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  1. psnet.ahrq.gov/issue/fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded
    February 15, 2024 - Press Release/Announcement FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. Citation Text: FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injecta…
  2. psnet.ahrq.gov/issue/pursuing-professional-accountability-evidence-based-approach-addressing-residents-behavioral
    January 18, 2012 - Commentary Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems. Citation Text: Sanfey H, DaRosa DA, Hickson GB, et al. Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral pr…
  3. psnet.ahrq.gov/issue/i-care-case-review-tool-focused-improving-inpatient-care
    February 18, 2011 - Commentary I-CaRe: a case review tool focused on improving inpatient care. Citation Text: Lee JH, Vidyarthi A, Sehgal NL, et al. I-CaRe: a case review tool focused on improving inpatient care. Jt Comm J Qual Patient Saf. 2009;35(2):115-119, 61. Copy Citation Format: Googl…
  4. psnet.ahrq.gov/issue/during-pandemic-aspire-identify-and-prevent-medication-errors-and-avoid-blaming-attitudes
    September 07, 2022 - Newspaper/Magazine Article During the pandemic, aspire to identify and prevent medication errors and to avoid blaming attitudes. Citation Text: During the pandemic, aspire to identify and prevent medication errors and to avoid blaming attitudes. ISMP Medication Safety Alert! Acute care e…
  5. psnet.ahrq.gov/issue/what-if-transforming-diagnostic-research-leveraging-diagnostic-process-map-engage-patients
    October 27, 2021 - Book/Report What if?: Transforming Diagnostic Research by Leveraging a Diagnostic Process Map to Engage Patients in Learning from Errors. Citation Text: Sheridan S, Merryweather P, Rusz D, et al. What If?: Transforming Diagnostic Research By Leveraging A Diagnostic Process Map To Engage …
  6. psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-2017-analysis-part-1-and-part-2
    December 27, 2018 - Newspaper/Magazine Article ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. Citation Text: ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. June 14, 2018,23:1-5. June 28, 2018;…
  7. psnet.ahrq.gov/issue/safety-issues-related-electronic-medical-record-emr-synthesis-literature-last-decade-2000
    January 20, 2016 - Review Safety issues related to the electronic medical record (EMR): synthesis of the literature from the last decade, 2000–2009. Citation Text: Harrington L, Kennerly DA, Johnson C. Safety issues related to the electronic medical record (EMR): synthesis of the literature from the last…
  8. psnet.ahrq.gov/issue/identifying-safety-hazards-associated-intravenous-vancomycin-through-analysis-patient-safety
    January 25, 2023 - Study Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports. Citation Text: Krukas A, Franklin ES, Bonk C, et al. Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety even…
  9. digital.ahrq.gov/sites/default/files/docs/publication/action-fall-prevention-ed-tool.pdf
    June 16, 2021 - Preventing Falls and Injury While in the Hospital Preventing Falls and Injury While in the Hospital You have one or more health conditions that make it likely that you may either fall or become injured if you fall. Knowing that you are more likely to fall, we want to work with you to prevent you from fall…
  10. psnet.ahrq.gov/issue/positive-deviance-new-tool-infection-prevention-and-patient-safety
    March 09, 2022 - Commentary Positive deviance: a new tool for infection prevention and patient safety. Citation Text: Marra AR, Santos OFPD, Neto MC, et al. Positive Deviance: A New Tool for Infection Prevention and Patient Safety. Curr Infect Dis Rep. 2013. Copy Citation Format: Google Sch…
  11. psnet.ahrq.gov/issue/workforce-safety-key-patient-safety
    December 09, 2020 - Newspaper/Magazine Article Workforce safety key to patient safety. Citation Text: Workforce safety key to patient safety. McGaffigan P, Gerwig K, Kingston MB. Healthcare Executive. 2020 Nov;35(6):48-50. Copy Citation Save Save to your library Print …
  12. psnet.ahrq.gov/issue/im-smiling-under-here-masks-plexiglass-and-questions-norm-hospitals-lure-patients-back-covid
    June 24, 2020 - Newspaper/Magazine Article 'I'm smiling under here': Masks, plexiglass and questions the norm as hospitals lure patients back in COVID-19 era. Citation Text: Weintraub K. 'I'm smiling under here': Masks, plexiglass and questions the norm as hospitals lure patients back in COVID-19 era. U…
  13. digital.ahrq.gov/ahrq-funded-projects/human-factors-home-health-care/annual-summary/2011
    January 01, 2011 - Human Factors in Home Health Care - 2011 Project Name Human Factors in Home Health Care Principal Investigator O'Connell, Mary Ellen Organization National Research Council Contract Number AHR7128 Project Period September 2009 - October 2011 AHRQ Fundin…
  14. digital.ahrq.gov/ahrq-funded-projects/human-factors-home-health-care/activity/human-factors-home-health-care/annual-summary/2010
    January 01, 2010 - Human Factors in Home Health Care - 2010 Project Name Human Factors in Home Health Care Principal Investigator O'Connell, Mary Ellen Organization National Research Council Contract Number AHR7128 Project Period September 2009 – October 2011, Including No-Cos…
  15. psnet.ahrq.gov/issue/survey-use-time-out-protocols-emergency-medicine
    November 30, 2012 - Study A survey of the use of time-out protocols in emergency medicine. Citation Text: Kelly JJ, Farley HL, O'Cain C, et al. A survey of the use of time-out protocols in emergency medicine. Jt Comm J Qual Patient Saf. 2011;37(6):285-288. Copy Citation Format: Google Schola…
  16. psnet.ahrq.gov/issue/infection-prevention-emergency-department
    July 13, 2016 - Review Infection prevention in the emergency department. Citation Text: Liang SY, Theodoro DL, Schuur JD, et al. Infection prevention in the emergency department. Ann Emerg Med. 2014;64(3):299-313. doi:10.1016/j.annemergmed.2014.02.024. Copy Citation Format: DOI Google Scho…
  17. psnet.ahrq.gov/issue/using-information-technology-improve-quality-and-safety-emergency-care
    July 13, 2010 - Commentary Using information technology to improve the quality and safety of emergency care. Citation Text: Handel DA, Wears RL, Nathanson LA, et al. Using Information Technology to Improve the Quality and Safety of Emergency Care. Academic Emergency Medicine. 2011;18(6). doi:10.1111/j…
  18. psnet.ahrq.gov/issue/distributed-cognition-and-role-nurses-diagnostic-safety-emergency-department
    April 13, 2011 - Book/Report Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department. Citation Text: Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department. Manojlovich M, Krein SL, Kronick SL, et al. Rockville, MD: Agency for H…
  19. psnet.ahrq.gov/issue/effect-barcode-assisted-medication-administration-emergency-department-medication-errors
    May 19, 2014 - Study Effect of barcode-assisted medication administration on emergency department medication errors. Citation Text: Bonkowski J, Carnes C, Melucci J, et al. Effect of barcode-assisted medication administration on emergency department medication errors. Acad Emerg Med. 2013;20(8):801-6.…
  20. psnet.ahrq.gov/issue/chemotherapy-drug-shortages-pediatric-oncology-consensus-statement
    March 15, 2017 - Organizational Policy/Guidelines Chemotherapy drug shortages in pediatric oncology: a consensus statement. Citation Text: Decamp M, Joffe S, Fernandez C, et al. Chemotherapy drug shortages in pediatric oncology: a consensus statement. Pediatrics. 2014;133(3):e716-24. doi:10.1542/peds.201…