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psnet.ahrq.gov/issue/review-fdas-approach-medical-product-shortages
June 22, 2011 - Book/Report
A Review of FDA’s Approach to Medical Product Shortages.
Citation Text:
A Review of FDA’s Approach to Medical Product Shortages. Silver Spring, MD: US Food and Drug Administration; October 31, 2011.
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psnet.ahrq.gov/issue/introduction-improved-fda-prescription-drug-labeling
September 29, 2010 - Meeting/Conference Proceedings
An Introduction to the Improved FDA Prescription Drug Labeling.
Citation Text:
An Introduction to the Improved FDA Prescription Drug Labeling. Silver Spring MD; US Food and Drug Administration: 2006.
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psnet.ahrq.gov/issue/global-state-patient-safety-2023
April 06, 2016 - Book/Report
Global State of Patient Safety 2023.
Citation Text:
Global State of Patient Safety 2023. Illingworth J, Shaw A, Fernandez et al. London UK: Imperial College London; 2023.
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psnet.ahrq.gov/issue/texting-debate-beneficial-means-communication-or-safety-and-security-risk
July 12, 2023 - Newspaper/Magazine Article
The texting debate: beneficial means of communication or safety and security risk?
Citation Text:
The texting debate: beneficial means of communication or safety and security risk? ISMP Medication Safety Alert! Acute Care Edition. June 29, 2017;16:1-5.
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psnet.ahrq.gov/issue/minimize-medication-errors-urgent-care-clinics
March 29, 2023 - Newspaper/Magazine Article
Minimize medication errors in urgent care clinics.
Citation Text:
Minimize medication errors in urgent care clinics. Coffey SB. American Nurse Journal. Epub March 2, 2023.
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psnet.ahrq.gov/issue/ismp-survey-shows-provider-text-messaging-often-runs-afoul-patient-safety
May 07, 2018 - Newspaper/Magazine Article
ISMP survey shows provider text messaging often runs afoul of patient safety.
Citation Text:
ISMP survey shows provider text messaging often runs afoul of patient safety. ISMP Medication Safety Alert! Acute Care Edition. November 16, 2017;22:1-5.
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psnet.ahrq.gov/issue/important-actions-community-pharmacists-need-take-now-reduce-potentially-harmful-dispensing
June 30, 2021 - Webinar
Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors.
Citation Text:
Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors. Institute for Safe Medication Practices. October 26, …
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psnet.ahrq.gov/issue/team-communication-operating-room
January 28, 2009 - Commentary
Team communication in the operating room.
Citation Text:
Davies JM. Team communication in the operating room. Acta Anaesthesiol Scand. 2005;49(7):898-901.
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psnet.ahrq.gov/issue/side-tracks-safety-express-interruptions-lead-errors-and-unfinishedwait-what-was-i-doing
June 10, 2018 - Newspaper/Magazine Article
Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing?
Citation Text:
Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing? ISMP Medication Safety Alert! Acute care…
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psnet.ahrq.gov/issue/electronic-data-collection-using-medwatchplus-portal-and-rational-questionnaire
July 03, 2013 - Government Resource
Electronic data collection using MedWatchPlus portal and rational questionnaire.
Citation Text:
Electronic data collection using MedWatchPlus portal and rational questionnaire. Shuren J. Federal Register. October 23, 2008;73:63153-63157.
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psnet.ahrq.gov/issue/ismp-2007-survey-high-alert-medications-differences-between-nursing-and-pharmacy-perspectives
February 13, 2019 - Newspaper/Magazine Article
ISMP 2007 survey on high-alert medications. Differences between nursing and pharmacy perspectives still prevalent.
Citation Text:
ISMP 2007 survey on high-alert medications. Differences between nursing and pharmacy perspectives still prevalent. ISMP Medication …
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psnet.ahrq.gov/issue/improving-patient-safety-human-factors-methods
June 12, 2019 - United States Meeting/Conference
Improving Patient Safety with Human Factors Methods.
Citation Text:
Improving Patient Safety with Human Factors Methods. Armstrong Institute for Patient Safety and Quality, Baltimore, MD. April 17-18, 2025.
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psnet.ahrq.gov/issue/mislabeling-event-batched-drugs-unintended-consequences-practice-changes
May 07, 2014 - Newspaper/Magazine Article
A mislabeling event with batched drugs: the unintended consequences of practice changes.
Citation Text:
A mislabeling event with batched drugs: the unintended consequences of practice changes. ISMP Medication Safety Alert! Acute Care Edition. 2014;19:1-3.&nbs…
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psnet.ahrq.gov/issue/enteral-feeding-misconnections-update
January 06, 2017 - Review
Enteral feeding misconnections: an update.
Citation Text:
Guenter P, Hicks RW, Simmons D. Enteral feeding misconnections: an update. Nutr Clin Pract. 2009;24(3):325-34. doi:10.1177/0884533609335174.
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psnet.ahrq.gov/issue/lot-happens-when-you-report-hazard-or-error-ismp-theres-no-black-hole-here
December 27, 2018 - Newspaper/Magazine Article
A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here!
Citation Text:
A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! ISMP Medication Safety Alert! Acute Care Edition. November 7, 2019
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psnet.ahrq.gov/issue/patient-safety-break-silence
October 19, 2022 - Commentary
Patient safety: break the silence.
Citation Text:
Johnson HL, Kimsey D. Patient safety: break the silence. AORN J. 2012;95(5):591-601. doi:10.1016/j.aorn.2012.03.002.
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psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies-physicians
December 15, 2021 - Book/Report
New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians.
Citation Text:
New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. Hannawa AF, Wu AW, Juhasz RS, eds. Berlin, Germany: DeGruyter; 2017. ISBN: 978311…
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psnet.ahrq.gov/issue/2010-annual-national-patient-safety-foundation-congress-conference-proceedings
July 31, 2012 - Commentary
2010 Annual National Patient Safety Foundation Congress: conference proceedings.
Citation Text:
Pinakiewicz DC, Bonacum D, Youngberg BJ, et al. 2010 Annual National Patient Safety Foundation Congress: conference proceedings. J Patient Saf. 2010;6(3):128-36.
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psnet.ahrq.gov/issue/team-training-program-using-human-factors-enhance-patient-safety
January 24, 2024 - Commentary
A team training program using human factors to enhance patient safety.
Citation Text:
Marshall DA, Manus DA. A Team Training Program Using Human Factors to Enhance Patient Safety. AORN J. 2007;86(6). doi:10.1016/j.aorn.2007.11.026.
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psnet.ahrq.gov/issue/errors-clinical-reasoning-causes-and-remedial-strategies
August 25, 2021 - Commentary
Errors in clinical reasoning: causes and remedial strategies.
Citation Text:
Scott IA. Errors in clinical reasoning: causes and remedial strategies. BMJ. 2009;338:b1860. doi:10.1136/bmj.b1860.
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