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psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-errors-operating-room
January 29, 2021 - Consideration should be given for irrigation solutions to be prepared in pharmacy and appropriately labelled … Pharmacy and Therapeutics 2013;38(4):187-89.
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psnet.ahrq.gov/issue/widows-mission-change-nc-dental-sedation-rules
March 10, 2021 - Newspaper/Magazine Article
A widow’s mission to change NC dental sedation rules.
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A widow’s mission to change NC dental sedation rules. Blythe A. NC Health News. March 10, 2022
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psnet.ahrq.gov/issue/analysis-reported-drug-interactions-recipe-harm-patients
January 20, 2016 - Newspaper/Magazine Article
Analysis of reported drug interactions: a recipe for harm to patients.
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Analysis of reported drug interactions: a recipe for harm to patients. Grissinger M. PA-PSRS Patient Saf Advis. December 2016;13:137-148.
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psnet.ahrq.gov/issue/medication-errors-affecting-pediatric-patients-unique-challenges-special-population
January 20, 2016 - Newspaper/Magazine Article
Medication errors affecting pediatric patients: unique challenges for this special population.
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Medication errors affecting pediatric patients: unique challenges for this special population. Grissinger M. PA-PSRS Patient Saf Advis. September 2015;…
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psnet.ahrq.gov/issue/medication-errors-attributed-health-information-technology
March 27, 2018 - Newspaper/Magazine Article
Medication errors attributed to health information technology.
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Medication errors attributed to health information technology. Lawes S, Grissinger M. PA-PSRS Patient Saf Advis. March 2017;14:1-8.
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psnet.ahrq.gov/issue/once-easily-recognized-signs-measles-now-elude-young-doctors
May 04, 2011 - Newspaper/Magazine Article
Once easily recognized, signs of measles now elude young doctors.
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Once easily recognized, signs of measles now elude young doctors. Brown E, Lin RG II R, Xia R. Los Angeles Times. January 26, 2015.
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psnet.ahrq.gov/issue/artificial-intelligence-rushing-patient-care-and-could-raise-risks
July 15, 2020 - Newspaper/Magazine Article
Artificial intelligence is rushing into patient care - and could raise risks.
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Artificial intelligence is rushing into patient care - and could raise risks. Szabo L. Scientific American and Kaiser Health News. December 24, 2019.
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psnet.ahrq.gov/issue/investigators-find-hospital-error-caused-mothers-death-brooklyn
February 01, 2023 - Newspaper/Magazine Article
Investigators find hospital error caused mother’s death in Brooklyn.
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Investigators find hospital error caused mother’s death in Brooklyn. Goldstein J. New York Times. January 14, 2024.
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psnet.ahrq.gov/issue/weak-oversight-allows-lab-failures-put-patients-risk
June 12, 2019 - Newspaper/Magazine Article
Weak oversight allows lab failures to put patients at risk.
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Weak oversight allows lab failures to put patients at risk. Gabler E. Milwaukee Journal Sentinel. May 15, 2015.
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psnet.ahrq.gov/issue/when-mistakes-happen
May 13, 2020 - Newspaper/Magazine Article
When mistakes happen.
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When mistakes happen. Beck DL. ASH Clinical News. December 1, 2018.
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psnet.ahrq.gov/issue/deprescribing-guidelines-special-section-symposium-results
July 31, 2019 - Meeting/Conference Proceedings
Deprescribing Guidelines: Special Section on Symposium Results.
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Deprescribing Guidelines: Special Section on Symposium Results. Res Social Adm Pharm. 2019;15(6):780-810.
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psnet.ahrq.gov/issue/patient-safety-4
September 21, 2022 - Special or Theme Issue
On Patient Safety.
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On Patient Safety. Rickert J, Järvinen TLN, Lee MJ, et al. Clin Orthop Relat Res. 2013-2024.
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psnet.ahrq.gov/issue/perinatal-patient-safety-perspective-nurse-executives-round-table-discussion
August 13, 2010 - Commentary
Perinatal patient safety from the perspective of nurse executives: a round table discussion.
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Perinatal patient safety from the perspective of nurse executives: a round table discussion. Thorman KE; Capitulo KL; Dubow J; Hanold K; Noonan M; Wehmeyer J.
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psnet.ahrq.gov/issue/safety-management-systems-introduction-healthcare
February 14, 2024 - Book/Report
Safety Management Systems - an Introduction for Healthcare.
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Safety Management Systems - an Introduction for Healthcare. Dorset, UK: Health Services Safety Investigations Body; October 2023.
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psnet.ahrq.gov/issue/dont-abandon-second-victims-medical-errors
September 26, 2017 - Commentary
Don't abandon the "second victims" of medical errors.
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Smetzer JL. Don't abandon the "second victims" of medical errors. Nursing (Brux). 2012;42(2):54-8. doi:10.1097/01.NURSE.0000410310.38734.e0.
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psnet.ahrq.gov/issue/language-barriers-health-care-united-states
February 28, 2024 - Commentary
Language barriers to health care in the United States.
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Flores G. Language barriers to health care in the United States. N Engl J Med. 2006;355(3):229-31.
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psnet.ahrq.gov/issue/health-information-technology
August 21, 2016 - Special or Theme Issue
Health Information Technology.
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Health Information Technology. Am J Manag Care. 2014;20(spec 17):492-554,e1-e31.
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psnet.ahrq.gov/issue/cms-30-minute-rule-drug-administration-needs-revision
October 21, 2021 - Newspaper/Magazine Article
CMS 30-minute rule for drug administration needs revision.
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CMS 30-minute rule for drug administration needs revision. ISMP Medication Safety Alert! Acute Care Edition. September 9, 2010;15:1-6.
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psnet.ahrq.gov/issue/doctors-were-alarmed-would-i-have-my-children-have-surgery-here
February 19, 2020 - Newspaper/Magazine Article
Doctors were alarmed: would I have my children have surgery here?
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Doctors were alarmed: would I have my children have surgery here? Gabler E. New York Times. May 31, 2019.
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psnet.ahrq.gov/issue/during-flight-emergencies-sometimes-airlines-medical-kits-fall-short
January 25, 2023 - Newspaper/Magazine Article
During in-flight emergencies, sometimes airlines’ medical kits fall short.
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During in-flight emergencies, sometimes airlines’ medical kits fall short. Ramachandran V. Kaiser Health News. January 6, 2023.
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