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psnet.ahrq.gov/issue/identifying-systems-failures-pathway-catastrophic-event-analysis-national-incident-report
January 22, 2014 - the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids … the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids … the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids
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psnet.ahrq.gov/issue/optimizing-medication-reconciliation-and-transitions-care-insights-pharmacist-and-pharmacy
July 25, 2023 - June 12, 2023
- June 12, 2023
Double-booked: when surgeons operate on two patients … July 24, 2013
Vincristine (and other vinca alkaloids) should only be given intravenously
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psnet.ahrq.gov/issue/chemotherapy-patients-perceptions-drug-administration-safety
April 14, 2010 - the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids … November 6, 2013
Death and neurological devastation from intrathecal vinca alkaloids:
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psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge
July 14, 2021 - May 5, 2024
- May 5, 2024
Vincristine (and other vinca alkaloids) should only be given … August 9, 2017
Double-booked: when surgeons operate on two patients at once.
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psnet.ahrq.gov/issue/saving-lives-hospitals-have-signed-six-part-plan-avoid-multitude-unnecessary-deaths
January 19, 2022 - July 18, 2018
Vincristine (and other vinca alkaloids) should only be given intravenously … July 19, 2017
Double-booked: when surgeons operate on two patients at once.
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psnet.ahrq.gov/issue/chemotherapy-incident-reporting-and-improvement-system
November 16, 2022 - the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids
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psnet.ahrq.gov/issue/decreasing-patient-misidentification-chemotherapy-administration
December 22, 2021 - November 13, 2013
Death and neurological devastation from intrathecal vinca alkaloids
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psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-technique-prevent-chemotherapy-errors
October 31, 2007 - November 6, 2013
Death and neurological devastation from intrathecal vinca alkaloids:
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psnet.ahrq.gov/issue/instituting-vincristine-minibag-administration-innovative-strategy-using-simulation-enhance
March 08, 2017 - hospital to improve the reliability of practice by designing and testing the use of minibags for vinca alkaloids … the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids
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psnet.ahrq.gov/issue/prioritizing-medication-safety-care-people-cancer-clinicians-views-main-problems-and
December 14, 2016 - the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids
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psnet.ahrq.gov/web-mm/central-not-epidural
August 02, 2023 - the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids
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psnet.ahrq.gov/issue/managing-after-effects-serious-patient-safety-incidents-nhs-online-survey-study
October 06, 2010 - the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids … May 22, 2019
When is the surgeon too old to operate?
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psnet.ahrq.gov/issue/fda-safety-communication-caution-when-using-robotically-assisted-surgical-devices-womens
September 01, 2021 - Press Release/Announcement
FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy.
Citation Text:
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 20, 2021.
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psnet.ahrq.gov/issue/reducing-burden-surgical-harm-systematic-review-interventions-used-reduce-adverse-events
January 06, 2016 - the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids … March 27, 2019
When is the surgeon too old to operate?
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psnet.ahrq.gov/issue/mitigating-errors-caused-interruptions-during-medication-verification-and-administration
June 02, 2010 - the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids
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psnet.ahrq.gov/issue/model-chemotherapy-education-novice-oncology-nurses-supports-culture-safety
June 28, 2006 - Commentary
A model of chemotherapy education for novice oncology nurses that supports a culture of safety.
Citation Text:
Sheridan-Leos N. A model of chemotherapy education for novice oncology nurses that supports a culture of safety. Clin J Oncol Nurs. 2007;11(4):545-51.
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psnet.ahrq.gov/issue/eliminating-vincristine-administration-events
February 15, 2023 - the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids
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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
December 23, 2020 - the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids … October 2, 2013
Death and neurological devastation from intrathecal vinca alkaloids:
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psnet.ahrq.gov/periodic-issue/periodic-issue-277
February 10, 2021 - February 3, 2021 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, report…
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psnet.ahrq.gov/issue/specifications-computerized-provider-order-entry-and-clinical-decision-support-systems-cancer
April 24, 2019 - Review
Specifications of computerized provider order entry and clinical decision support systems for cancer patients undergoing chemotherapy: a systematic review.
Citation Text:
Rahimi R, Kazemi A, Moghaddasi H, et al. Specifications of Computerized Provider Order Entry and Clinical Deci…