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psnet.ahrq.gov/issue/spikes-demand-coronavirus-patients-are-creating-shortages-asthma-drugs-and-sedatives
May 11, 2016 - Newspaper/Magazine Article
Spikes in demand from coronavirus patients are creating shortages of asthma drugs and sedatives for ventilator patients.
Citation Text:
Spikes in demand from coronavirus patients are creating shortages of asthma drugs and sedatives for ventilator patients. Rowl…
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psnet.ahrq.gov/issue/cultivate-discussions-psychologically-safe-workplace-part-1-and-part-ii
August 11, 2021 - Special or Theme Issue
Cultivate discussions in a psychologically safe workplace: part 1 and part II.
Citation Text:
Cultivate discussions in a psychologically safe workplace: part 1 and part II. ISMP Medication Safety Alert! Acute Care. July 11, 2024;29;(14):1-3; July 25, 2024;29(15):1-…
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psnet.ahrq.gov/issue/doctors-must-stop-tuning-out-black-women-it-happened-me-pregnant-ob-gyn
June 24, 2020 - Newspaper/Magazine Article
Doctors must stop tuning out Black women. It happened to me, as a pregnant OB-GYN.
Citation Text:
Doctors must stop tuning out Black women. It happened to me, as a pregnant OB-GYN. Gillispie-Bell V. USA Today. April 14, 2023.
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psnet.ahrq.gov/issue/examining-increase-drug-shortages
March 01, 2017 - Government Resource
Examining the Increase in Drug Shortages.
Citation Text:
Examining the Increase in Drug Shortages. Hearings before the Subcommittee on Health of the Committee on Energy and Commerce Committee, 112th Cong, 1st Sess (September 23, 2011).
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psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification
November 14, 2018 - Commentary
Recognizing and managing errors of cognitive underspecification.
Citation Text:
Duthie EA. Recognizing and managing errors of cognitive underspecification. J Patient Saf. 2014;10(1):1-5. doi:10.1097/PTS.0b013e3182a5f6e1.
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psnet.ahrq.gov/issue/impact-abbreviations-patient-safety
January 02, 2017 - Study
The impact of abbreviations on patient safety.
Citation Text:
Brunetti L, Santell JP, Hicks RW. The impact of abbreviations on patient safety. Jt Comm J Qual Patient Saf. 2007;33(9):576-83.
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psnet.ahrq.gov/issue/phso-review-quality-nhs-complaints-investigations
November 16, 2015 - Book/Report
PHSO Review: Quality of NHS Complaints Investigations.
Citation Text:
PHSO Review: Quality of NHS Complaints Investigations. First Report of Session 2016–17 Report. House of Commons Public Administration and Constitutional Affairs Committee. London, England: The Stationery Of…
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psnet.ahrq.gov/issue/hospital-reporting-program-annual-summary
August 17, 2022 - Book/Report
Hospital Reporting Program: Annual Summary.
Citation Text:
Hospital Reporting Program: Annual Summary. Portland, OR: Oregon Patient Safety Commission.
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psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-reach-patient
March 14, 2023 - Newspaper/Magazine Article
Latent and active failures perfectly align to allow a preventable adverse event to reach a patient.
Citation Text:
Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. ISMP Medication Safety Alert! Acute care editi…
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psnet.ahrq.gov/issue/effects-work-shift-or-shift-length-radiation-safety-perception
August 23, 2023 - Study
Effects of work shift or shift length on radiation safety perception.
Citation Text:
Effects of work shift or shift length on radiation safety perception. Moore QT, Bruno MA. Radiol Technol. 2023;94(6):409-418.
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psnet.ahrq.gov/issue/total-systems-safety-supports-practitioners-partnering-families-protect-patients
April 17, 2024 - Newspaper/Magazine Article
Total systems safety supports practitioners in partnering with families to protect patients.
Citation Text:
Total systems safety supports practitioners in partnering with families to protect patients. ISMP Medication Safety Alert! Acute Care. 2024;29(13):1-4.
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psnet.ahrq.gov/issue/i-felt-i-was-dying-how-women-postpartum-depression-fall-through-cracks-us-health-care
February 15, 2023 - Newspaper/Magazine Article
‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care.
Citation Text:
‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care. Gammon K. STAT. June 26, 202…
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psnet.ahrq.gov/issue/disclosure-adverse-events-pediatrics
April 21, 2021 - Organizational Policy/Guidelines
Disclosure of adverse events in pediatrics.
Citation Text:
Disclosure of adverse events in pediatrics. McDonnell WM; Altman RL; Bondi SA et al for the Committee on Medical Liability and Risk Management; Council on Quality Improvement and Patient Safety. P…
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psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards
March 14, 2023 - Newspaper/Magazine Article
Implement strategies to prevent persistent medication errors and hazards.
Citation Text:
Implement strategies to prevent persistent medication errors and hazards. ISMP Medication Safety Alert! Acute care edition. March 23, 2023;28(6):1-4.
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psnet.ahrq.gov/issue/more-can-be-done-alleviate-errors-associated-pharmaceutical-product-labeling-and-packaging
May 03, 2023 - Newspaper/Magazine Article
More can be done to alleviate errors associated with pharmaceutical product labeling and packaging.
Citation Text:
More can be done to alleviate errors associated with pharmaceutical product labeling and packaging. ISMP Medication Safety Alert! Acute Care Editi…
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psnet.ahrq.gov/issue/missed-or-rationed-nursing-care
February 12, 2020 - Special or Theme Issue
Missed or Rationed Nursing Care.
Citation Text:
Missed or Rationed Nursing Care. J Nurs Manag. 2020;28(8): i-iv, 1767-2275.
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psnet.ahrq.gov/issue/role-communication-paediatric-drug-safety
July 08, 2008 - Review
The role of communication in paediatric drug safety.
Citation Text:
Stebbing C, Wong ICK, Kaushal R, et al. The role of communication in paediatric drug safety. Arch Dis Child. 2007;92(5):440-5.
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psnet.ahrq.gov/issue/updated-guidance-needed-longstanding-large-volume-parenteral-lvp-labeling-and-packaging
March 10, 2021 - Newspaper/Magazine Article
Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems.
Citation Text:
Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems. ISMP Medication Safety Alert! Acute ca…
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psnet.ahrq.gov/issue/electronically-generated-medication-administration-and-electronic-medication-administration
May 25, 2016 - Book/Report
Electronically Generated Medication Administration and Electronic Medication Administration Records for the Prevention of Medication Transcription Errors: Review of Clinical Effectiveness and Safety.
Citation Text:
Electronically Generated Medication Administration and Electr…
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psnet.ahrq.gov/issue/medmarx-data-report-chartbook-medication-error-findings-perioperative-settings-1998-2005
August 24, 2015 - Book/Report
Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005.
Citation Text:
Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. Hicks RW, Becker SC, Cousins DD. Rock…