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  1. psnet.ahrq.gov/issue/drug-shortages-national-survey-reveals-high-level-frustration-low-level-safety
    April 05, 2023 - Newspaper/Magazine Article Drug shortages: national survey reveals high level of frustration, low level of safety. Citation Text: Drug shortages: national survey reveals high level of frustration, low level of safety. ISMP Medication Safety Alert! Acute Care Edition. September 23, 2010:1…
  2. psnet.ahrq.gov/issue/design-reliability-barcoded-medication-administration
    July 21, 2021 - Newspaper/Magazine Article Design for reliability: barcoded medication administration. Citation Text: Design for reliability: barcoded medication administration. Hayden AC; Lanoue ET; Still CJ. Copy Citation Save Save to your library Print Download PDF …
  3. psnet.ahrq.gov/issue/implementing-safe-and-reliable-process-medication-administration
    June 22, 2022 - Commentary Implementing a safe and reliable process for medication administration. Citation Text: Richardson B, Bromirski B, Hayden A. Implementing a safe and reliable process for medication administration. Clin Nurse Spec. 2012;26(3):169-76. doi:10.1097/NUR.0b013e3182503fbe. Copy Ci…
  4. psnet.ahrq.gov/issue/meeting-challenge-patient-safety-ambulatory-care-setting
    February 22, 2023 - Book/Report Meeting the Challenge of Patient Safety in the Ambulatory Care Setting. Citation Text: Meeting the Challenge of Patient Safety in the Ambulatory Care Setting. Turney S, Evans EW, Callaway E, et al. Englewood Cliffs, CO: Medical Group Management Association; 2009. Copy Citat…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867357/psn-pdf
    December 18, 2024 - The patient's SpO2 did not improve and dropped to 15% after 10 minutes.
  6. psnet.ahrq.gov/issue/situ-simulation-identification-systems-issues
    January 31, 2024 - Study In situ simulation: identification of systems issues. Citation Text: Guise J-M, Mladenovic J. In situ simulation: Identification of systems issues. Semin Perinatol. 2013;37(3). doi:10.1053/j.semperi.2013.02.007. Copy Citation Format: DOI Google Scholar BibTeX EndNo…
  7. psnet.ahrq.gov/issue/scanning-out-medication-errors-ohio-valley-hospitals-automated-iv-system-provides-real-time
    December 21, 2016 - Newspaper/Magazine Article Scanning out medication errors: Ohio Valley Hospital's automated IV system provides real-time access to patient data. Citation Text: Scanning out medication errors: Ohio Valley Hospital's automated IV system provides real-time access to patient data. Carbas…
  8. psnet.ahrq.gov/issue/preventing-cathetertubing-misconnections-much-needed-help-way
    May 07, 2018 - Newspaper/Magazine Article Preventing catheter/tubing misconnections: much needed help is on the way. Citation Text: Preventing catheter/tubing misconnections: much needed help is on the way. ISMP Medication Safety Alert! Acute care edition! July 15, 2010;15:1-2. Copy Citation …
  9. psnet.ahrq.gov/issue/technology-and-error-prevention-strategies-why-are-we-still-overlooking-iv-room
    July 08, 2015 - Newspaper/Magazine Article Technology and error-prevention strategies: why are we still overlooking the IV room? Citation Text: Technology and error-prevention strategies: why are we still overlooking the IV room? ISMP Medication Safety Alert! Acute Care Edition. January 15, 2015;20:1-4.…
  10. psnet.ahrq.gov/issue/pharmacist-staffing-and-use-technology-small-rural-hospitals-implications-medication-safety
    August 01, 2012 - Book/Report Pharmacist Staffing and the Use of Technology in Small Rural Hospitals: Implications for Medication Safety. Citation Text: Pharmacist Staffing and the Use of Technology in Small Rural Hospitals: Implications for Medication Safety. Casey MM, Moscovice I, Davidson G. Minn…
  11. psnet.ahrq.gov/issue/medication-safety-issues-newly-authorized-paxlovid
    May 07, 2018 - Press Release/Announcement Medication safety issues with newly authorized PAXLOVID. Citation Text: Medication safety issues with newly authorized PAXLOVID. Institute for Safe Medication Practices. Medication Safety Alerts. January 3, 2022. Copy Citation Save …
  12. psnet.ahrq.gov/issue/finding-and-preventing-patient-safety-incidents
    October 25, 2013 - Book/Report Finding and Preventing Patient Safety Incidents. Citation Text: Finding and Preventing Patient Safety Incidents. Golden, CO: HealthGrades, Inc.; June 9, 2014. Copy Citation Save Save to your library Print Download PDF Share Facebo…
  13. psnet.ahrq.gov/issue/point-care-medication-error-prevention-best-practices-action
    December 24, 2007 - Newspaper/Magazine Article Point-of-care medication error prevention: best practices in action. Citation Text: Point-of-care medication error prevention: best practices in action. Swenson D. Patient Safety Qual Heathc. May/June 2007. Copy Citation Save Save to…
  14. psnet.ahrq.gov/issue/survey-shows-recession-has-weakened-patient-safety-net
    June 10, 2018 - Newspaper/Magazine Article Survey shows recession has weakened patient safety net. Citation Text: Survey shows recession has weakened patient safety net. ISMP Medication Safety Alert! Acute care edition! January 14, 2010;15:1-4. Copy Citation Save Save to your lib…
  15. 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…
  16. psnet.ahrq.gov/issue/prescription-drug-time-guarantees-and-their-impact-patient-safety-community-pharmacies
    June 10, 2018 - Newspaper/Magazine Article Prescription drug time guarantees and their impact on patient safety in community pharmacies. Citation Text: Prescription drug time guarantees and their impact on patient safety in community pharmacies. ISMP Medication Safety Alert! Acute care edition! Septembe…
  17. psnet.ahrq.gov/issue/addressing-nurse-fatigue-promote-safety-and-health-joint-responsibilities-registered-nurses
    November 16, 2015 - Organizational Policy/Guidelines Addressing nurse fatigue to promote safety and health: joint responsibilities of registered nurses and employers to reduce risks. Citation Text: Addressing nurse fatigue to promote safety and health: joint responsibilities of registered nurses and employe…
  18. psnet.ahrq.gov/issue/healthgrades-seventh-annual-patient-safety-american-hospitals-study
    July 02, 2014 - Book/Report HealthGrades Seventh Annual Patient Safety in American Hospitals Study. Citation Text: HealthGrades Seventh Annual Patient Safety in American Hospitals Study. Golden, CO: HealthGrades, Inc.; March 2010. Copy Citation Save Save to your library …
  19. psnet.ahrq.gov/issue/ismp-updates-its-list-drug-names-tall-man-mixed-case-letters-based-survey-results
    March 14, 2023 - Newspaper/Magazine Article ISMP updates its list of drug names with tall man (mixed case) letters based on survey results. Citation Text: ISMP updates its list of drug names with tall man (mixed case) letters based on survey results. ISMP Medication Safety Alert! Acute care edition. …
  20. psnet.ahrq.gov/issue/medication-administration-technologies-and-patient-safety-mixed-method-systematic-review
    May 18, 2022 - Review Medication administration technologies and patient safety: a mixed-method systematic review. Citation Text: Wulff K, Cummings GG, Marck P, et al. Medication administration technologies and patient safety: a mixed-method systematic review. J Adv Nurs. 2011;67(10):2080-95. doi:10.…

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