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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…
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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.
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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.
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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.
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psnet.ahrq.gov/node/867357/psn-pdf
December 18, 2024 - The patient's SpO2 did not improve and dropped to 15% after 10 minutes.
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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.
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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…
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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.
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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.…
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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…
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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.
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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.
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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.
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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.
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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/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…
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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…
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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.
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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. …
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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.…