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psnet.ahrq.gov/issue/your-attention-please-designing-effective-warnings
March 12, 2008 - Newspaper/Magazine Article
Your attention please... designing effective warnings.
Citation Text:
ISMP Medication Safety Alert! Acute care edition. February 28, 2019.
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psnet.ahrq.gov/issue/oral-syringes-crucial-and-economical-risk-reduction-strategy-has-not-been-fully-utilized
December 16, 2009 - Newspaper/Magazine Article
Oral syringes: a crucial and economical risk-reduction strategy that has not been fully utilized.
Citation Text:
ISMP Medication Safety Alert! Acute Care Edition. October 22, 2009;14:1-3.
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psnet.ahrq.gov/issue/preventing-medication-errors-during-codes
June 29, 2011 - Newspaper/Magazine Article
Preventing medication errors during codes.
Citation Text:
ISMP Medication Safety Alert! Acute care edition. February 9, 2011;16:1-3.
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psnet.ahrq.gov/issue/hidden-medication-loss-when-using-primary-administration-set-small-volume-intermittent
December 16, 2009 - Newspaper/Magazine Article
Hidden medication loss when using a primary administration set for small-volume intermittent infusions.
Citation Text:
ISMP Medication Safety Alert! Acute care edition. December 3, 2020;25(24).
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psnet.ahrq.gov/issue/opioids-pain-management-older-adults-strategies-safe-prescribing
December 09, 2009 - Commentary
Opioids for pain management in older adults: strategies for safe prescribing.
Citation Text:
Davies PS. Opioids for pain management in older adults. Nurse Pract. 2017;42(2). doi:10.1097/01.npr.0000511772.62176.10.
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psnet.ahrq.gov/issue/opioid-crisis-origins-trends-policies-and-roles-pharmacists
October 04, 2017 - Review
The opioid crisis: origins, trends, policies, and the roles of pharmacists.
Citation Text:
Chisholm-Burns MA; Spivey CA; Sherwin E; Wheeler J; Hohmeier K.
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psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly-frequent-even-barcode
October 22, 2014 - Newspaper/Magazine Article
A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning.
Citation Text:
ISMP Medication Safety Alert! Acute Care Edition. October 23, 2014;19:1-5.
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psnet.ahrq.gov/issue/prevent-administration-ear-drops-eyes
December 14, 2005 - Newspaper/Magazine Article
Prevent administration of ear drops into the eyes.
Citation Text:
ISMP Medication Safety Alert!: Acute Care Edition. December 1, 2022;27(24):1-3.
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psnet.ahrq.gov/issue/fatal-1000-fold-overdoses-can-occur-particularly-neonates-transposing-mcg-and-mg
September 19, 2012 - Newspaper/Magazine Article
Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg.
Citation Text:
ISMP Medication Safety Alert! Acute Care Edition. September 6, 2007;12:1-4.
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psnet.ahrq.gov/issue/progress-preventing-name-confusion-errors
July 18, 2007 - Newspaper/Magazine Article
Progress with preventing name confusion errors.
Citation Text:
ISMP Medication Safety Alert! Acute Care Edition. August 9, 2007;12:1-3.
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psnet.ahrq.gov/issue/serious-threat-patient-safety-unintended-misuse-fentanyl-patches
December 02, 2009 - Commentary
A serious threat to patient safety: the unintended misuse of FentaNYL patches.
Citation Text:
Paparella S. A serious threat to patient safety: the unintended misuse of FentaNYL patches. J Emerg Nurs. 2013;39(3):245-247. doi:10.1016/j.jen.2013.01.007.
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psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death
January 28, 2015 - Newspaper/Magazine Article
The absence of a drug–disease interaction alert leads to a child's death.
Citation Text:
ISMP Medication Safety Alert! Acute Care Edition. May 21, 2015;20:1-4.
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psnet.ahrq.gov/issue/clinical-reminder-about-safe-use-insulin-vials
April 03, 2013 - Newspaper/Magazine Article
A clinical reminder about the safe use of insulin vials.
Citation Text:
ISMP Medication Safety Alert! Acute care edition. February 21, 2013;18:1-3.
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psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy-postanesthesia-care-unit
March 06, 2013 - Newspaper/Magazine Article
Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit.
Citation Text:
ISMP Medication Safety Alert! Acute Care Edition. March 21, 2013;18:1-3.
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psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-ii-where-were-going
May 31, 2006 - Newspaper/Magazine Article
Our long journey towards a safety-minded just culture. Part II: where we're going.
Citation Text:
ISMP Medication Safety Alert! Acute Care Edition. September 21, 2006;11:1-2.
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psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-one-three-vaccine-errors-associated-age
July 27, 2016 - Newspaper/Magazine Article
ISMP National Vaccine Errors Reporting Program: one in three vaccine errors associated with age-related factors.
Citation Text:
ISMP Medication Safety Alert! Acute Care Edition. July 28, 2016;21:1-6.
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psnet.ahrq.gov/issue/first-annual-review-data-submitted-ismp-national-vaccine-errors-reporting-program-verp
April 17, 2013 - Newspaper/Magazine Article
First annual review of data submitted to the ISMP National Vaccine Errors Reporting Program (VERP).
Citation Text:
ISMP Medication Safety Alert! Acute Care Edition. November 28, 2013;18:1-5.
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psnet.ahrq.gov/issue/sterile-compounding-tragedy-symptom-broken-system-many-levels
February 22, 2012 - Newspaper/Magazine Article
Sterile compounding tragedy is a symptom of a broken system on many levels.
Citation Text:
ISMP Medication Safety Alert! Acute Care Edition. October 18, 2012;17:1-4.
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psnet.ahrq.gov/issue/despite-technology-verbal-orders-persist-read-back-not-widespread-and-errors-continue
September 20, 2017 - Newspaper/Magazine Article
Despite technology, verbal orders persist, read back is not widespread, and errors continue.
Citation Text:
ISMP Medication Safety Alert! Acute Care Edition. May 18, 2017;22:1-4.
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psnet.ahrq.gov/issue/small-effort-big-payoffautomated-maximum-dose-alerts-hard-stops
August 21, 2013 - Newspaper/Magazine Article
Small effort, big payoff...automated maximum dose alerts with hard stops.
Citation Text:
ISMP Medication Safety Alert! Acute care edition! September 19, 2013;18:1-4.
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