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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/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/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/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/usp-drug-safety-review-medication-errors-involving-nmbas
July 27, 2005 - Newspaper/Magazine Article
USP drug safety review: medication errors involving NMBAs.
Citation Text:
USP drug safety review: medication errors involving NMBAs. Santell JP. Drug Topics. May 22, 2006.
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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/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/center-leadership-innovation-and-research-ems
March 17, 2011 - Multi-use Website
Center for Leadership, Innovation and Research in EMS.
Citation Text:
Center for Leadership, Innovation and Research in EMS. PO Box 2286, St. Cloud, MN, 56302.
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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/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/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/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/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/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/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/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/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/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/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/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…