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psnet.ahrq.gov/issue/vaught-says-some-system-practices-contributed-fatal-mistake
September 29, 2021 - Newspaper/Magazine Article
RaDonda Vaught says some system practices contributed to fatal mistake.
Citation Text:
RaDonda Vaught says some system practices contributed to fatal mistake. Clark C. MedPage Today. March 14, 2024.
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psnet.ahrq.gov/issue/patient-experience-patient-safety-and-provider-well-being-associations-and-paths-quality
January 10, 2024 - Meeting/Conference Proceedings
Patient Experience, Patient Safety, and Provider Well-Being: Associations and Paths for Quality Improvement.
Citation Text:
Patient Experience, Patient Safety, and Provider Well-Being: Associations and Paths for Quality Improvement. Rockville, MD: Agency fo…
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psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm
March 14, 2023 - Newspaper/Magazine Article
Temporarily holding medication orders safely in order to prevent patient harm.
Citation Text:
Temporarily holding medication orders safely in order to prevent patient harm. ISMP Medication Safety Alert! Acute care edition. October 19, 2023;28(21):1-4.
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psnet.ahrq.gov/issue/medication-without-harm-how-digital-healthcare-tools-can-support-providers-and-improve
July 22, 2024 - Meeting/Conference Proceedings
Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety.
Citation Text:
Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety. Agency for Healthcare Research a…
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psnet.ahrq.gov/issue/preventing-communication-errors-telephone-medicine
December 01, 2004 - Commentary
Preventing communication errors in telephone medicine.
Citation Text:
Reisman AB, Brown KE. Preventing communication errors in telephone medicine. J Gen Intern Med. 2005;20(10):959-63.
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psnet.ahrq.gov/issue/survey-results-pharmacists-provide-support-enhance-organizational-response-codes
November 02, 2022 - Newspaper/Magazine Article
Survey results from pharmacists provide support to enhance the organizational response to codes.
Citation Text:
Survey results from pharmacists provide support to enhance the organizational response to codes. ISMP Medication Safety Alert! Acute care edition. Oc…
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psnet.ahrq.gov/issue/preventing-errors-when-preparing-and-administering-medications-enteral-feeding-tubes
November 30, 2016 - Newspaper/Magazine Article
Preventing errors when preparing and administering medications via enteral feeding tubes.
Citation Text:
Preventing errors when preparing and administering medications via enteral feeding tubes. ISMP Medication Safety Alert! Acute care edition. November 17, 202…
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psnet.ahrq.gov/issue/im-er-doctor-heres-what-i-found-when-i-asked-chatgpt-diagnose-my-patients
November 06, 2012 - Newspaper/Magazine Article
I’m an ER doctor: here’s what I found when I asked ChatGPT to diagnose my patients.
Citation Text:
I’m an ER doctor: here’s what I found when I asked ChatGPT to diagnose my patients. Tamayo-Sarver J. Fast Company. March 13, 2023.
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psnet.ahrq.gov/issue/prescription-drug-monitoring-programs-evidence-based-practices-optimize-prescriber-use
September 19, 2018 - Book/Report
Prescription Drug Monitoring Programs: Evidence-based Practices to Optimize Prescriber Use.
Citation Text:
Prescription Drug Monitoring Programs: Evidence-based Practices to Optimize Prescriber Use. Philadelphia, PA: Pew Charitable Trusts and Institute for Behavioral Health, …
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psnet.ahrq.gov/issue/assessing-and-monitoring-override-medications-automated-dispensing-devices
May 06, 2009 - Study
Assessing and monitoring override medications in automated dispensing devices.
Citation Text:
Kowiatek JG, Weber RJ, Skledar S, et al. Assessing and monitoring override medications in automated dispensing devices. Jt Comm J Qual Patient Saf. 2006;32(6):309-17.
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psnet.ahrq.gov/issue/ashp-guidelines-safe-use-automated-dispensing-devices
July 05, 2017 - Organizational Policy/Guidelines
ASHP guidelines on the safe use of automated dispensing devices.
Citation Text:
Cello R, Conley M, Cooley TW, et al. ASHP Guidelines on the Safe Use of Automated Dispensing Cabinets. Am J Health Syst Pharm. 2021;79(1):e71-e82. doi:10.1093/ajhp/zxab325. …
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psnet.ahrq.gov/issue/measuring-safety-climate-health-care
March 01, 2023 - Review
Measuring safety climate in health care.
Citation Text:
Flin R, Burns C, Mearns K, et al. Measuring safety climate in health care. Qual Saf Health Care. 2006;15(2):109-15.
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psnet.ahrq.gov/issue/medication-safety-issue-brief-look-alike-sound-alike-drugs
June 17, 2014 - Newspaper/Magazine Article
Medication safety issue brief. Look-alike, sound-alike drugs.
Citation Text:
Association AH, Pharmacists AS of H-S, Networks H & H. Medication safety issue brief, look-alike, sound-alike drugs. Hospitals and Health Networks. October 2005;79(10):57-58.
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psnet.ahrq.gov/issue/families-are-struggling-use-medicines-home-we-must-truly-involve-them-their-own-safety
February 02, 2022 - Newspaper/Magazine Article
Families are struggling to use medicines at home — we must truly involve them in their own safety.
Citation Text:
Families are struggling to use medicines at home — we must truly involve them in their own safety. Morris S, O’Hara J. Pharmacuetical Journal.…
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psnet.ahrq.gov/issue/quest-ideal-redesign-medication-use-system
September 16, 2020 - Commentary
Quest for the ideal: a redesign of the medication use system.
Citation Text:
Dang D, Feroli R, Gill C, et al. Quest for the ideal: a redesign of the medication use system. J Nurs Care Qual. 2007;22(1):11-19.
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psnet.ahrq.gov/issue/rate-and-costs-attributable-intravenous-patient-controlled-analgesia-errors
April 29, 2010 - Study
The rate and costs attributable to intravenous patient-controlled analgesia errors.
Citation Text:
Meissner B, Nelson W, Hicks R (R), et al. The rate and costs attributable to intravenous patient-controlled analgesia errors. Hosp Pharm. 2010;44(4):312-324. doi:10.1310/hpj4404-312. …
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psnet.ahrq.gov/issue/learning-error-identifying-contributory-causes-medication-errors-australian-hospital
October 19, 2022 - Study
Learning from error: identifying contributory causes of medication errors in an Australian hospital.
Citation Text:
Nichols P, Copeland T-S, Craib IA, et al. Learning from error: identifying contributory causes of medication errors in an Australian hospital. Med J Aust. 2008;188(…
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psnet.ahrq.gov/issue/fatal-mistakes-why-do-ten-fold-medication-errors-children-keep-happening
April 21, 2021 - Newspaper/Magazine Article
Fatal mistakes: why do ten-fold medication errors in children keep happening?
Citation Text:
Fatal mistakes: why do ten-fold medication errors in children keep happening? Parry C. The Pharmaceutical Journal. April 22 2021.
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psnet.ahrq.gov/issue/designing-decision-support-insulin-ordering-computerized-provider-order-entry-system
March 09, 2011 - Study
Designing decision support for insulin ordering in a computerized provider order entry system.
Citation Text:
Wright L, Feldott CC, Hargrove FR. Designing Decision Support for Insulin Ordering in a Computerized Provider Order Entry System. Hosp Pharm. 2010;42(2). doi:10.1310/hpj4…
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psnet.ahrq.gov/issue/special-report-covid-deepens-other-opioid-crisis-shortage-hospital-painkillers
March 31, 2021 - Newspaper/Magazine Article
Special report: COVID deepens the other opioid crisis - a shortage of hospital painkillers.
Citation Text:
Girion L, Levine D, Respaut R. Special report: COVID deepens the other opioid crisis - a shortage of hospital painkillers. Reuters. 2020;June 9.
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