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  1. Misprogramming PCA concentration leads to dosing errors. | PSNet

    psnet.ahrq.gov/issue/misprogramming-pca-concentration-leads-dosing-errors
    May 02, 2018 - Newspaper/Magazine Article Misprogramming PCA concentration leads to dosing errors. Citation Text: Misprogramming PCA concentration leads to dosing errors. ISMP Medication Safety Alert! Acute Care Edition. August 28, 2008;13:1-3. Copy Citation Save Save t…

  2. Oral medications inadvertently given via the intravenous route. | PSNet

    psnet.ahrq.gov/issue/oral-medications-inadvertently-given-intravenous-route
    December 19, 2016 - Government Resource Oral medications inadvertently given via the intravenous route. Citation Text: Oral medications inadvertently given via the intravenous route. Shah-Mohammadi AR, Gaunt MJ. PA-PSRS Patient Saf Advis. September 2013;10:85-91. Copy Citation Save …

  3. Benefits and risks of including patients on RCA teams. | PSNet

    psnet.ahrq.gov/issue/benefits-and-risks-including-patients-rca-teams
    May 02, 2018 - Newspaper/Magazine Article Benefits and risks of including patients on RCA teams. Citation Text: Benefits and risks of including patients on RCA teams. ISMP Medication Safety Alert! Acute Care Edition. June 5, 2008;13:1-3. Copy Citation Save Save to your library …

  4. ISMP Medication Safety Self Assessment® for Perioperative Settings. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-safety-self-assessmentr-perioperative-settings
    January 26, 2023 - Measurement Tool/Indicator ISMP Medication Safety Self Assessment® for Perioperative Settings. Citation Text: ISMP Medication Safety Self Assessment® for Perioperative Settings. Institute for Safe Medication Practices Copy Citation Save Save to your library …

  5. Oral Dosage Forms that Should Not Be Crushed. | PSNet

    psnet.ahrq.gov/issue/oral-dosage-forms-should-not-be-crushed
    January 26, 2023 - Fact Sheet/FAQs Oral Dosage Forms that Should Not Be Crushed. Citation Text: Oral Dosage Forms that Should Not Be Crushed. Mitchell JF; Institute for Safe Medications Practices; ISMP. Copy Citation Save Save to your library Print Download PDF …

  6. Canadian Disclosure Guidelines: Being Open and Honest with Patients and Families. | PSNet

    psnet.ahrq.gov/issue/canadian-disclosure-guidelines-being-open-and-honest-patients-and-families
    September 08, 2010 - Book/Report Canadian Disclosure Guidelines: Being Open and Honest with Patients and Families. Citation Text: Canadian Disclosure Guidelines: Being Open and Honest with Patients and Families. Disclosure Working Group. Edmonton, AB, Canada; Canadian Patient Safety Institute; 2011. ISBN 978…

  7. 10 Medication Safety Tips for Hospitalized Patients. | PSNet

    psnet.ahrq.gov/issue/10-medication-safety-tips-hospitalized-patients
    February 06, 2019 - Fact Sheet/FAQs 10 Medication Safety Tips for Hospitalized Patients. Citation Text: 10 Medication Safety Tips for Hospitalized Patients. Horsham, PA: Institute for Safe Medication Practices; 2019. Copy Citation Save Save to your library Print Download PD…

  8. The Habits of an Improver. Thinking About Learning for Improvement in Health Care. | PSNet

    psnet.ahrq.gov/issue/habits-improver-thinking-about-learning-improvement-health-care
    November 25, 2015 - Book/Report The Habits of an Improver. Thinking About Learning for Improvement in Health Care. Citation Text: The Habits of an Improver. Thinking About Learning for Improvement in Health Care. Lucas B, Nacer H. London, UK: Health Foundation; October 2015. ISBN: 9781906461676. Copy Cita…

  9. Fluorouracil Incident Root Cause Analysis Report. | PSNet

    psnet.ahrq.gov/issue/fluorouracil-incident-root-cause-analysis-report
    September 02, 2014 - Book/Report Fluorouracil Incident Root Cause Analysis Report. Citation Text: Fluorouracil Incident Root Cause Analysis Report. Toronto, CA: Institute for Safe Medication Practices Canada; May 2007. Copy Citation Save Save to your library Print Download …

  10. Accidental overdoses involving fluorouracil infusions. | PSNet

    psnet.ahrq.gov/issue/accidental-overdoses-involving-fluorouracil-infusions
    July 08, 2015 - Newspaper/Magazine Article Accidental overdoses involving fluorouracil infusions. Citation Text: Accidental overdoses involving fluorouracil infusions. ISMP Medication Safety Alert! Acute Care Edition. June 18, 2015;20:1:5. Copy Citation Save Save to your library …

  11. Coding for Success: Simple Technology for Safer Patient Care. | PSNet

    psnet.ahrq.gov/issue/coding-success-simple-technology-safer-patient-care
    July 01, 2020 - Book/Report Coding for Success: Simple Technology for Safer Patient Care. Citation Text: Coding for Success: Simple Technology for Safer Patient Care. Healthcare Quality Directorate, Department of Health. London, UK; Crown Copyright: 2007. Copy Citation Save Sav…

  12. I can't turn my brain off. | PSNet

    psnet.ahrq.gov/issue/i-cant-turn-my-brain
    December 14, 2016 - Newspaper/Magazine Article I can't turn my brain off. Citation Text: I can't turn my brain off. Hoffman J. New York Times. May 16, 2020. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  13. ISMP List of High-Alert Medications in Community/Ambulatory Healthcare. | PSNet

    psnet.ahrq.gov/issue/ismp-list-high-alert-medications-communityambulatory-healthcare
    December 15, 2021 - Fact Sheet/FAQs ISMP List of High-Alert Medications in Community/Ambulatory Healthcare. Citation Text: ISMP List of High-Alert Medications in Community/Ambulatory Healthcare. Horsham, PA: Institute for Safe Medication Practices; 2021. Copy Citation Save Save to yo…

  14. ASHP statement on bar-code verification during inventory, preparation, and dispensing of medications. | PSNet

    psnet.ahrq.gov/issue/ashp-statement-bar-code-verification-during-inventory-preparation-and-dispensing-medications
    June 17, 2014 - Organizational Policy/Guidelines ASHP statement on bar-code verification during inventory, preparation, and dispensing of medications. Citation Text: ASHP statement on bar-code verification during inventory, preparation, and dispensing of medications. Am J Health-Syst Pharm. 2011;68:44…

  15. Advancing Health Services through Systems Modeling Research - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/advancing-health-services-through-system-modeling-research/annual-summary/2012
    January 01, 2012 - Advancing Health Services through Systems Modeling Research - 2012 Project Name Advancing Health Services through System Modeling Research Funding Mechanism Interagency Agreement Contract Number 12-689F-12 Project Period July 2012 – June 2016 AHRQ Funding Amount $1,…

  16. Building Bridges - Consumer Needs and the Design of Health IT - Workshop Agenda (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/Building%20Bridges%20-%20Consumer%20Needs%20and%20the%20Design%20of%20Health%20IT%20-%20Workshop%20Agenda.pdf
    June 16, 2021 - Building Bridges - Consumer Needs and the Design of Health IT - Workshop Agenda BUILDING BRIDGES: CONSUMER NEEDS AND THE DESIGN OF HEALTH INFORMATION TECHNOLOGY July 27-28, 2009 AGENDA DAY ONE: FROM PERSONAL HEALTH INFORMATION MANAGEMENT TO EFFECTIVE DESIGN 8:00 am Refreshments 8:30 am Insight Policy Research, …

  17. Spotlight on electronic health record errors: errors related to the use of default values. | PSNet

    psnet.ahrq.gov/issue/spotlight-electronic-health-record-errors-errors-related-use-default-values
    February 11, 2014 - Government Resource Spotlight on electronic health record errors: errors related to the use of default values. Citation Text: Spotlight on electronic health record errors: errors related to the use of default values. Sparnon E. PA-PSRS Patient Saf Advis. September 2013;10:92-95. Cop…

  18. Complaints and Raising Concerns. | PSNet

    psnet.ahrq.gov/issue/complaints-and-raising-concerns
    November 16, 2015 - Book/Report Complaints and Raising Concerns. Citation Text: Complaints and Raising Concerns. Fourth Report of Session 2014–15. House of Commons Health Committee. London, England: The Stationery Office; January 13, 2015. Publication HC 350. Copy Citation Save Sav…

  19. Diagnostic Safety and Quality Webinar Series: Overview and Implications for Hospitals. | PSNet

    psnet.ahrq.gov/issue/diagnostic-safety-and-quality-webinar-series-overview-and-implications-hospitals
    June 21, 2023 - Webinar Diagnostic Safety and Quality Webinar Series: Overview and Implications for Hospitals. Citation Text: Diagnostic Safety and Quality Webinar Series: Overview and Implications for Hospitals. Washington DC: The Leapfrog Group; 2023. Copy Citation Save Save to…

  20. Medication errors involving overrides of healthcare technology. | PSNet

    psnet.ahrq.gov/issue/medication-errors-involving-overrides-healthcare-technology
    January 11, 2017 - Newspaper/Magazine Article Medication errors involving overrides of healthcare technology. Citation Text: Medication errors involving overrides of healthcare technology. Grissinger M. PA-PSRS Patient Saf Advis. December 2015;12:141-148. Copy Citation Save Save to …
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