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psnet.ahrq.gov/issue/medmarx-data-report-report-relationship-drug-names-and-medication-errors-response-institute
March 21, 2007 - Press Release/Announcement
MEDMARX Data Report: A Report on the Relationship of Drug Names and Medication Errors in Response to the Institute of Medicine's Call to Action (2003-2006 Findings and Trends 2002-2006).
Citation Text:
MEDMARX Data Report: A Report on the Relationship of Drug N…
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psnet.ahrq.gov/issue/systematic-review-evidence-publishing-patient-care-performance-data-improves-quality-care
September 06, 2017 - Review
Systematic review: the evidence that publishing patient care performance data improves quality of care.
Citation Text:
Fung CH, Lim Y-W, Mattke S, et al. Systematic review: the evidence that publishing patient care performance data improves quality of care. Ann Intern Med. 2008;…
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psnet.ahrq.gov/issue/improving-process-while-changing-practice-fmea-and-medication-administration
January 18, 2011 - Commentary
Improving process while changing practice: FMEA and medication administration.
Citation Text:
Riehle MA, Bergeron D, Hyrkäs K. Improving process while changing practice. Nurs Manage. 2009;39(2). doi:10.1097/01.numa.0000310533.54708.38.
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psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-barriers-incident-reporting
February 16, 2011 - Study
Physician perception of hospital safety and barriers to incident reporting.
Citation Text:
Schectman JM, Plews-Ogan M. Physician perception of hospital safety and barriers to incident reporting. Jt Comm J Qual Patient Saf. 2006;32(6):337-43.
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psnet.ahrq.gov/issue/measuring-safety-culture-healthcare-case-accurate-diagnosis
May 29, 2014 - Commentary
Measuring safety culture in healthcare: a case for accurate diagnosis.
Citation Text:
Flin R. Measuring safety culture in healthcare: A case for accurate diagnosis. Saf Sci. 2007;45(6). doi:10.1016/j.ssci.2007.04.003.
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psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture
June 14, 2017 - Commentary
Improving patient safety by practicing in a just culture.
Citation Text:
Duffy W. Improving Patient Safety by Practicing in a Just Culture. AORN J. 2017;106(1):66-68. doi:10.1016/j.aorn.2017.05.005.
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psnet.ahrq.gov/issue/covid-19-focused-inspection-initiative-healthcare
April 01, 2024 - Press Release/Announcement
COVID-19 Focused Inspection Initiative in Healthcare.
Citation Text:
COVID-19 Focused Inspection Initiative in Healthcare. Occupational Safety and Health Administration. March 2, 2022.
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psnet.ahrq.gov/issue/safety-and-quality-perioperative-anesthesia-care
June 15, 2011 - Special or Theme Issue
Safety and Quality in Perioperative Anesthesia Care.
Citation Text:
Safety and Quality in Perioperative Anesthesia Care. Preckel B, ed. Best Pract Res Clin Anaesthesiol. 2021;35(1):1-154.
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psnet.ahrq.gov/issue/long-term-trends-psychotropic-drug-use-nursing-homes
May 25, 2022 - Book/Report
Long-Term Trends of Psychotropic Drug Use in Nursing Homes.
Citation Text:
Long-Term Trends of Psychotropic Drug Use in Nursing Homes. Grimm CA. Washington DC: Office of the Inspector General; Nov 2022. Report no. OEI-07-20-00500.
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psnet.ahrq.gov/issue/mix-ups-between-epidural-analgesia-and-iv-antibiotics-labor-and-delivery-units-continue-cause
January 24, 2018 - Newspaper/Magazine Article
Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm.
Citation Text:
Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. ISMP Medication Safety Alert! Acut…
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psnet.ahrq.gov/issue/failure-weigh-patients-hospital-medication-safety-risk
April 22, 2015 - Study
Failure to weigh patients in hospital: a medication safety risk.
Citation Text:
Hilmer SN, Rangiah C, Bajorek B, et al. Failure to weigh patients in hospital: a medication safety risk. Intern Med J. 2007;37(9):647-50.
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psnet.ahrq.gov/issue/start-year-right-addressing-these-top-10-medication-safety-concerns-2021
April 20, 2022 - Newspaper/Magazine Article
Start the year off right by addressing these top 10 medication safety concerns from 2021.
Citation Text:
Start the year off right by addressing these top 10 medication safety concerns from 2021. ISMP Medication Safety Alert! Acute care edition. January 27, 2022…
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psnet.ahrq.gov/issue/start-new-year-right-preventing-these-top-10-medication-errors-and-hazards
February 09, 2022 - Newspaper/Magazine Article
Start the new year off right by preventing these top 10 medication errors and hazards.
Citation Text:
Start the new year off right by preventing these top 10 medication errors and hazards. ISMP Medication Safety Alert! Acute care edition. January 16, 2020;26(2)…
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psnet.ahrq.gov/issue/public-meeting-improving-patient-safety-enhancing-container-labeling-parenteral-infusion-drug
December 16, 2020 - Government Resource
Public Meeting on Improving Patient Safety by Enhancing the Container Labeling for Parenteral Infusion Drug Products.
Citation Text:
Public Meeting on Improving Patient Safety by Enhancing the Container Labeling for Parenteral Infusion Drug Products. Fed Reg. Nov. 28,…
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psnet.ahrq.gov/issue/speaking-about-patient-safety-requires-observant-questioner-and-high-index-suspicion
June 10, 2018 - Newspaper/Magazine Article
Speaking up about patient safety requires an observant questioner and a high index of suspicion.
Citation Text:
Speaking up about patient safety requires an observant questioner and a high index of suspicion. ISMP Medication Safety Alert! Acute Care Edition. Oc…
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psnet.ahrq.gov/issue/improving-safety-throughout-medication-use-process-neonatal-intensive-care-unit
January 27, 2012 - Commentary
Improving safety throughout the medication use process in a neonatal intensive care unit.
Citation Text:
Asdigha MN. Improving Safety Throughout the Medication Use Process in a Neonatal Intensive Care Unit. Hosp Pharm. 2010;41(11):1067-1075. doi:10.1310/hpj4111-1067.
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psnet.ahrq.gov/issue/non-english-speakers-drug-label-instructions-can-be-lost-translation
September 12, 2016 - Newspaper/Magazine Article
For non-English speakers, drug label instructions can be lost in translation.
Citation Text:
Mitka M. For non-english speakers, drug label instructions can be lost in translation. JAMA. 2007;297(23):2575-7.
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psnet.ahrq.gov/issue/two-effective-initiatives-c-suite-leaders-improve-medication-safety-and-reliability-outcomes
March 14, 2023 - Newspaper/Magazine Article
Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes.
Citation Text:
Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. ISMP Medication Safety Alert! …
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psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger
March 14, 2023 - Newspaper/Magazine Article
Using information from external errors to signal a "clear and present danger."
Citation Text:
Using information from external errors to signal a "clear and present danger." ISMP Medication Safety Alert! Acute care edition. February 9, 2017;22:1-5.
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psnet.ahrq.gov/issue/indication-based-prescribing-system-our-future
February 24, 2016 - Newspaper/Magazine Article
Is an indication-based prescribing system in our future?
Citation Text:
Is an indication-based prescribing system in our future? ISMP Medication Safety Alert! Acute Care Edition. November 17, 2016;21:1-5.
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