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psnet.ahrq.gov/issue/heparin-improving-treatment-and-reducing-risk-harm
July 28, 2021 - Newspaper/Magazine Article
Heparin: improving treatment and reducing risk of harm.
Citation Text:
Heparin: improving treatment and reducing risk of harm. Daner WE, Gosselin RC, Raschke R, et al. Patient Saf Qual Healthcare. January/February 2009;6:20-25.
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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/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-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/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/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/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/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/recommendations-practitioners-and-manufacturers-address-system-based-causes-vaccine-errors
June 18, 2014 - Newspaper/Magazine Article
Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors.
Citation Text:
Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors. ISMP Medication Safety Alert! Acute ca…
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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/survey-suggests-possible-downward-trend-identifying-key-drugsdrug-classes-high-alert
July 30, 2014 - Newspaper/Magazine Article
Survey suggests possible downward trend in identifying key drugs/drug classes as high-alert medications.
Citation Text:
Survey suggests possible downward trend in identifying key drugs/drug classes as high-alert medications. ISMP Medication Safety Alert! Acute …
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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/three-new-best-practices-2022-2023-targeted-medication-safety-best-practices-hospitals
March 15, 2022 - Newspaper/Magazine Article
Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals.
Citation Text:
Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. ISMP Medication Safety Alert! Acute care edition…
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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/endometriosis-affects-1-out-10-women-me-yet-it-often-takes-decade-get-diagnosed
May 05, 2021 - Newspaper/Magazine Article
Endometriosis affects 1 out of 10 women like me. Yet it often takes a decade to get diagnosed.
Citation Text:
Endometriosis affects 1 out of 10 women like me. Yet it often takes a decade to get diagnosed. Peikoff L. NBC News. March 31, 2021.
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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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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0261_07-16-2010.pdf
January 01, 2010 - Effective Health Care
Topic Number: 0280
Document Completion Date: 3-23-11
1
Results of Topic Selection Process & Next Steps
Interventions to modify physicians’ and other providers’ adherence to asthma guidelines will go forward
for refinement as a systematic review. The scope of this topic,…
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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/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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