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8721. Implementing Closing the Loop. Safe Practices for Diagnostic Results | PSNet
      psnet.ahrq.gov/issue/implementing-closing-loop-safe-practices-diagnostic-results
      March 10, 2021 - Book/Report Implementing Closing the Loop. Safe Practices for Diagnostic Results Citation Text: Implementing Closing the Loop. Safe Practices for Diagnostic Results Partnership for HIT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2020. Copy Citation Save …

8722. Communication in the perioperative setting. | PSNet
      psnet.ahrq.gov/issue/communication-perioperative-setting
      July 22, 2020 - Commentary Communication in the perioperative setting. Citation Text: Cvetic E. Communication in the perioperative setting. AORN J. 2011;94(3):261-70. doi:10.1016/j.aorn.2011.01.017. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

8723. Needlestick injuries among surgeons in training. | PSNet
      psnet.ahrq.gov/issue/needlestick-injuries-among-surgeons-training
      November 26, 2008 - Study Needlestick injuries among surgeons in training. Citation Text: Makary MA, Al-Attar A, Holzmueller CG, et al. Needlestick injuries among surgeons in training. N Engl J Med. 2007;356(26):2693-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

8724. Patient safety outcomes: the importance of understanding the organizational culture and safety climate. | PSNet
      psnet.ahrq.gov/issue/patient-safety-outcomes-importance-understanding-organizational-culture-and-safety-climate
      June 19, 2024 - Commentary Patient safety outcomes: the importance of understanding the organizational culture and safety climate. Citation Text: Ross J. Patient safety outcomes: the importance of understanding the organizational culture and safety climate. J Perianesth Nurs. 2011;26(5):347-8. doi:10.…

8725. Proactive prevention of maternal death from maternal hemorrhage. | PSNet
      psnet.ahrq.gov/issue/proactive-prevention-maternal-death-maternal-hemorrhage
      January 15, 2020 - Newspaper/Magazine Article Proactive prevention of maternal death from maternal hemorrhage. Citation Text: Proactive prevention of maternal death from maternal hemorrhage. Quick Safety. October 29, 2019;(51):1-3. Copy Citation Save Save to your library Prin…

8726. To Err Is Human — To Delay Is Deadly. | PSNet
      psnet.ahrq.gov/issue/err-human-delay-deadly
      July 11, 2017 - Book/Report To Err Is Human — To Delay Is Deadly. Citation Text: To Err Is Human — To Delay Is Deadly. Jewell K, McGiffert L. Austin, TX: Consumers Union; 2009. Copy Citation Save Save to your library Print Download PDF Share Facebook …

8727. High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. | PSNet
      psnet.ahrq.gov/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality
      July 31, 2019 - Book/Report High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. Citation Text: High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. Oster C, Braaten J, eds. Indianapolis, IN: Sigma Theta Tau International; 2016. ISBN: 9781940…

8728. Preventing catheter/tubing misconnections: much needed help is on the way. | PSNet
      psnet.ahrq.gov/issue/preventing-cathetertubing-misconnections-much-needed-help-way
      May 07, 2018 - Newspaper/Magazine Article Preventing catheter/tubing misconnections: much needed help is on the way. Citation Text: Preventing catheter/tubing misconnections: much needed help is on the way. ISMP Medication Safety Alert! Acute care edition! July 15, 2010;15:1-2. Copy Citation …

8729. Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives. | PSNet
      psnet.ahrq.gov/issue/results-ismp-survey-high-alert-medications-differences-between-nursing-pharmacy-and
      March 14, 2023 - Newspaper/Magazine Article Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives. Citation Text: Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspe…

8730. Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing? | PSNet
      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…

8731. Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. | PSNet
      psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead-data-entry-errors
      June 10, 2018 - Newspaper/Magazine Article Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. Citation Text: Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. ISMP Medication Safety Alert! Acute care…

8732. Diversion is a Threat to Patient Safety: Adopting Best Practices. | PSNet
      psnet.ahrq.gov/issue/diversion-threat-patient-safety-adopting-best-practices
      April 20, 2022 - Webinar Diversion is a Threat to Patient Safety: Adopting Best Practices. Citation Text: Diversion is a Threat to Patient Safety: Adopting Best Practices. Institute for Safe Medication Practices. April 6, 2022.  Copy Citation Save Save to your library P…

8733. Learning from errors with the new COVID-19 vaccines. | PSNet
      psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines
      October 21, 2021 - Newspaper/Magazine Article Learning from errors with the new COVID-19 vaccines. Citation Text: Learning from errors with the new COVID-19 vaccines. ISMP Medication Safety Alert! Acute Care Edition. January 14, 2021;26(1);1-5.   Copy Citation Save Save to…

8734. Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups? | PSNet
      psnet.ahrq.gov/issue/survey-lasa-drug-name-pairs-who-knows-whats-your-list-and-best-ways-prevent-mix-ups
      June 10, 2018 - Newspaper/Magazine Article Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups? Citation Text: Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups? ISMP Medication Safety Alert! Acute Care Editi…

8735. Challenges with requiring five characters during ADC drug searches via override. | PSNet
      psnet.ahrq.gov/issue/challenges-requiring-five-characters-during-adc-drug-searches-override
      October 20, 2021 - Newspaper/Magazine Article Challenges with requiring five characters during ADC drug searches via override. Citation Text: Challenges with requiring five characters during ADC drug searches via override. ISMP Medication Safety Alert! Acute care edition. October 21, 2021;26(21):1-3. Cop…

8736. Misidentification of alphanumeric symbols in both handwritten and computer-generated information. | PSNet
      psnet.ahrq.gov/issue/misidentification-alphanumeric-symbols-both-handwritten-and-computer-generated-information
      May 07, 2018 - Newspaper/Magazine Article Misidentification of alphanumeric symbols in both handwritten and computer-generated information. Citation Text: Misidentification of alphanumeric symbols in both handwritten and computer-generated information. ISMP Medication Safety Alert! Acute Care Edition. …

8737. Durasal–Durezol mix-up illustrates how dangerous product problems persist long after recognition. | PSNet
      psnet.ahrq.gov/issue/durasal-durezol-mix-illustrates-how-dangerous-product-problems-persist-long-after-recognition
      June 10, 2018 - Newspaper/Magazine Article Durasal–Durezol mix-up illustrates how dangerous product problems persist long after recognition. Citation Text: Durasal–Durezol mix-up illustrates how dangerous product problems persist long after recognition. ISMP Medication Safety Alert! Acute care edition. …

8738. Organisational safety indicators: some conceptual considerations and a supplementary qualitative approach. | PSNet
      psnet.ahrq.gov/issue/organisational-safety-indicators-some-conceptual-considerations-and-supplementary-qualitative
      August 03, 2016 - Commentary Organisational safety indicators: some conceptual considerations and a supplementary qualitative approach. Citation Text: Kongsvik T, Almklov P, Fenstad J. Organisational safety indicators: Some conceptual considerations and a supplementary qualitative approach. Saf Sci. 20…

8739. Pediatric medication errors and reduction strategies in the perioperative period. | PSNet
      psnet.ahrq.gov/issue/pediatric-medication-errors-and-reduction-strategies-perioperative-period
      October 19, 2022 - Review Pediatric medication errors and reduction strategies in the perioperative period. Citation Text: Pediatric medication errors and reduction strategies in the perioperative period. Bekes JL, Sackash CR, Voss AL, et al. AANA J. 2021;89(4):319-324. Copy Citation Sa…

8740. FDA Advise-ERR: medication errors associated with Cerebyx. | PSNet
      psnet.ahrq.gov/issue/fda-advise-err-medication-errors-associated-cerebyx
      May 02, 2018 - Newspaper/Magazine Article FDA Advise-ERR: medication errors associated with Cerebyx. Citation Text: FDA Advise-ERR: medication errors associated with Cerebyx. ISMP Medication Safety Alert! Acute Care Edition. April 10, 2008;13:1-2. Copy Citation Save Save to your…