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psnet.ahrq.gov/issue/systematic-review-medication-errors-pediatric-patients
March 05, 2010 - Review
Systematic review of medication errors in pediatric patients.
Citation Text:
Ghaleb M, Barber N, Franklin BD, et al. Systematic review of medication errors in pediatric patients. Ann Pharmacother. 2006;40(10):1766-76.
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psnet.ahrq.gov/issue/getting-it-right-when-things-go-wrong
October 20, 2014 - Commentary
Getting it right when things go wrong.
Citation Text:
Pettker CM, Funai EF. Getting it right when things go wrong. JAMA. 2010;303(10):977-8. doi:10.1001/jama.2010.256.
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psnet.ahrq.gov/issue/acog-committee-opinion-680-use-and-development-checklists-obstetrics-and-gynecology
December 14, 2016 - Commentary
ACOG Committee opinion #680: the use and development of checklists in obstetrics and gynecology.
Citation Text:
ACOG Committee opinion #680: the use and development of checklists in obstetrics and gynecology. American College of Obstetricians and Gynecologists’ Committee on Pa…
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psnet.ahrq.gov/issue/fda-cautions-about-dose-confusion-and-medication-errors-antibacterial-drug-zerbaxa
April 08, 2020 - Government Resource
FDA cautions about dose confusion and medication errors for antibacterial drug Zerbaxa (ceftolozane and tazobactam).
Citation Text:
FDA cautions about dose confusion and medication errors for antibacterial drug Zerbaxa (ceftolozane and tazobactam). Food and Drug Admin…
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psnet.ahrq.gov/issue/assessment-transparency-cost-estimates-economic-evaluations-patient-safety-programmes
January 15, 2009 - Review
Assessment of transparency of cost estimates in economic evaluations of patient safety programmes.
Citation Text:
Fukuda H, Imanaka Y. Assessment of transparency of cost estimates in economic evaluations of patient safety programmes. J Eval Clin Pract. 2009;15(3):451-9. doi:10.111…
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psnet.ahrq.gov/issue/creating-culture-safety-using-checklists
July 30, 2014 - Commentary
Creating a culture of safety by using checklists.
Citation Text:
Huang LC, Kim R, Berry WR. Creating a culture of safety by using checklists. AORN J. 2013;97(3):365-8. doi:10.1016/j.aorn.2012.12.019.
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psnet.ahrq.gov/issue/death-due-pharmacy-compounding-error-reinforces-need-safety-focus
May 31, 2017 - Newspaper/Magazine Article
Death due to pharmacy compounding error reinforces need for safety focus.
Citation Text:
Death due to pharmacy compounding error reinforces need for safety focus. ISMP Medication Safety Alert! Acute Care Edition. June 15, 2017;22:1-4.
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psnet.ahrq.gov/issue/promoting-civility-or-ethical-imperative
September 12, 2016 - Commentary
Promoting civility in the OR: an ethical imperative.
Citation Text:
Clark CM, Kenski D. Promoting Civility in the OR: An Ethical Imperative. AORN J. 2017;105(1):60-66. doi:10.1016/j.aorn.2016.10.019.
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psnet.ahrq.gov/issue/mbrrace-uk-mothers-and-babies-reducing-risk-through-audits-and-confidential-enquiries-across
July 07, 2021 - Multi-use Website
MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK.
Citation Text:
MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK. Oxford, UK: The National Perinatal Epidemiology U…
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psnet.ahrq.gov/issue/understanding-root-cause-analysis-process-increase-safety-event-reporting
August 08, 2018 - Commentary
Understanding the root cause analysis process to increase safety event reporting.
Citation Text:
Dudley KA. Understanding the root cause analysis process to increase safety event reporting. AORN J. 2023;117(6):399-402. doi:10.1002/aorn.13935.
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psnet.ahrq.gov/issue/oral-chemotherapy-we-simply-must-do-better
February 13, 2019 - Newspaper/Magazine Article
With oral chemotherapy, we simply must do better!
Citation Text:
With oral chemotherapy, we simply must do better! ISMP Medication Safety Alert! Acute Care Edition. July 17, 2014;19:1-4.
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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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