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psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting-and-decreasing-patient-harm
January 27, 2021 - Newspaper/Magazine Article
Pump up the volume: tips for increasing error reporting and decreasing patient harm.
Citation Text:
Pump up the volume: tips for increasing error reporting and decreasing patient harm. ISMP Medication Safety Alert! Acute care edition. August 26, 2021;26(17);1-5…
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psnet.ahrq.gov/issue/pump-volume-how-prioritize-events-and-analyze-error-data
March 14, 2023 - Newspaper/Magazine Article
Pump up the volume: how to prioritize events and analyze error data.
Citation Text:
Pump up the volume: how to prioritize events and analyze error data. ISMP Medication Safety Alert! Acute care edition. February 9, 2023;28(3):1-4.
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psnet.ahrq.gov/issue/cancer-drug-shortages-are-creating-dire-circumstances-some-patients
September 21, 2022 - Newspaper/Magazine Article
Cancer drug shortages are creating dire circumstances for some patients.
Citation Text:
Cancer drug shortages are creating dire circumstances for some patients. Lovelace B, Jr, Kopf M. NBC. April 11, 2023.
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psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-reach-patient
March 14, 2023 - Newspaper/Magazine Article
Latent and active failures perfectly align to allow a preventable adverse event to reach a patient.
Citation Text:
Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. ISMP Medication Safety Alert! Acute care editi…
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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/medication-errors-year-review
May 02, 2018 - Newspaper/Magazine Article
Medication errors: the year in review.
Citation Text:
Medication errors: the year in review. Valentine D, Ingram V, Fobi B et al. Pharmacy Practice News. September 10, 2019.
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psnet.ahrq.gov/issue/learning-others-legal-aspects-sharing-patient-safety-data-using-provider-consortia
May 04, 2019 - Commentary
Learning from others: legal aspects of sharing patient safety data using provider consortia.
Citation Text:
Learning from others: legal aspects of sharing patient safety data using provider consortia. Liang BA; Weinger MB; Suydam S. J Patient Saf 2005;1:83–89
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psnet.ahrq.gov/issue/errors-diagnosis-spinal-epidural-abscesses-era-electronic-health-records
April 24, 2018 - Study
Errors in diagnosis of spinal epidural abscesses in the era of electronic health records.
Citation Text:
Bhise V, Meyer AND, Singh H, et al. Errors in Diagnosis of Spinal Epidural Abscesses in the Era of Electronic Health Records. Am J Med. 2017;130(8). doi:10.1016/j.amjmed.2017.03…
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psnet.ahrq.gov/issue/breaking-mould-patient-safety
June 20, 2011 - Commentary
Breaking the mould in patient safety.
Citation Text:
Degos L, Amalberti R, Bacou J, et al. Breaking the mould in patient safety. BMJ. 2009;338:b2585. doi:10.1136/bmj.b2585.
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psnet.ahrq.gov/issue/patient-safety-issues-advanced-practice-nursing-students-care-settings
April 10, 2013 - Study
Patient safety issues in advanced practice nursing students' care settings.
Citation Text:
Schnall R, Cook S, John RM, et al. Patient Safety Issues in Advanced Practice Nursing Studentsʼ Care Settings. J Nurs Care Qual. 2011;27(2). doi:10.1097/ncq.0b013e3182310d27.
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psnet.ahrq.gov/issue/examples-medical-device-misconnections
March 04, 2015 - Multi-use Website
Examples of Medical Device Misconnections.
Citation Text:
Examples of Medical Device Misconnections. Food and Drug Administration. February 23. 2023.
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psnet.ahrq.gov/issue/fda-urged-move-faster-fix-pulse-oximeters-darker-skinned-patients
September 21, 2016 - Newspaper/Magazine Article
FDA urged to move faster to fix pulse oximeters for darker-skinned patients.
Citation Text:
FDA urged to move faster to fix pulse oximeters for darker-skinned patients. McFarling UL. STAT. February 2, 2024.
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psnet.ahrq.gov/issue/workarounds-are-routinely-used-nurses-are-they-ethical
October 27, 2016 - Commentary
Workarounds are routinely used by nurses—but are they ethical?
Citation Text:
Berlinger N. Workarounds Are Routinely Used by Nurses-But Are They Ethical? Am J Nurs. 2017;117(10):53-55. doi:10.1097/01.NAJ.0000525875.82101.b7.
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psnet.ahrq.gov/issue/cultural-issues-related-allegations-bullying-and-harassment-nhs-highland-independent-review
July 29, 2015 - Government Resource
Cultural Issues Related to Allegations of Bullying and Harassment in NHS Highland: Independent Review Report.
Citation Text:
Cultural Issues Related to Allegations of Bullying and Harassment in NHS Highland: Independent Review Report. Sturrock J. Edinburgh, Scotland: …
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psnet.ahrq.gov/issue/doctors-handovers-hospitals-literature-review
February 29, 2012 - Review
Doctors' handovers in hospitals: a literature review.
Citation Text:
Raduma-Tomàs MA, Flin R, Yule S, et al. Doctors' handovers in hospitals: a literature review. BMJ Qual Saf. 2011;20(2):128-33. doi:10.1136/bmjqs.2009.034389.
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psnet.ahrq.gov/issue/attitudes-and-beliefs-healthcare-professionals-causes-and-reporting-medication-errors-uk
February 18, 2017 - Study
The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit.
Citation Text:
Sanghera IS, Franklin B, Dhillon S. The attitudes and beliefs of healthcare professionals on the causes and reporting of medication e…
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psnet.ahrq.gov/issue/challenges-and-opportunities-patient-safety-event-reporting
June 23, 2021 - Commentary
Challenges and opportunities of patient safety event reporting.
Citation Text:
Gong Y. Challenges and opportunities of patient safety event reporting. Stud Health Technol Inform. 2022;291:133-150. doi:10.3233/shti220014.
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psnet.ahrq.gov/issue/quest-ideal-redesign-medication-use-system
September 16, 2020 - Commentary
Quest for the ideal: a redesign of the medication use system.
Citation Text:
Dang D, Feroli R, Gill C, et al. Quest for the ideal: a redesign of the medication use system. J Nurs Care Qual. 2007;22(1):11-19.
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psnet.ahrq.gov/issue/system-related-and-cognitive-errors-laboratory-medicine
December 21, 2016 - Commentary
System-related and cognitive errors in laboratory medicine.
Citation Text:
Plebani M. System-related and cognitive errors in laboratory medicine. Diagnosis (Berl). 2018;5(4):191-196. doi:10.1515/dx-2018-0085.
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psnet.ahrq.gov/issue/patient-safety-crossroads
March 18, 2019 - Commentary
Patient safety at the crossroads.
Citation Text:
Gandhi TK, Berwick DM, Shojania KG. Patient Safety at the Crossroads. JAMA. 2016;315(17):1829-30. doi:10.1001/jama.2016.1759.
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