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psnet.ahrq.gov/issue/total-systems-safety-supports-practitioners-partnering-families-protect-patients
April 17, 2024 - Newspaper/Magazine Article
Total systems safety supports practitioners in partnering with families to protect patients.
Citation Text:
Total systems safety supports practitioners in partnering with families to protect patients. ISMP Medication Safety Alert! Acute Care. 2024;29(13):1-4.
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psnet.ahrq.gov/web-mm/duplicate-insulin-order
May 04, 2012 - After about 30 minutes, the patient's nurse came back from break and found him to be lethargic. … The patient was started on dextrose 10% IV solution and blood glucose levels were monitored every 15 minutes
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psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
November 01, 2003 - low-frequency phased array probe—these techniques can be 93%–96% accurate, reduce confirmation time from 70–80 minutes … (for chest radiograph) to 10 minutes using ultrasound, and allow for immediate identification of pneumothorax
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psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
March 07, 2012 - Bleeding usually stops within several minutes ( 7 ); however, a feared complication of liver biopsy is … AASLD) guidelines state the following: "Vital signs must be frequently monitored (at least every 15 minutes
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psnet.ahrq.gov/node/49540/psn-pdf
August 21, 2007 - occurs with little
warning and requires a complex set of resuscitative actions to be instituted within minutes … Studies have consistently shown that
survival from VF decreases profoundly over the course of minutes
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psnet.ahrq.gov/node/49798/psn-pdf
July 01, 2017 - For patients without contraindications, neostigmine 2 mg intravenously over
3–5 minutes is generally … stimulating colonic contraction and decompression.(4) Stool
production is generally swift, within 15 minutes
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psnet.ahrq.gov/web-mm/low-totem-pole
October 01, 2003 - right patient will take a couple of telephone calls, and so might delay the start of the case by 10 minutes … Ten minutes later, she releases the patient to the transporter.
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psnet.ahrq.gov/issue/scanner-beep-only-means-barcode-has-been-scanned
June 10, 2018 - Newspaper/Magazine Article
Scanner beep only means the barcode has been scanned.
Citation Text:
Scanner beep only means the barcode has been scanned. ISMP Medication Safety Alert! Acute Care Edition. June 30, 2011;16:1-2.
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psnet.ahrq.gov/issue/resolving-human-conflicts-when-questions-about-safety-medical-orders-arise
June 05, 2018 - Newspaper/Magazine Article
Resolving human conflicts when questions about the safety of medical orders arise.
Citation Text:
Resolving human conflicts when questions about the safety of medical orders arise. ISMP Medication Safety Alert! Acute care edition. March 13, 2008.
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psnet.ahrq.gov/issue/medical-error-reporting-system-still-year
July 10, 2013 - Newspaper/Magazine Article
Medical error reporting system still a year off.
Citation Text:
Medical error reporting system still a year off. Hansen D.
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psnet.ahrq.gov/issue/variation-patient-safety-outcomes-and-importance-being-informed
July 02, 2014 - Book/Report
Variation in Patient Safety Outcomes and the Importance of Being Informed.
Citation Text:
Variation in Patient Safety Outcomes and the Importance of Being Informed. Golden, CO: Healthgrades; 2013.
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psnet.ahrq.gov/issue/wristband-color-standardization
October 25, 2013 - Toolkit
Wristband Color Standardization.
Citation Text:
Wristband Color Standardization. Greenwood Village, CO: Colorado Hospital Association; 2007.
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psnet.ahrq.gov/issue/getting-rid-never-events-hospitals
April 25, 2016 - Commentary
Getting rid of "never events" in hospitals.
Citation Text:
Getting rid of "never events" in hospitals. Morgenthaler T; Harper CM.
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psnet.ahrq.gov/issue/dtap-tdap-mix-ups-now-affecting-hundreds-patients
June 10, 2018 - Newspaper/Magazine Article
DTaP–Tdap mix-ups now affecting hundreds of patients.
Citation Text:
DTaP–Tdap mix-ups now affecting hundreds of patients. ISMP Medication Safety Alert! Acute Care Edition. July 1, 2010;15:1-2.
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psnet.ahrq.gov/issue/thats-way-we-do-things-around-here
June 10, 2018 - Newspaper/Magazine Article
That’s the way we do things around here!
Citation Text:
That’s the way we do things around here! ISMP Medication Safety Alert! Acute care edition. February 24, 2011;16:1-2.
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psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare-delivery-special-issue-health-information-technology
June 02, 2010 - Special or Theme Issue
Human Factors and Ergonomics in Healthcare Delivery: A Special Issue on Health Information Technology and Medication Administration Safety.
Citation Text:
Human Factors and Ergonomics in Healthcare Delivery: A Special Issue on Health Information Technology and Med…
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psnet.ahrq.gov/issue/prescription-success-dont-bother-nurses
June 16, 2010 - Newspaper/Magazine Article
Prescription for success: don't bother nurses.
Citation Text:
Prescription for success: don't bother nurses. Colliver V. San Francisco Chronicle. October 28, 2009:A1.
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psnet.ahrq.gov/issue/patient-safety-and-satisfaction-state-american-hospitals
July 02, 2014 - Book/Report
Patient Safety and Satisfaction: The State of American Hospitals.
Citation Text:
Patient Safety and Satisfaction: The State of American Hospitals. Golden, CO: HealthGrades Inc.; May 2012.
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psnet.ahrq.gov/node/50843/psn-pdf
January 29, 2020 - bolus of 3% saline for severely symptomatic hyponatremic patients, followed by one
additional bolus 20 minutes
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psnet.ahrq.gov/issue/more-can-be-done-alleviate-errors-associated-pharmaceutical-product-labeling-and-packaging
May 03, 2023 - Newspaper/Magazine Article
More can be done to alleviate errors associated with pharmaceutical product labeling and packaging.
Citation Text:
More can be done to alleviate errors associated with pharmaceutical product labeling and packaging. ISMP Medication Safety Alert! Acute Care Editi…