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psnet.ahrq.gov/issue/clinical-drug-interactions-outpatients-university-hospital-thailand
September 20, 2011 - Study
Clinical drug interactions in outpatients of a university hospital in Thailand.
Citation Text:
Janchawee B, Owatranporn T, Mahatthanatrakul W, et al. Clinical drug interactions in outpatients of a university hospital in Thailand. J Clin Pharm Ther. 2005;30(6):583-90.
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psnet.ahrq.gov/issue/tubing-safety-obstetric-setting-preventing-medication-errors
November 04, 2020 - Commentary
Tubing safety in the obstetric setting: preventing medication errors.
Citation Text:
Broussard BS. Tubing safety in the obstetric setting: preventing medication errors. Nurs Womens Health. 2009;13(2):155-158. doi:10.1111/j.1751-486X.2009.01407.x.
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psnet.ahrq.gov/issue/first-do-no-harm-lost-concept-medical-education
December 01, 2004 - Commentary
Is "first do no harm" a lost concept in medical education?
Citation Text:
O'Leary D. Is "first do no harm" a lost concept in medical education. MedGenMed. 2006;8(3):77.
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psnet.ahrq.gov/issue/provider-implicit-bias-bringing-awareness-clinical-practice
November 30, 2016 - Newspaper/Magazine Article
Provider implicit bias: bringing awareness to clinical practice.
Citation Text:
Provider implicit bias: bringing awareness to clinical practice. Moss LD. Clinical Advisor. June 29, 2022.
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psnet.ahrq.gov/issue/mother-claims-hospital-error-kept-her-newborn-daughter
June 13, 2011 - Newspaper/Magazine Article
Mother claims hospital error kept her from newborn daughter.
Citation Text:
Mother claims hospital error kept her from newborn daughter. Barbella M. Drug Topics. October 8, 2007.
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psnet.ahrq.gov/issue/normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing
May 23, 2018 - Commentary
The normalization of deviance: do we (un)knowingly accept doing the wrong thing?
Citation Text:
Prielipp RC, Magro M, Morell RC, et al. The normalization of deviance: do we (un)knowingly accept doing the wrong thing? AANA J. 2010;78(4):284-7.
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psnet.ahrq.gov/issue/perinatal-safety-nurse-exemplar-transformational-leadership
August 20, 2018 - Commentary
The perinatal safety nurse: exemplar of transformational leadership.
Citation Text:
Raab CA, Palmer-Byfield R. The perinatal safety nurse: exemplar of transformational leadership. MCN Am J Matern Child Nurs. 2011;36(5):280-7; quiz 288-9. doi:10.1097/NMC.0b013e31822631ec.
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psnet.ahrq.gov/issue/recurrent-wrong-route-drug-error-professional-shame
July 22, 2020 - Commentary
Recurrent wrong-route drug error – a professional shame.
Citation Text:
Bell D. Recurrent wrong-route drug error - a professional shame. Anaesthesia. 2007;62(6):541-5.
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psnet.ahrq.gov/issue/applying-toyota-production-system-using-patient-safety-alert-system-reduce-error
June 21, 2015 - Commentary
Applying the Toyota Production System: using a patient safety alert system to reduce error.
Citation Text:
Furman C, Caplan RA. Applying the Toyota Production System: using a patient safety alert system to reduce error. Jt Comm J Qual Patient Saf. 2007;33(7):376-386.
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psnet.ahrq.gov/issue/prevalence-adverse-drug-combinations-large-post-mortem-toxicology-database
July 29, 2020 - Study
Prevalence of adverse drug combinations in a large post-mortem toxicology database.
Citation Text:
Launiainen T, Vuori E, Ojanperä I. Prevalence of adverse drug combinations in a large post-mortem toxicology database. Int J Legal Med. 2009;123(2):109-15. doi:10.1007/s00414-008-02…
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psnet.ahrq.gov/issue/mcneil-consumer-specialty-pharmaceuticals-announces-nationwide-recall-childrens-tylenol
August 19, 2020 - Press Release/Announcement
McNeil Consumer & Specialty Pharmaceuticals announces nationwide recall of Children's Tylenol Meltaways - 80 Mg, Children's Tylenol Softchews - 80 Mg and Jr. Tylenol Meltaways - 160 Mg [press release].
Citation Text:
McNeil Consumer & Specialty Pharmaceuticals…
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psnet.ahrq.gov/issue/verbal-medication-orders-or
March 06, 2024 - Commentary
Verbal medication orders in the OR.
Citation Text:
Hendrickson T. Verbal medication orders in the OR. AORN J. 2007;86(4):626-9.
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psnet.ahrq.gov/issue/special-k-no-license-kill-accidental-ketamine-overdose-induction-general-anesthesia
March 17, 2021 - Commentary
Special K with no license to kill: accidental ketamine overdose on induction of general anesthesia.
Citation Text:
Warner LL, Smischney N. Accidental Ketamine Overdose on Induction of General Anesthesia. Am J Case Rep. 2018;19:10-12.
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psnet.ahrq.gov/issue/respectful-trusting-relationships-are-essential-patient-safety-especially-surgeon
December 08, 2024 - Meeting/Conference Proceedings
Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad.
Citation Text:
Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. Cooper J. An…
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psnet.ahrq.gov/issue/performing-inadvertent-procedure
October 16, 2019 - Commentary
Performing an inadvertent procedure.
Citation Text:
Gupta A, Jain S, Croft C. Performing an Inadvertent Procedure. JAMA. 2019;321(5):504-505. doi:10.1001/jama.2018.21438.
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psnet.ahrq.gov/issue/negotiating-safety-when-staffing-falls-short
October 19, 2022 - Commentary
Negotiating safety when staffing falls short.
Citation Text:
Zolnierek CD, Steckel CM. Negotiating Safety when Staffing Falls Short. Crit Care Nurs Clin North Am. 2010;22(2). doi:10.1016/j.ccell.2010.03.014.
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psnet.ahrq.gov/issue/listen-carefully-risk-error-spoken-medication-orders
November 16, 2022 - Study
Listen carefully: the risk of error in spoken medication orders.
Citation Text:
Lambert BL, Dickey LW, Fisher WM, et al. Listen carefully: the risk of error in spoken medication orders. Soc Sci Med. 2010;70(10):1599-608. doi:10.1016/j.socscimed.2010.01.042.
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psnet.ahrq.gov/issue/sample-sample-carryover-source-analytical-laboratory-error-and-its-relevance-integrated
January 12, 2022 - Study
Sample to sample carryover: a source of analytical laboratory error and its relevance to integrated clinical chemistry/immunoassay systems.
Citation Text:
Armbruster DA, Alexander DB. Sample to sample carryover: a source of analytical laboratory error and its relevance to integra…
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psnet.ahrq.gov/issue/high-reliability-organizations-hros-what-they-know-we-dont-part-ii
June 10, 2018 - Newspaper/Magazine Article
High-reliability organizations (HROs): what they know that we don't (Part II).
Citation Text:
High-reliability organizations (HROs): what they know that we don't (Part II). ISMP Medication Safety Alert! Acute Care Edition. July 28, 2005;10:1-3.
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psnet.ahrq.gov/issue/when-should-leader-apologize-and-when-not
October 07, 2020 - Commentary
When should a leader apologize—and when not?
Citation Text:
Kellerman B. When should a leader apologize and when not? Harv Bus Rev. 2006;84(4):72-81; 148.
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