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psnet.ahrq.gov/issue/bar-code-label-requirement-human-drug-products-and-biological-products
August 05, 2015 - Regulation
Bar code label requirement for human drug products and biological products.
Citation Text:
Food and Drug Administration. Fed Register. February 26, 2004;69 9119-9171.
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psnet.ahrq.gov/issue/multiple-latent-failures-align-allow-serious-drug-interaction-harm-patient
February 23, 2011 - April 17, 2013
Death and neurological devastation from intrathecal vinca alkaloids: prepared
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psnet.ahrq.gov/issue/wisdom-patients-and-families-ignore-it-our-peril
March 31, 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/need-risk-profiling-patient-safety
March 31, 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/using-ventilator-splitters-during-covid-19-pandemic-letter-health-care-providers
February 15, 2024 - Press Release/Announcement
Using ventilator splitters during the COVID-19 pandemic--letter to health care providers.
Citation Text:
Silver Spring, MD: Division of Industry and Consumer Education, US Food and Drug Administration; February 9. 2021.
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psnet.ahrq.gov/issue/significant-and-sustained-reduction-chemotherapy-errors-through-improvement-science
October 19, 2022 - Study
Significant and sustained reduction in chemotherapy errors through improvement science.
Citation Text:
Weiss BD, Scott M, Demmel K, et al. Significant and sustained reduction in chemotherapy errors through improvement science. J Oncol Pract. 2017;13(4):e329-e336. doi:10.1200/JOP.20…
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psnet.ahrq.gov/issue/fatal-consequences-simple-mistake-how-can-patient-be-saved-inadvertent-intrathecal
January 29, 2020 - Commentary
Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine?
Citation Text:
Reddy K, Brown B, Nanda A. Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? Clin Neurol Neu…
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psnet.ahrq.gov/issue/prospects-comparing-european-hospitals-terms-quality-and-safety-lessons-comparative-study
November 21, 2018 - 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/what-stage-are-low-income-and-middle-income-countries-lmics-patient-safety-curriculum
October 23, 2019 - 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/use-colour-coded-labels-intravenous-high-risk-medications-and-lines-improve-patient-safety
February 13, 2013 - Study
Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety.
Citation Text:
Porat N, Bitan Y, Shefi D, et al. Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. Qual Saf Health Care. 2009;…
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psnet.ahrq.gov/issue/methodological-variability-detecting-prescribing-errors-and-consequences-evaluation
February 24, 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/establishing-international-baseline-medication-safety-oncology-findings-2012-ismp
November 05, 2008 - Study
Establishing an international baseline for medication safety in oncology: findings from the 2012 ISMP International Medication Safety Self Assessment for Oncology.
Citation Text:
Greenall J, Shastay A, Vaida AJ, et al. Establishing an international baseline for medication safety in…
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psnet.ahrq.gov/issue/medication-safety-and-administration-intravenous-vincristine-international-survey-oncology
December 03, 2014 - Study
Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists.
Citation Text:
Gilbar P, Chambers C, Larizza M. Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists. J On…
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psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-useful-proactive-risk-analysis-pediatric
December 06, 2006 - 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/interruptions-during-delivery-high-risk-medications
July 02, 2014 - Study
Interruptions during the delivery of high-risk medications.
Citation Text:
Trbovich PL, Prakash V, Stewart J, et al. Interruptions during the delivery of high-risk medications. J Nurs Adm. 2010;40(5):211-8. doi:10.1097/NNA.0b013e3181da4047.
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psnet.ahrq.gov/issue/checking-it-twice-evaluation-checklists-detecting-medication-errors-bedside-using
July 02, 2014 - Study
Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model.
Citation Text:
White RE, Trbovich PL, Easty AC, et al. Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a c…
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psnet.ahrq.gov/issue/identification-poor-performance-national-medical-workforce-over-11-years-observational-study
April 09, 2014 - 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/preventable-harm-because-outpatient-medication-errors-among-children-leukemia-and-lymphoma
November 16, 2022 - Study
Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a multisite longitudinal assessment.
Citation Text:
Wong CI, Vannatta K, Gilleland Marchak J, et al. Preventable harm because of outpatient medication errors among children with leuk…
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psnet.ahrq.gov/issue/intravenous-infusion-administration-comparative-study-practices-and-errors-between-united
June 06, 2018 - 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/implementation-safeguards-improve-patient-safety-chemotherapy
March 09, 2022 - Study
Implementation of safeguards to improve patient safety in chemotherapy.
Citation Text:
Huertas-Fernández MJ, Martínez-Bautista MJ, Rodríguez-Mateos ME, Zarzuela-Ramírez M, Muñoz-Lucero T, Baena-Cañada JM. Implementation of safeguards to improve patient safety in chemotherapy. …