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  1. psnet.ahrq.gov/issue/avoidable-death-three-year-old-child-sepsis
    August 31, 2016 - Book/Report An Avoidable Death of a Three-year-old Child from Sepsis. Citation Text: An Avoidable Death of a Three-year-old Child from Sepsis. London, UK: Parliamentary and Health Service Ombudsman; June 2014. Copy Citation Save Save to your library Print …
  2. 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.   …
  3. psnet.ahrq.gov/issue/safe-intrahospital-transport-non-icu-patient-using-standardized-handoff-communication
    March 18, 2010 - Newspaper/Magazine Article Safe intrahospital transport of the non-ICU patient using standardized handoff communication. Citation Text: Safe intrahospital transport of the non-ICU patient using standardized handoff communication. PA-PSRS Patient Safety Advisory; Patient Safety Authority.…
  4. psnet.ahrq.gov/issue/healthgrades-quality-study-second-annual-patient-safety-american-hospitals-study
    October 25, 2013 - Book/Report HealthGrades Quality Study: Second Annual Patient Safety in American Hospitals Study. Citation Text: HealthGrades Quality Study: Second Annual Patient Safety in American Hospitals Study. Health Grades, Inc; 2005. Copy Citation Save Save to your l…
  5. hcup-us.ahrq.gov/datainnovations/clinicaldata/FL26LOINCMappingEvaluation.pdf
    September 22, 2010 - Evaluation of LOINC Mapping Process Report CHARLIE CRIST GOVERNOR Better Health Care for all Floridians HOLLY BENSON SECRETARY [Hospital or System Name] ’s Evaluation of LOINC Mapping Process Report Hospital Description 1. General description of the types of hospitals that are in your syst…
  6. psnet.ahrq.gov/issue/challenges-ahead-technology-training-report-training-initiative-committee-technology
    August 09, 2017 - Newspaper/Magazine Article Challenges ahead in technology training: a report on the training initiative of the Committee on Technology. Citation Text: Challenges ahead in technology training: a report on the training initiative of the Committee on Technology. Olympio MA; Reinke B; Ab…
  7. psnet.ahrq.gov/issue/avoiding-unconscious-bias-guide-surgeons
    May 29, 2019 - Book/Report Avoiding Unconscious Bias: a Guide for Surgeons. Citation Text: Avoiding Unconscious Bias: a Guide for Surgeons. London, UK: Royal College of Surgeons of England; 2016. Copy Citation Save Save to your library Print Download PDF Share …
  8. psnet.ahrq.gov/issue/medical-errors-dentistry
    September 18, 2013 - Newspaper/Magazine Article Medical errors in dentistry. Citation Text: Medical errors in dentistry. Nagelberg R. RDH. September 2015;35:79-85. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linke…
  9. psnet.ahrq.gov/issue/how-hepatitis-probe-led-clinic-old-fashioned-legwork-yielded-clues-came-together
    September 01, 2011 - Newspaper/Magazine Article How hepatitis probe led to clinic: old-fashioned legwork yielded clues that came together. Citation Text: How hepatitis probe led to clinic: old-fashioned legwork yielded clues that came together. Allen M. Las Vegas Sun. March 2, 2008. Copy Citation …
  10. psnet.ahrq.gov/issue/hard-look-hard-stops-and-workarounds-acute-care-setting
    June 26, 2013 - Newspaper/Magazine Article A hard look at hard stops and workarounds in the acute care setting. Citation Text: A hard look at hard stops and workarounds in the acute care setting. ISMP Medication Safety Alert! Acute care edition. June 29, 2023;28(13);1-4. Copy Citation …
  11. psnet.ahrq.gov/issue/vincristine-and-other-vinca-alkaloids-should-only-be-given-intravenously-minibag
    July 18, 2018 - Press Release/Announcement Vincristine (and other vinca alkaloids) should only be given intravenously via a minibag. Citation Text: Vincristine (and other vinca alkaloids) should only be given intravenously via a minibag. World Health Organization. Alert 115. July 18, 2007. C…
  12. 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. Copy Citation Save Save to your…
  13. psnet.ahrq.gov/issue/non-technical-skills-and-future-teamwork-healthcare-settings
    January 30, 2013 - Book/Report Non-technical Skills and the Future of Teamwork in Healthcare Settings. Citation Text: Non-technical Skills and the Future of Teamwork in Healthcare Settings. Sevdalis N. London, UK: The Health Foundation; June 2013. Copy Citation Save Save to your…
  14. psnet.ahrq.gov/issue/national-coordinating-council-medication-error-reporting-and-prevention
    April 15, 2015 - Multi-use Website National Coordinating Council for Medication Error Reporting and Prevention. Citation Text: National Coordinating Council for Medication Error Reporting and Prevention. National Coordinating Council for Medication Error Reporting and Prevention. Copy Citation …
  15. psnet.ahrq.gov/issue/patient-stories-2013-time-change
    November 14, 2011 - Book/Report Patient Stories 2013: Time for Change. Citation Text: Patient Stories 2013: Time for Change. Harrow, Middlesex, UK: The Patients Association; 2013. Copy Citation Save Save to your library Print Download PDF Share Facebook Tw…
  16. psnet.ahrq.gov/issue/fluorouracil-error-ends-tragically-application-lessons-learned-will-save-lives
    June 10, 2018 - Newspaper/Magazine Article Fluorouracil error ends tragically, but application of lessons learned will save lives. Citation Text: Fluorouracil error ends tragically, but application of lessons learned will save lives. ISMP Medication Safety Alert! Acute care edition. September 20, 2007. …
  17. psnet.ahrq.gov/issue/errors-injectable-medications-unlabeled-syringes-are-surprisingly-common
    December 27, 2018 - Newspaper/Magazine Article Errors with injectable medications: unlabeled syringes are surprisingly common! Citation Text: Errors with injectable medications: unlabeled syringes are surprisingly common! ISMP Medication Safety Alert! Acute care edition. November 15, 2007. Copy Citation …
  18. psnet.ahrq.gov/issue/doing-right-things-correct-wrong-site-surgery
    October 21, 2020 - Newspaper/Magazine Article Doing the "right" things to correct wrong-site surgery. Citation Text: Doing the "right" things to correct wrong-site surgery. Patient Safety Advisory Copy Citation Save Save to your library Print Download PDF Share…
  19. psnet.ahrq.gov/issue/patient-safety-huddle
    March 27, 2005 - Audiovisual Patient Safety Huddle. Citation Text: Patient Safety Huddle. VA National Center for Patient Safety. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …
  20. psnet.ahrq.gov/issue/world-patient-safety-day
    September 30, 2020 - Multi-use Website World Patient Safety Day. Citation Text: World Patient Safety Day. World Health Organization. September 17, 2025. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin C…