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psnet.ahrq.gov/issue/death-due-pharmacy-compounding-error-reinforces-need-safety-focus
May 31, 2017 - Newspaper/Magazine Article
Death due to pharmacy compounding error reinforces need for safety focus.
Citation Text:
Death due to pharmacy compounding error reinforces need for safety focus. ISMP Medication Safety Alert! Acute Care Edition. June 15, 2017;22:1-4.
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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/absence-drug-disease-interaction-alert-leads-childs-death
July 08, 2015 - Newspaper/Magazine Article
The absence of a drug–disease interaction alert leads to a child's death.
Citation Text:
The absence of a drug–disease interaction alert leads to a child's death. ISMP Medication Safety Alert! Acute Care Edition. May 21, 2015;20:1-4.
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psnet.ahrq.gov/issue/risk-society-and-system-failure
November 29, 2023 - Commentary
Risk, society and system failure.
Citation Text:
Scalliet P. Risk, society and system failure. Radiotherapy and Oncology. 2006;80(3). doi:10.1016/j.radonc.2006.07.003.
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psnet.ahrq.gov/issue/developing-medication-patient-safety-program-infrastructure-and-strategy
May 11, 2014 - Commentary
Developing a medication patient safety program — infrastructure and strategy.
Citation Text:
Mark SM, Weber RJ. Developing a Medication Patient Safety Program – Infrastructure and Strategy. Hosp Pharm. 2010;42(2):149-154. doi:10.1310/hpj4202-149.
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psnet.ahrq.gov/issue/use-duodenoscopes-innovative-designs-enhance-safety-fda-safety-communication
October 19, 2022 - Press Release/Announcement
Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication.
Citation Text:
Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; April 5, 2022.
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psnet.ahrq.gov/issue/meeting-moment-addressing-barriers-and-facilitating-clinical-adoption-artificial-intelligence
September 19, 2018 - Book/Report
Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis.
Citation Text:
Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis. Adler-Milstei…
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psnet.ahrq.gov/issue/quality-and-patient-safety-teams-perioperative-setting
October 19, 2022 - Commentary
Quality and patient safety teams in the perioperative setting.
Citation Text:
Serino MF. Quality and Patient Safety Teams in the Perioperative Setting. AORN J. 2015;102(6):617-28. doi:10.1016/j.aorn.2015.10.006.
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psnet.ahrq.gov/issue/ten-ways-improve-medication-safety-community-pharmacies
May 08, 2017 - Commentary
Ten ways to improve medication safety in community pharmacies.
Citation Text:
Rupp MT. 10 ways to improve medication safety in community pharmacies. J Am Pharm Assoc (2003). 2019;59(4):474-478. doi:10.1016/j.japh.2019.03.018.
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psnet.ahrq.gov/issue/using-ventilator-splitters-during-covid-19-pandemic-letter-health-care-providers
June 02, 2021 - Press Release/Announcement
Using ventilator splitters during the COVID-19 pandemic--letter to health care providers.
Citation Text:
Using ventilator splitters during the COVID-19 pandemic--letter to health care providers. Silver Spring, MD: Division of Industry and Consumer Education, US…
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psnet.ahrq.gov/issue/staying-safe-while-getting-well
February 05, 2014 - Newspaper/Magazine Article
Staying safe while getting well.
Citation Text:
Staying safe while getting well. Salamon M. Harvard Women's Health Watch. August 1, 2023
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psnet.ahrq.gov/issue/framework-classifying-factors-contribute-error-emergency-department
February 14, 2024 - Commentary
A framework for classifying factors that contribute to error in the emergency department.
Citation Text:
Cosby K. A framework for classifying factors that contribute to error in the emergency department. Ann Emerg Med. 2003;42(6):815-23.
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psnet.ahrq.gov/issue/iatrogenic-potential-physicians-words
July 10, 2008 - Commentary
The iatrogenic potential of the physician's words.
Citation Text:
Barsky AJ. The Iatrogenic Potential of the Physician's Words. JAMA. 2017;318(24):2425-2426. doi:10.1001/jama.2017.16216.
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psnet.ahrq.gov/issue/silent-epidemic-health-effects-illiteracy
January 12, 2011 - Commentary
The silent epidemic--the health effects of illiteracy.
Citation Text:
Marcus EN. The silent epidemic--the health effects of illiteracy. N Engl J Med. 2006;355(4):339-41.
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psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-medication-safety
January 19, 2011 - Commentary
Implementing AORN recommended practices for medication safety.
Citation Text:
Hicks RW, Wanzer LJ, Denholm B. Implementing AORN recommended practices for medication safety. AORN J. 2012;96(6):605-22. doi:10.1016/j.aorn.2012.09.012.
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psnet.ahrq.gov/issue/characteristics-medication-errors-made-students-during-administration-phase-descriptive-study
July 13, 2009 - Study
Characteristics of medication errors made by students during the administration phase: a descriptive study.
Citation Text:
Wolf ZR, Hicks RW, Serembus JF. Characteristics of medication errors made by students during the administration phase: a descriptive study. J Prof Nurs. 2006…
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psnet.ahrq.gov/issue/rate-and-costs-attributable-intravenous-patient-controlled-analgesia-errors
April 29, 2010 - Study
The rate and costs attributable to intravenous patient-controlled analgesia errors.
Citation Text:
Meissner B, Nelson W, Hicks R (R), et al. The rate and costs attributable to intravenous patient-controlled analgesia errors. Hosp Pharm. 2010;44(4):312-324. doi:10.1310/hpj4404-312. …
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psnet.ahrq.gov/issue/fda-funding-available-research-aimed-reducing-preventable-harm-medication
October 28, 2020 - Grant Announcement
FDA Funding Available for Research Aimed at Reducing Preventable Harm from Medication
Citation Text:
FDA Funding Available for Research Aimed at Reducing Preventable Harm from Medication Silver Spring, MD; US Food and Drug Administration: October 4, 2019.
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psnet.ahrq.gov/issue/information-healthcare-professionals-risk-transmission-blood-borne-pathogens-shared-use
April 08, 2020 - Press Release/Announcement
Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens.
Citation Text:
Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens. FDA …
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psnet.ahrq.gov/issue/using-good-catches-promote-just-culture-and-perioperative-patient-safety
July 18, 2018 - Commentary
Using good catches to promote a just culture and perioperative patient safety.
Citation Text:
Monahan JJ. Using Good Catches to Promote a Just Culture and Perioperative Patient Safety. AORN J. 2018;108(5):548-552. doi:10.1002/aorn.12394.
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