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psnet.ahrq.gov/issue/organizational-evidence-based-and-promising-practices-improving-clinician-well-being
July 19, 2017 - Book/Report
Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being.
Citation Text:
Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being. Sinsky CA, Biddison LD, Mallick A, et al. NAM Perspectives. Washington DC: N…
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psnet.ahrq.gov/issue/look-alike-and-sound-alike-medicines-risks-and-solutions
March 29, 2023 - Commentary
Look-alike and sound-alike medicines: risks and 'solutions.'
Citation Text:
Emmerton LM, Rizk MFS. Look-alike and sound-alike medicines: risks and 'solutions'. Int J Clin Pharm. 2012;34(1):4-8. doi:10.1007/s11096-011-9595-x.
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psnet.ahrq.gov/issue/communication-factors-follow-abnormal-mammograms
March 02, 2011 - Study
Communication factors in the follow-up of abnormal mammograms.
Citation Text:
Poon EG, Haas JS, Puopolo AL, et al. Communication factors in the follow-up of abnormal mammograms. J Gen Intern Care. 2004;19(4):316-323. doi:10.1111/j.1525-1497.2004.30357.x.
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meps.ahrq.gov/communication/index_survey_participant.jsp
January 15, 2021 - Medical Expenditure Panel Survey Participants' Corner
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psnet.ahrq.gov/issue/emergency-department-medication-lists-are-not-accurate
March 02, 2010 - Study
Emergency department medication lists are not accurate.
Citation Text:
Caglar S, Henneman PL, Blank FS, et al. Emergency department medication lists are not accurate. J Emerg Med. 2011;40(6):613-6. doi:10.1016/j.jemermed.2008.02.060.
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psnet.ahrq.gov/issue/reducing-adverse-drug-events
August 09, 2017 - Book/Report
Classic
Reducing Adverse Drug Events.
Citation Text:
Reducing Adverse Drug Events. Leape LL, Kabcenell A, Berwick DM et al. Boston, MA: Institute for Healthcare Improvement; 1998.
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psnet.ahrq.gov/issue/medication-reconciliation-acute-care-setting-opportunity-and-challenge-nursing
June 02, 2021 - Commentary
Medication reconciliation in the acute care setting: opportunity and challenge for nursing.
Citation Text:
Sullivan C, Gleason KM, Rooney D, et al. Medication reconciliation in the acute care setting: opportunity and challenge for nursing. J Nurs Care Qual. 2005;20(2):95-98.…
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psnet.ahrq.gov/issue/adopt-strategies-manage-look-alike-andor-sound-alike-medication-name-mix-ups
June 24, 2020 - Newspaper/Magazine Article
Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups.
Citation Text:
Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. ISMP Medication Safety Alert! Acute care edition. June 2, 2022;27(11):1-4.
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psnet.ahrq.gov/issue/intravenous-iv-push-medications-bridging-gap-between-education-and-clinical-practice
November 17, 2021 - Newspaper/Magazine Article
Intravenous (IV) push medications – bridging the gap between education and clinical practice.
Citation Text:
Intravenous (IV) push medications – bridging the gap between education and clinical practice. ISMP Medication Safety Alert! Acute Care. November 2, …
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psnet.ahrq.gov/issue/assessing-medication-safety-settings-not-designated-solely-pediatric-patients
February 01, 2023 - Newspaper/Magazine Article
Assessing medication safety in settings not designated solely for pediatric patients.
Citation Text:
Assessing medication safety in settings not designated solely for pediatric patients. ISMP Medication Safety Alert! Acute care edition. June 15, 2023;28(12);1-5…
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psnet.ahrq.gov/issue/educational-interventions-reduce-prescribing-errors
October 19, 2022 - Study
Educational interventions to reduce prescribing errors.
Citation Text:
Conroy S, North C, Fox T, et al. Educational interventions to reduce prescribing errors. Arch Dis Child. 2008;93(4):313-5. doi:10.1136/adc.2007.127761.
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psnet.ahrq.gov/issue/intravenous-admixture-preparation-considerations-parts-9-and-9-b-error-prevention-intravenous
December 22, 2021 - Special or Theme Issue
Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation.
Citation Text:
Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation. Al…
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psnet.ahrq.gov/issue/safety-hospital-stroke-care
December 02, 2020 - Study
The safety of hospital stroke care.
Citation Text:
Holloway RG, Tuttle D, Baird T, et al. The safety of hospital stroke care. Neurology. 2007;68(8):550-555.
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psnet.ahrq.gov/issue/current-status-monitoring-medication-practice
May 28, 2015 - Commentary
Current status of the monitoring of medication practice.
Citation Text:
Cousins D. Current status of the monitoring of medication practice. Am J Health Syst Pharm. 2009;66(5 Suppl 3):S49-56. doi:10.2146/ajhp080605.
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psnet.ahrq.gov/issue/new-covid-boosters-look-lot-old-ones-doctors-worry-could-lead-errors
April 26, 2023 - Newspaper/Magazine Article
New Covid boosters look a lot like the old ones. Doctors worry that could lead to errors.
Citation Text:
New Covid boosters look a lot like the old ones. Doctors worry that could lead to errors. Lovelace Jr, B. NBC News. September 7, 2022.
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psnet.ahrq.gov/issue/caution-coloured-medication-and-colour-blind
April 24, 2018 - Image/Poster
Caution: coloured medication and the colour blind.
Citation Text:
Cole BL, Harris RW. Caution: coloured medication and the colour blind. Lancet. 2009;374(9691):720. doi:10.1016/S0140-6736(09)60313-5.
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psnet.ahrq.gov/issue/do-not-let-depo-medications-be-depot-mistakes
March 15, 2022 - Newspaper/Magazine Article
Do not let "Depo-" medications be a depot for mistakes.
Citation Text:
Do not let "Depo-" medications be a depot for mistakes. ISMP Medication Safety Alert! Acute Care Edition. March 24, 2016;21:1-4.
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meps.ahrq.gov/mepsweb/communication/index_survey_participant.jsp
January 15, 2021 - Medical Expenditure Panel Survey Participants' Corner
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An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/fda-and-ismp-lists-look-alike-drug-names-recommended-tall-man-letters
November 16, 2022 - Fact Sheet/FAQs
FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters.
Citation Text:
FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters. Food and Drug Administration and Institute for Safe Medication Practices. Plymouth Meeting, PA; Ins…
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psnet.ahrq.gov/issue/why-universal-precautions-are-needed-medication-lists
August 31, 2016 - Commentary
Why 'Universal Precautions' are needed for medication lists.
Citation Text:
Shane R. Why 'Universal Precautions' are needed for medication lists. BMJ Qual Saf. 2016;25(9):731-2. doi:10.1136/bmjqs-2015-005116.
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