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psnet.ahrq.gov/web-mm/harm-alarm-fatigue
February 14, 2018 - Case Objectives Define alarm fatigue and describe potential errors that can occur due to alarm fatigue … PubMedId RIS
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psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
May 01, 2011 - Case Objectives
Describe the rationale for disclosing harmful errors to patients. … PubMedId RIS
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psnet.ahrq.gov/web-mm/watch-warfarin
December 01, 2013 - Case Objectives Understand best practices for safe discharge of patients on warfarin. … PubMedId RIS
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psnet.ahrq.gov/web-mm/emergency-error
January 18, 2013 - Case Objectives State that emergency surgery is high risk and has high mortality. … PubMedId RIS
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psnet.ahrq.gov/web-mm/other-side
May 01, 2007 - Case Objectives
List the factors contributing to wrong site surgery. … PubMedId RIS
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psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - Case Objectives
Understand types and frequencies of adverse events occurring between patient discharge … PubMedId RIS
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psnet.ahrq.gov/web-mm/code-status-confusion
September 01, 2006 - Case Objectives Appreciate challenges of determining goals of care in hospitalized patients Understand … PubMedId RIS
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psnet.ahrq.gov/issue/implementing-rapid-response-team-practical-guide
July 14, 2010 - Commentary
Implementing a rapid response team: a practical guide.
Citation Text:
Implementing a rapid response team: a practical guide. Garretson S; Dip HE; Rauzi MB.
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psnet.ahrq.gov/issue/closing-safety-loop-auto-patient-id
December 03, 2007 - Newspaper/Magazine Article
Closing the safety loop with auto patient ID.
Citation Text:
Closing the safety loop with auto patient ID. Akridge J. Healthcare Purchasing News. January 2005.
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psnet.ahrq.gov/issue/product-related-issues-make-error-potential-enormous-investigational-drugs
May 07, 2018 - Newspaper/Magazine Article
Product-related issues make error potential enormous with investigational drugs.
Citation Text:
Product-related issues make error potential enormous with investigational drugs. ISMP Medication Safety Alert! Acute care edition. 2007;12(2):1-3.
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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/distractions-operating-room
March 13, 2013 - Newspaper/Magazine Article
Distractions in the operating room.
Citation Text:
Distractions in the operating room. Feil M. PA-PSRS Patient Saf Advis. June 2014;11:45-52.
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psnet.ahrq.gov/issue/patients-list-hospital-hazards
September 09, 2009 - Newspaper/Magazine Article
For patients, a list of hospital hazards.
Citation Text:
For patients, a list of hospital hazards. Landro L. Wall Street Journal (Eastern edition). December 23, 2008;D2.
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psnet.ahrq.gov/issue/ambulatory-surgery-facilities-comprehensive-review-medication-error-reports-pennsylvania
April 17, 2017 - Newspaper/Magazine Article
Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania.
Citation Text:
Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania.
Grissinger M, Dabliz R. Pa Patient S…
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psnet.ahrq.gov/issue/wrong-body-part-wrong-patient-surgeries-continue-despite-new-procedures
May 19, 2010 - Newspaper/Magazine Article
Wrong body part, wrong patient surgeries continue despite new procedures.
Citation Text:
Wrong body part, wrong patient surgeries continue despite new procedures. Rojas-Burke J.
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psnet.ahrq.gov/issue/mistaking-error
July 06, 2011 - Book/Report
Mistaking error.
Citation Text:
Mistaking error. Cook RI, Woods DD. Chapter in: Youngberg BJ, Hatlie, MJ, ed. Patient Safety Handbook, Sudbury, MA: Jones and Bartlett; 2004.
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psnet.ahrq.gov/issue/mri-safety-10-years-later
December 10, 2014 - Newspaper/Magazine Article
MRI safety 10 years later.
Citation Text:
MRI safety 10 years later. Gilk T, Latino RJ. Patient Saf Qual Healthc. November/December 2011;8:22-23,26-29.
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psnet.ahrq.gov/issue/applying-universal-protocol-improve-patient-safety-radiology-services
March 27, 2018 - Newspaper/Magazine Article
Applying the Universal Protocol to improve patient safety in radiology services.
Citation Text:
Applying the Universal Protocol to improve patient safety in radiology services. PA-PSRS Patient Saf Advis. June 2011;8:63-69.
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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/toolkit-improve-safety-ambulatory-surgery-centers
May 01, 2015 - Toolkit
Toolkit To Improve Safety in Ambulatory Surgery Centers.
Citation Text:
Toolkit To Improve Safety in Ambulatory Surgery Centers. Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
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