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psnet.ahrq.gov/issue/scanning-out-medication-errors-ohio-valley-hospitals-automated-iv-system-provides-real-time
December 21, 2016 - Newspaper/Magazine Article
Scanning out medication errors: Ohio Valley Hospital's automated IV system provides real-time access to patient data.
Citation Text:
Scanning out medication errors: Ohio Valley Hospital's automated IV system provides real-time access to patient data. Carbas…
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psnet.ahrq.gov/issue/medication-errors-2nd-ed
March 29, 2007 - Book/Report
Classic
Medication Errors. 2nd ed.
Citation Text:
Medication Errors. 2nd ed. Cohen MR, ed. Washington DC: American Pharmacists Association; 2007.
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psnet.ahrq.gov/issue/thematic-analysis-hsibs-first-22-investigations
October 28, 2020 - Book/Report
A Thematic Analysis of HSIB's First 22 Investigations.
Citation Text:
A Thematic Analysis of HSIB's First 22 Investigations. Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021.
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psnet.ahrq.gov/issue/impact-artificial-intelligence-ai-safety-patients
May 29, 2024 - Webinar
The Impact of Artificial Intelligence (AI) on the Safety of Patients.
Citation Text:
Institute for Healthcare Improvement. The Impact of Artificial Intelligence (AI) on the Safety of Patients. .
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psnet.ahrq.gov/issue/complexity-bullying-and-stress-analyzing-and-mitigating-challenging-work-environment-nurses
June 09, 2011 - Commentary
Complexity, bullying, and stress: analyzing and mitigating a challenging work environment for nurses.
Citation Text:
Hughes RG, Clancy CM. Complexity, bullying, and stress: analyzing and mitigating a challenging work environment for nurses. J Nurs Care Qual. 2009;24(3):180-18…
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psnet.ahrq.gov/issue/communication-perioperative-setting
July 22, 2020 - Commentary
Communication in the perioperative setting.
Citation Text:
Cvetic E. Communication in the perioperative setting. AORN J. 2011;94(3):261-70. doi:10.1016/j.aorn.2011.01.017.
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psnet.ahrq.gov/issue/ny-medicaid-ups-ante-refusing-pay-14-never-events-nations-biggest-medicaid-program-could
December 16, 2009 - Newspaper/Magazine Article
NY Medicaid ups the ante: by refusing to pay for 14 'never events,' the nation's biggest Medicaid program could propel other states into action.
Citation Text:
NY Medicaid ups the ante: by refusing to pay for 14 'never events,' the nation's biggest Medicaid p…
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psnet.ahrq.gov/issue/results-ismp-survey-high-alert-medications-differences-between-nursing-pharmacy-and
March 14, 2023 - Newspaper/Magazine Article
Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives.
Citation Text:
Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspe…
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psnet.ahrq.gov/issue/strategies-optimizing-or-drug-safety
November 30, 2022 - Newspaper/Magazine Article
Strategies for optimizing OR drug safety.
Citation Text:
Strategies for optimizing OR drug safety. Meyer TA, McAllister RK. Pharmacy Practice News. March 19, 2018.
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psnet.ahrq.gov/issue/lot-happens-when-you-report-hazard-or-error-ismp-theres-no-black-hole-here
December 27, 2018 - Newspaper/Magazine Article
A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here!
Citation Text:
A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! ISMP Medication Safety Alert! Acute Care Edition. November 7, 2019
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psnet.ahrq.gov/issue/building-patient-safety-skills-common-pitfalls-when-conducting-root-cause-analysis
May 07, 2018 - Newspaper/Magazine Article
Building patient safety skills: common pitfalls when conducting a root cause analysis.
Citation Text:
Building patient safety skills: common pitfalls when conducting a root cause analysis. ISMP Medication Safety Alert! Acute Care Edition. April 22, 2010;15:1-4.…
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psnet.ahrq.gov/issue/survey-lasa-drug-name-pairs-who-knows-whats-your-list-and-best-ways-prevent-mix-ups
June 10, 2018 - Newspaper/Magazine Article
Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups?
Citation Text:
Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups? ISMP Medication Safety Alert! Acute Care Editi…
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psnet.ahrq.gov/issue/department-defense-dod-patient-safety-program
December 27, 2018 - July 7, 2021
Teamwork is associated with reduced hospital staff burnout at military treatment
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psnet.ahrq.gov/issue/manage-staff-fatigue-improve-patient-safety
March 01, 2007 - December 6, 2011
Cost implications of reduced work hours and workloads for resident physicians
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psnet.ahrq.gov/issue/malnourishment-epidemic-plagues-hospitals-really
June 04, 2014 - , 2014
Do variations in hospital mortality patterns after weekend admission reflect reduced
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psnet.ahrq.gov/node/42063/psn-pdf
January 06, 2018 - These practices, if implemented, should result in reduced harm from a wide range of
safety threats,
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psnet.ahrq.gov/issue/pregnancy-related-deaths-saving-womens-lives-during-and-after-delivery
September 07, 2016 - November 16, 2022
CDC guideline for opioid prescribing associated with reduced dispensing
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psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
January 01, 2016 - Perhaps better communication across settings during points of transition could have reduced the resident's … Patient Safety Goals for Long Term Care include accurate resident identification, safe medication use, reduced … health care-associated infections, reconciled medications, reduced harm from falls, and reduced health
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psnet.ahrq.gov/issue/advancement-toward-high-reliability-healthcare-awards
June 08, 2011 - January 21, 2009
Teamwork is associated with reduced hospital staff burnout at military
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psnet.ahrq.gov/issue/fatal-drug-mix-exposes-hospital-flaws
March 02, 2016 - July 10, 2018
Teamwork is associated with reduced hospital staff burnout at military