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psnet.ahrq.gov/issue/how-has-current-economy-affected-patient-safety
May 07, 2018 - Newspaper/Magazine Article
How has the current economy affected patient safety?
Citation Text:
How has the current economy affected patient safety? ISMP Medication Safety Alert! Acute Care Edition. September 10, 2009;14:1-2.
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psnet.ahrq.gov/issue/oral-syringes-crucial-and-economical-risk-reduction-strategy-has-not-been-fully-utilized
June 10, 2018 - Newspaper/Magazine Article
Oral syringes: a crucial and economical risk-reduction strategy that has not been fully utilized.
Citation Text:
Oral syringes: a crucial and economical risk-reduction strategy that has not been fully utilized. ISMP Medication Safety Alert! Acute Care Edition. …
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psnet.ahrq.gov/issue/reducing-patient-harm-opiates
April 29, 2018 - Newspaper/Magazine Article
Reducing patient harm from opiates.
Citation Text:
Reducing patient harm from opiates. ISMP Medication Safety Alert! Acute care edition. February 22, 2007.
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psnet.ahrq.gov/issue/hospitals-win-safety-award-simple-changes
September 06, 2006 - Newspaper/Magazine Article
Hospitals win safety award for simple changes.
Citation Text:
Hospitals win safety award for simple changes. Sipkoff M. Drug Topics. January 22, 2007.
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psnet.ahrq.gov/issue/promethazine-conundrum-iv-can-hurt-more-im-injection
November 13, 2018 - Newspaper/Magazine Article
Promethazine conundrum: IV can hurt more than IM injection!
Citation Text:
Promethazine conundrum: IV can hurt more than IM injection! ISMP Medication Safety Alert! Acute Care Edition. November 2, 2006;11:1-3.
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psnet.ahrq.gov/issue/us-drug-shortages-threatening-those-whose-lives-depend-crucial-remedies
May 17, 2006 - Newspaper/Magazine Article
US drug shortages threatening those whose lives depend on crucial remedies.
Citation Text:
US drug shortages threatening those whose lives depend on crucial remedies. Stein R. Washington Post. May 2, 2011:A10.
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psnet.ahrq.gov/issue/heed-warning-dont-miss-important-computer-alerts
May 07, 2018 - Newspaper/Magazine Article
Heed this warning! Don't miss important computer alerts.
Citation Text:
Heed this warning! Don't miss important computer alerts. ISMP Medication Safety Alert! Acute Care Edition. February 8, 2007;12:1-2.
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psnet.ahrq.gov/issue/use-tall-man-letters-gaining-wide-acceptance
May 02, 2018 - Newspaper/Magazine Article
Use of tall man letters is gaining wide acceptance.
Citation Text:
Use of tall man letters is gaining wide acceptance. ISMP Medication Safety Alert! Acute Care Edition. July 31, 2008;13:1-3.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-14
June 16, 2019 - Commentary
ISMP medication error report analysis.
Citation Text:
Cohen MR. ISMP medication error report analysis. Hosp Pharm. 2010;42(6):498-499. doi:10.1310/hpj4206-498.
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psnet.ahrq.gov/issue/examining-medication-reconciliation-perspective-safety
August 11, 2010 - Newspaper/Magazine Article
Examining medication reconciliation from a perspective of safety.
Citation Text:
Examining medication reconciliation from a perspective of safety. Daly M, Lee B. Formulary. August 8, 2013.
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psnet.ahrq.gov/issue/implementing-program-patient-safety-small-rural-hospitals
December 24, 2008 - Book/Report
Implementing a Program of Patient Safety in Small Rural Hospitals.
Citation Text:
Implementing a Program of Patient Safety in Small Rural Hospitals. Rockville, MD: Agency for Healthcare Research and Quality; October 2004.
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psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
August 29, 2021 - Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia
Citation Text:
Nguyen DD, Harper TA, Cello R. Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…
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psnet.ahrq.gov/web-mm/duplicate-insulin-order
May 04, 2012 - Duplicate Insulin Order
Citation Text:
Acquisto NM, Cobaugh DJ. Duplicate Insulin Order. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
September 27, 2023 - Verbal Orders and Medication Overrides: A Dangerous Combination
Citation Text:
Mueller C, MacDowell P, Bourgeois JA. Verbal Orders and Medication Overrides: A Dangerous Combination. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024…
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psnet.ahrq.gov/issue/medical-abbreviations-have-contradictory-or-ambiguous-meanings
November 18, 2020 - Newspaper/Magazine Article
Medical abbreviations that have contradictory or ambiguous meanings.
Citation Text:
Medical abbreviations that have contradictory or ambiguous meanings. Davis N. ISMP Medication Safety Alert! Acute care edition! January 30, 2020;25(2):1-5.
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psnet.ahrq.gov/issue/ahrq-announces-interest-research-diagnostic-errors-ambulatory-care-settings
November 10, 2021 - Government Resource
AHRQ announces interest in research on diagnostic errors in ambulatory care settings.
Citation Text:
AHRQ announces interest in research on diagnostic errors in ambulatory care settings. Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis N…
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psnet.ahrq.gov/issue/mistake-proofing-design-health-care-processes
December 18, 2008 - Book/Report
Mistake-Proofing the Design of Health Care Processes.
Citation Text:
Mistake-Proofing the Design of Health Care Processes. Grout JR. Rockville, MD: Agency for Healthcare Research and Quality; May 2007. AHRQ Publication No. 07-0020.
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psnet.ahrq.gov/issue/raising-index-suspicion-red-flags-represent-credible-threats-patient-safety
February 13, 2019 - Newspaper/Magazine Article
Raising the index of suspicion: red flags that represent credible threats to patient safety.
Citation Text:
Raising the index of suspicion: red flags that represent credible threats to patient safety. ISMP Medication Safety Alert! Acute Care Edition. July 26, 2…
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psnet.ahrq.gov/issue/side-tracks-safety-express-interruptions-lead-errors-and-unfinishedwait-what-was-i-doing
June 10, 2018 - Newspaper/Magazine Article
Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing?
Citation Text:
Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing? ISMP Medication Safety Alert! Acute care…
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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.…