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psnet.ahrq.gov/issue/hidden-medication-loss-when-using-primary-administration-set-small-volume-intermittent
December 14, 2022 - Newspaper/Magazine Article
Hidden medication loss when using a primary administration set for small-volume intermittent infusions.
Citation Text:
Hidden medication loss when using a primary administration set for small-volume intermittent infusions. ISMP Medication Safety Alert! Acute ca…
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psnet.ahrq.gov/issue/implementing-rapid-response-team-practical-guide
July 14, 2010 - Commentary
Implementing a rapid response team: a practical guide.
Citation Text:
Implementing a rapid response team: a practical guide. Garretson S; Dip HE; Rauzi MB.
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psnet.ahrq.gov/issue/quality-and-patient-safety-engaging-your-board-take-lead
April 21, 2015 - Newspaper/Magazine Article
Quality and patient safety. Engaging your board to take the lead.
Citation Text:
Bader BS. Quality and patient safety. Engaging your board to take the lead. Healthcare executive. 2006;21(2):64, 66-7.
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psnet.ahrq.gov/issue/organisation-losing-its-memory-patient-safety-alerts-implementation-monitoring-and-regulation
March 17, 2011 - Book/Report
An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England
Citation Text:
An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England Cousins D. Croydon, UK: Accidents again…
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psnet.ahrq.gov/issue/team-training-program-using-human-factors-enhance-patient-safety
January 24, 2024 - Commentary
A team training program using human factors to enhance patient safety.
Citation Text:
Marshall DA, Manus DA. A Team Training Program Using Human Factors to Enhance Patient Safety. AORN J. 2007;86(6). doi:10.1016/j.aorn.2007.11.026.
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psnet.ahrq.gov/issue/swiss-cheese-model-safety-incidents-are-there-holes-metaphor
February 24, 2011 - Commentary
The Swiss cheese model of safety incidents: are there holes in the metaphor?
Citation Text:
Perneger T. The Swiss cheese model of safety incidents: are there holes in the metaphor? BMC Health Serv Res. 2005;5:71.
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psnet.ahrq.gov/issue/patient-safety-and-patient-error
June 02, 2010 - Commentary
Patient safety and patient error.
Citation Text:
Buetow S, Elwyn G. Patient safety and patient error. Lancet. 2007;369(9556):158-61.
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psnet.ahrq.gov/issue/adverse-outpatient-drug-events-problem-and-opportunity
April 12, 2011 - Commentary
Adverse outpatient drug events—a problem and an opportunity.
Citation Text:
Tierney WM. Adverse outpatient drug events--a problem and an opportunity. N Engl J Med. 2003;348(16):1587-9.
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psnet.ahrq.gov/issue/review-fdas-approach-medical-product-shortages
June 22, 2011 - Book/Report
A Review of FDA’s Approach to Medical Product Shortages.
Citation Text:
A Review of FDA’s Approach to Medical Product Shortages. Silver Spring, MD: US Food and Drug Administration; October 31, 2011.
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psnet.ahrq.gov/issue/differences-strength-expression-product-labels-compounders-and-conventional-manufacturers-may
April 08, 2020 - Government Resource
Differences in strength expression on product labels of compounders and conventional manufacturers may lead to dosing errors.
Citation Text:
Differences in strength expression on product labels of compounders and conventional manufacturers may lead to dosing errors. U…
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psnet.ahrq.gov/issue/art-apology-when-and-how-seek-forgiveness
May 17, 2023 - Commentary
The art of apology: when and how to seek forgiveness.
Citation Text:
The art of apology: when and how to seek forgiveness. Roberts RG. Fam Pract Manag. 2007;14(7):44-49.
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psnet.ahrq.gov/issue/peoples-experiences-diagnosis
June 17, 2014 - Book/Report
People’s Experiences of Diagnosis.
Citation Text:
People’s Experiences Of Diagnosis. London, England: National Voices; June 2024.
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psnet.ahrq.gov/issue/standardizing-safety
January 13, 2021 - Newspaper/Magazine Article
Standardizing safety.
Citation Text:
Meyers S. Standardizing safety. Trustee. 2006;59(7):12-4, 21, 1.
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psnet.ahrq.gov/issue/strengthening-core-middle-managers-play-vital-role-improving-safety
April 25, 2016 - Newspaper/Magazine Article
Strengthening the core. Middle managers play a vital role in improving safety.
Citation Text:
Federico F, Bonacum D. Strengthening the core. Middle managers play a vital role in improving safety. Healthcare executive. 2010;25(1):68-70.
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psnet.ahrq.gov/issue/errors-and-malpractice-radiology
June 26, 2013 - Special or Theme Issue
Errors and Malpractice in Radiology.
Citation Text:
Errors and Malpractice in Radiology. Pinto A, ed. Semin Ultrasound CT MR. 2012;33:273-382.
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psnet.ahrq.gov/issue/radiologic-errors-and-malpractice-blurry-distinction
October 23, 2018 - Review
Radiologic errors and malpractice: a blurry distinction.
Citation Text:
Berlin L. Radiologic errors and malpractice: a blurry distinction. AJR Am J Roentgenol. 2007;189(3):517-22.
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psnet.ahrq.gov/issue/effect-smartphone-based-application-learning-nursing-students-performance-preventing
June 14, 2023 - Study
The effect of smartphone-based application learning on the nursing students' performance in preventing medication errors in the pediatric units.
Citation Text:
Pourteimour S, Hemmati MalsakPak M, Jasemi M, et al. The effect of smartphone-based application learning on the nursing st…
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psnet.ahrq.gov/issue/health-care-industry-needs-be-more-honest-about-medical-errors
February 06, 2019 - Newspaper/Magazine Article
The health care industry needs to be more honest about medical errors.
Citation Text:
The health care industry needs to be more honest about medical errors. Sutcliffe K. Time Magazine. November 5, 2019.
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psnet.ahrq.gov/issue/ingestion-or-aspiration-foreign-objects-or-toxic-substances-not-just-safety-concern-children
June 05, 2018 - Newspaper/Magazine Article
Ingestion or aspiration of foreign objects or toxic substances is not just a safety concern with children.
Citation Text:
Ingestion or aspiration of foreign objects or toxic substances is not just a safety concern with children. ISMP Medication Safety Alert! Ac…
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psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-i-where-weve-been
November 13, 2018 - Newspaper/Magazine Article
Our long journey towards a safety-minded just culture. Part I: Where we've been.
Citation Text:
Our long journey towards a safety-minded just culture. Part I: Where we've been. ISMP Medication Safety Alert! Acute care edition. September 7, 2006;11.
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