-provider-order-entry-findings-ahrq-health-it-portfolio
May 24, 2015 - Book/Report
Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio.
Citation Text:
Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio. Dixon BE, Zafar A, for AHRQ National Resource Center for Health IT. Rockville, MD: …
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psnet.ahrq.gov/issue/latex-lingering-and-lurking-safety-risk
October 03, 2018 - Newspaper/Magazine Article
Latex: a lingering and lurking safety risk.
Citation Text:
Latex: a lingering and lurking safety risk. Liberatore K. PA-PSRS Patient Saf Advis. 2018 March;15.
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psnet.ahrq.gov/issue/our-broken-health-care-system-and-how-fix-it-essay-health-law-and-policy
June 08, 2022 - Commentary
Our broken health care system and how to fix it: an essay on health law and policy.
Citation Text:
Our broken health care system and how to fix it: an essay on health law and policy. Jost TS. Wake Forest Law Rev. 2006;41:537-618.
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psnet.ahrq.gov/issue/serious-medication-errors-intravenous-administration-nimodipine-oral-capsules
March 01, 2010 - Government Resource
Serious medication errors from intravenous administration of nimodipine oral capsules.
Citation Text:
Serious medication errors from intravenous administration of nimodipine oral capsules. United States Food and Drug Administration; FDA.
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psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-question
February 24, 2025 - Newspaper/Magazine Article
‘Medical errors are the third leading cause of death’ and other statistics you should question.
Citation Text:
‘Medical errors are the third leading cause of death’ and other statistics you should question. Jaklevic MC. HealthJournalism.org. July 27, 2023.
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psnet.ahrq.gov/issue/global-burden-preventable-medication-related-harm-health-care-systematic-review
November 15, 2023 - Book/Report
Global Burden of Preventable Medication-related Harm in Health Care: A Systematic Review.
Citation Text:
Global Burden of Preventable Medication-related Harm in Health Care: A Systematic Review. Geneva, Switzerland: World Health Organization; 2023. ISBN: 9789240088887.
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psnet.ahrq.gov/issue/what-drugs-do-you-take-hospitals-seek-collect-better-data-and-prevent-errors
August 17, 2016 - Newspaper/Magazine Article
What drugs do you take? Hospitals seek to collect better data and prevent errors.
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June 13, 2011
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psnet.ahrq.gov/issue/extra-dose-safety
June 16, 2019 - Newspaper/Magazine Article
An extra dose of safety.
Citation Text:
An extra dose of safety. Installation of a bar-coding system drives an entire workflow redesign at a non-profit hospital and healthcare network. Health management technology. 2007;28(4):30-2, 34.
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psnet.ahrq.gov/issue/physicians-guide-patient-safety-organizations
March 11, 2015 - Book/Report
Physician's Guide to Patient Safety Organizations.
Citation Text:
Physician's Guide to Patient Safety Organizations. Chicago, IL: American Medical Association; 2009.
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psnet.ahrq.gov/issue/critical-supply
June 16, 2019 - Audiovisual
Critical supply.
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April 3, 2013
View more articles from the same authors.
This news series reports on the drug shor…
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psnet.ahrq.gov/issue/best-medicine-fixing-modern-hospital
February 06, 2008 - Newspaper/Magazine Article
The best medicine for fixing the modern hospital.
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December 12, 2012
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psnet.ahrq.gov/node/841493/psn-pdf
December 14, 2022 - Telehealth and Patient Safety.
December 14, 2022
O'Malley G, Shaikh U, Marcin JP. Telehealth and Patient Safety. PSNet [internet]. 2022.
https://psnet.ahrq.gov/primer/telehealth-and-patient-safety
Background
In recent years, telehealth, or the delivery of healthcare over a distance using telecommunications
techno…
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psnet.ahrq.gov/node/34880/psn-pdf
April 04, 2005 - Cedars-Sinai doctors cling to pen and paper: transition to
electronic medical records proves difficult.
April 4, 2005
Connolly C. Washington Post. March 21, 2005
https://psnet.ahrq.gov/issue/cedars-sinai-doctors-cling-pen-and-paper-transition-electronic-medical-
records-proves
A high-profile misstep in implementi…
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psnet.ahrq.gov/node/44288/psn-pdf
March 21, 2024 - Prevention of adverse drug events in hospitals.
March 21, 2024
Zhu J, Weingart SN. UpToDate. February 29, 2024.
https://psnet.ahrq.gov/issue/prevention-adverse-drug-events-hospitals
Unsafe medication systems in hospitals can lead to adverse drug events (ADEs). This review discusses
patient care and organizational …
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psnet.ahrq.gov/node/40259/psn-pdf
December 04, 2016 - Successful remediation of patient safety incidents: a tale
of two medication errors.
December 4, 2016
Helmchen LA, Richards MR, McDonald TB. Successful remediation of patient safety incidents: a tale of two
medication errors. Health Care Manage Rev. 2011;36(2):114-123. doi:10.1097/HMR.0b013e318200f916.
https://psn…
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psnet.ahrq.gov/node/45495/psn-pdf
January 01, 2021 - Medical students raising concerns.
October 12, 2016
Druce MR, Hickey A, Warrens AN, et al. Medical Students Raising Concerns. J Patient Saf.
2021;17(5):e367-e372.
https://psnet.ahrq.gov/issue/medical-students-raising-concerns
A key aspect of safety culture is that all team members feel comfortable with raising saf…