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psnet.ahrq.gov/issue/understanding-and-managing-iv-container-overfill
June 10, 2018 - Newspaper/Magazine Article
Understanding and managing IV container overfill.
Citation Text:
Understanding and managing IV container overfill. ISMP Medication Safety Alert! Acute care edition. November 14, 2013;18:1-4.
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psnet.ahrq.gov/issue/medwatch-e-list
September 29, 2010 - Government Resource
MedWatch E-list.
Citation Text:
MedWatch E-list. United States Food and Drug Administration; FDA.
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psnet.ahrq.gov/issue/doctors-diagnosing-gets-technological-boost
May 18, 2005 - Newspaper/Magazine Article
For doctors, diagnosing gets a technological boost.
Citation Text:
For doctors, diagnosing gets a technological boost. Donaghue E. USA Today. September 5, 2007.
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psnet.ahrq.gov/issue/better-care-surgical-patients-recognizing-and-responding-unexpected-save-lives
January 11, 2017 - Image/Poster
Better care for surgical patients: recognizing and responding to the unexpected to save lives.
Citation Text:
Better care for surgical patients: recognizing and responding to the unexpected to save lives. Ghaferi A. IHPI Brief. December 2019. &n…
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psnet.ahrq.gov/issue/strategies-ensuring-safe-use-insulin-pens-hospital
June 17, 2014 - Multi-use Website
Strategies for Ensuring the Safe Use of Insulin Pens in the Hospital.
Citation Text:
Strategies for Ensuring the Safe Use of Insulin Pens in the Hospital. American Society of Health-System Pharmacists
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psnet.ahrq.gov/issue/fentanyl-patch-fatalities-linked-bystander-apathy-we-all-have-role-prevention
May 07, 2014 - Newspaper/Magazine Article
FentaNYL patch fatalities linked to "bystander apathy." We ALL have a role in prevention!
Citation Text:
FentaNYL patch fatalities linked to "bystander apathy." We ALL have a role in prevention! ISMP Medication Safety Alert! Acute care edition! August 8, 2013…
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psnet.ahrq.gov/issue/diagnosis-ectopic-pregnancy
April 26, 2023 - Book/Report
The Diagnosis of Ectopic Pregnancy.
Citation Text:
The Diagnosis of Ectopic Pregnancy. Farnborough, UK: Healthcare Safety Investigation Branch; March 2020.
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psnet.ahrq.gov/issue/macarthur-fellows-program-michael-cohen
June 11, 2013 - Grant Recipient
The MacArthur Fellows Program: Michael Cohen.
Citation Text:
The MacArthur Fellows Program: Michael Cohen. The John D. and Catherine T. MacArthur Foundation.
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psnet.ahrq.gov/issue/addressing-global-shortages-medicines-and-safety-and-accessibility-childrens-medication
July 14, 2021 - Book/Report
Addressing the Global Shortages of Medicines, and the Safety and Accessibility of Children's Medication.
Citation Text:
Addressing the Global Shortages of Medicines, and the Safety and Accessibility of Children's Medication. Geneva, Switzerland: World Health Organization; 201…
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psnet.ahrq.gov/issue/fda-begins-inquiry-after-death-and-illness-saline-bags-meant-training
October 17, 2012 - Newspaper/Magazine Article
FDA begins inquiry after death and illness from saline bags meant for training.
Citation Text:
FDA begins inquiry after death and illness from saline bags meant for training. Tavernise S. New York Times. January 15, 2015.
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www.ahrq.gov/teamstepps-program/evidence-base/primary.html
May 01, 2023 - TeamSTEPPS Research/Evidence Base: Primary Care
Abu, O., & Ní Riain, A. (2012). Implementation of the primary care strategy 2005: a study of the experiences of team work among members of primary care teams in County Wexford in 2011. Irish Medical Journal 105(2), 60-61. Select to access the abstract .
Adam,…
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psnet.ahrq.gov/issue/far-more-could-be-done-stop-deadly-bacteria-c-diff
November 08, 2023 - Newspaper/Magazine Article
Far more could be done to stop the deadly bacteria C. diff.
Citation Text:
Far more could be done to stop the deadly bacteria C. diff. Eisler P. USA Today. August 16, 2012.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/commitment-poster-english.docx
September 01, 2022 - Commitment Poster (English)
Signatures:
Antibiotics only fight infections caused by bacteria.
Taking antibiotics when you do not need them will NOT make you better. You will still feel sick, and the antibiotic may give you a skin rash, diarrhea, or a yeast infection.
WE COMMIT TO ONLY PRESCRIBING ANTIBIOTICS WHEN …
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www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-3txt.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 3: Medication Reconciliation Upon Admission: High Level Process Map After Redesign (Text Description)
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATC…
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www.ahrq.gov/patient-safety/settings/hospital/match/figure-3txt.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 3: Medication Reconciliation Upon Admission: High Level Process Map After Redesign (Text Description)
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATC…
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www.ahrq.gov/sites/default/files/2024-01/devine-report.pdf
January 01, 2024 - Final Progress Report: Evaluating e-Prescribing in a Community-Based, Integrated Health System
K-08 Final Progress Report
Evaluating e-Prescribing in a
Community-Based, Integrated Health System
Principal Investigator
Emily Beth Devine, PharmD, MBA, PhD, BCPS, FASHP
Primary Mentors
Sean D. Sullivan, PhD, David K…
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psnet.ahrq.gov/node/73334/psn-pdf
August 01, 2024 - An Inadvertent Bolus of Norepinephrine.
May 26, 2021
Fazio S, Blackmon E, Doroy A, et al. An Inadvertent Bolus of Norepinephrine. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Counc…
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - Psychiatric Nursing
(2)
Palliative Care
(12)
Pharmacy
(53)
Community … Pharmacy
(13)
Hospital Pharmacy
(25)
Error Types
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meps.ahrq.gov/data_files/publications/rf29/rf29.shtml
March 01, 2009 - The survey contacts medical providers and pharmacies identified by household respondents and for which … permission forms have been obtained from family members who received services from the medical providers and pharmacies … MPC sample includes all hospitals, emergency rooms, home health agencies, outpatient departments, and pharmacies … miscellaneous sources) to hospitals, physicians, other health care providers (including dental care), and pharmacies
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/monitoring-programs-rapid-research-appendix-c.xlsx
May 31, 2025 - Table C-1. CQ Details
Table C-1. Detailed Information for Contextual Questions 1, 2, and 3 Studies
Author, Year Publication Description Country Setting(s) Purpose Targeted Supply/Disruption Type of Monitoring System Description of Monitoring Program Rationale Implementation Facilitators Implementation Barriers Resour…