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psnet.ahrq.gov/issue/alert-reports-severe-harm-after-intravenous-administration-breast-milk-infants
May 02, 2018 - Newspaper/Magazine Article
ALERT: reports of severe harm after intravenous administration of breast milk to infants.
Citation Text:
ALERT: reports of severe harm after intravenous administration of breast milk to infants. ISMP Canada Safety Bulletin. July 31, 2011;11:1-2.
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psnet.ahrq.gov/issue/medication-errors-common-hospital-diabetes
May 13, 2009 - Newspaper/Magazine Article
Medication errors common for hospital diabetes.
Citation Text:
Medication errors common for hospital diabetes. Nursing Times. April 1, 2011.
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psnet.ahrq.gov/issue/saving-moms
April 26, 2023 - Audiovisual
Saving Moms.
Citation Text:
Saving Moms. Boswell B. KCET: April 2023.
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April 19, 2023
Boswe…
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psnet.ahrq.gov/issue/implementing-bar-code-medication-administration-system
May 11, 2014 - Commentary
Implementing a bar-code medication administration system.
Citation Text:
Weber RJ. Implementing a Bar-Code Medication Administration System. Hosp Pharm. 2010;43(12):1016-1022. doi:10.1310/hpj4312-1016.
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www.ahrq.gov/patient-safety/reports/engage/casestudies.html
December 01, 2017 - Patient and Family Engagement in Primary Care
Case Studies
Research shows that patient engagement in health care can lead to measurable improvements in safety and quality. To promote stronger engagement, the Agency for Healthcare Research and Quality is developing a guide to help patients, families, and healt…
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psnet.ahrq.gov/issue/near-injury-alters-procedures-virginia-mason
September 21, 2005 - Newspaper/Magazine Article
"Near injury" alters procedures at Virginia Mason.
Citation Text:
"Near injury" alters procedures at Virginia Mason. Ostrom CM. Seattle Times. May 21, 2005.
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psnet.ahrq.gov/issue/patient-safety-pediatric-emergency-medicine
December 09, 2014 - Special or Theme Issue
Patient Safety in Pediatric Emergency Medicine.
Citation Text:
Patient Safety in Pediatric Emergency Medicine. Frush KS, Hohenhaus SM eds. Clin Pediatr Emerg Med. 2006;7(4):213-283.
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psnet.ahrq.gov/issue/differentiating-close-calls-errors-multidisciplinary-perspective
February 09, 2011 - Study
Differentiating close calls from errors: a multidisciplinary perspective.
Citation Text:
Differentiating close calls from errors: a multidisciplinary perspective. Etchegaray JM; Thomas EJ; Geraci JM; Simmons D; Martin SK.
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psnet.ahrq.gov/issue/emergency-nursing-and-medical-error-survey-two-states
January 25, 2010 - Study
Emergency nursing and medical error—a survey of two states.
Citation Text:
Emergency nursing and medical error—a survey of two states. Hohenhaus SM.
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psnet.ahrq.gov/issue/are-vital-home-health-workers-now-safety-threat
March 28, 2018 - Newspaper/Magazine Article
Are vital home health workers now a safety threat?
Citation Text:
Are vital home health workers now a safety threat? Galewitz P. Kaiser Health News. March 25, 2020.
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psnet.ahrq.gov/issue/mris-strong-magnets-cited-accidents
June 08, 2010 - Newspaper/Magazine Article
M.R.I.'s strong magnets cited in accidents.
Citation Text:
M.R.I.'s strong magnets cited in accidents. McNeil DG, Jr.
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psnet.ahrq.gov/issue/role-non-icu-staff-nurse-medical-emergency-team-perceptions-and-understanding
April 12, 2006 - Study
The role of the non-ICU staff nurse on a medical emergency team: perceptions and understanding.
Citation Text:
The role of the non-ICU staff nurse on a medical emergency team: perceptions and understanding. Pusateri ME; Prior MM; Kiely SC.
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psnet.ahrq.gov/issue/patient-safety-2015-final-technical-report
September 29, 2017 - Book/Report
Patient Safety 2015: Final Technical Report.
Citation Text:
Patient Safety 2015: Final Technical Report. Washington, DC: National Quality Forum; 2016.
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psnet.ahrq.gov/issue/scathing-report-kaiser-kidney-program-transplant-delays-assailed-medicare-threatens-end
March 29, 2023 - Newspaper/Magazine Article
Scathing report on Kaiser kidney program. Transplant delays assailed -- Medicare threatens to end coverage.
Citation Text:
Scathing report on Kaiser kidney program. Transplant delays assailed -- Medicare threatens to end coverage. Russell S.
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psnet.ahrq.gov/issue/ensuring-patient-safety-wireless-medical-device-networks
May 03, 2006 - Newspaper/Magazine Article
Ensuring patient safety in wireless medical device networks.
Citation Text:
Ensuring patient safety in wireless medical device networks. Gehlot V; Sloane EB.
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psnet.ahrq.gov/issue/human-error-medicine
July 06, 2011 - Book/Report
Classic
Human Error in Medicine.
Citation Text:
Human Error in Medicine. Bogner MSE, ed. Hillsdale, NJ: L. Erlbaum Associates; 1994. ISBN 9780805813852.
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psnet.ahrq.gov/issue/sound-alarm
May 11, 2019 - Newspaper/Magazine Article
Sound the alarm.
Citation Text:
Sound the alarm. Addis LM, Cadet VN, Graham KC. Patient Saf Qual Healthc. May/June 2014.
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psnet.ahrq.gov/issue/when-heart-attack-goes-undiagnosed
November 08, 2023 - Newspaper/Magazine Article
When a heart attack goes undiagnosed.
Citation Text:
When a heart attack goes undiagnosed. Davis R. USA Today. Oct 2006.
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psnet.ahrq.gov/issue/get-me-out-alive
September 12, 2016 - Newspaper/Magazine Article
Get me out alive.
Citation Text:
Get me out alive. Feldman R. Washington Post. May 2, 2006.
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psnet.ahrq.gov/issue/national-agenda-action-patients-and-families-patient-safety
November 23, 2016 - Book/Report
National Agenda for Action: Patients and Families in Patient Safety.
Citation Text:
National Agenda for Action: Patients and Families in Patient Safety. Boston, MA: National Patient Safety Foundation; 2008.
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