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psnet.ahrq.gov/issue/radiology-reporting-where-does-radiologists-duty-end
April 03, 2005 - Commentary
Radiology reporting—where does the radiologist's duty end?
Citation Text:
Radiology reporting—where does the radiologist's duty end? Garvey CJ; Connolly S.
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psnet.ahrq.gov/issue/small-effort-big-payoffautomated-maximum-dose-alerts-hard-stops
June 10, 2018 - Newspaper/Magazine Article
Small effort, big payoff...automated maximum dose alerts with hard stops.
Citation Text:
Small effort, big payoff...automated maximum dose alerts with hard stops. ISMP Medication Safety Alert! Acute care edition! September 19, 2013;18:1-4.
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psnet.ahrq.gov/issue/becoming-high-reliability-organization
May 04, 2015 - Special or Theme Issue
Becoming a High Reliability Organization.
Citation Text:
Becoming a High Reliability Organization. VHA Forum. Summer 2020;1-12.
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psnet.ahrq.gov/issue/improving-healthcare-team-communication-building-lessons-aviation-and-aerospace
August 08, 2007 - Book/Report
Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace.
Citation Text:
Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. Nemeth CP, ed. Burlington, VT: Ashgate Publishing; 2008. ISBN: 9780754670254.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-44
September 26, 2017 - Commentary
ISMP medication error report analysis.
Citation Text:
Cohen MR, Smetzer JL. Neuromuscular Blocker Mix-up in the Pharmacy; ISMP and Doctor's Digest Launch New iPhone Application; “UD” for “Ut Dictum”—an Ambiguous and Dangerous Abbreviation; Order by Metric Weight, Not Volume.…
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psnet.ahrq.gov/issue/fatal-1000-fold-overdoses-can-occur-particularly-neonates-transposing-mcg-and-mg
June 10, 2018 - Newspaper/Magazine Article
Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg.
Citation Text:
Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg. ISMP Medication Safety Alert! Acute Care Edition. September 6, 2…
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psnet.ahrq.gov/issue/over-top-risky-overuse-adc-overrides-removal-drugs-without-order-and-use-non-profiled
May 07, 2014 - Newspaper/Magazine Article
Over-the-top risky: overuse of ADC overrides, removal of drugs without an order, and use of non-profiled cabinets.
Citation Text:
Over-the-top risky: overuse of ADC overrides, removal of drugs without an order, and use of non-profiled cabinets. ISMP Medication …
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psnet.ahrq.gov/issue/2014-john-m-eisenberg-patient-safety-and-quality-awards
November 30, 2016 - Special or Theme Issue
The 2014 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
Jt Comm J Qual Patient Saf. 2015;41(5):195-211.
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PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/when-incidents-happen
January 14, 2011 - Commentary
When incidents happen.
Citation Text:
Newfield JS. When Incidents Happen. Home Health Care Manag Pract. 2006;18(5). doi:10.1177/1084822306287998.
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psnet.ahrq.gov/issue/half-hospitals-conn-del-hit-medicares-safety-penalties
December 12, 2018 - Newspaper/Magazine Article
Half of hospitals in Conn., Del. hit by Medicare's safety penalties.
Citation Text:
Half of hospitals in Conn., Del. hit by Medicare's safety penalties. Rau J. Kaiser Health News. January 5, 2018.
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psnet.ahrq.gov/issue/keeping-track-aging-patients-medications
December 23, 2020 - Newspaper/Magazine Article
Keeping track of aging patients’ medications.
Citation Text:
Keeping track of aging patients’ medications. Cooney E. Telegram & Gazette. January 27, 2008.
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psnet.ahrq.gov/issue/role-human-factors-home-health-care-workshop-summary
August 03, 2011 - Book/Report
The Role of Human Factors in Home Health Care: Workshop Summary.
Citation Text:
The Role of Human Factors in Home Health Care: Workshop Summary. Olson S. Committee on the Role of Human Factors in Home Healthcare, National Research Council. Washington, DC: National Academi…
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psnet.ahrq.gov/issue/using-external-errors-signal-clear-and-present-danger
May 02, 2018 - Newspaper/Magazine Article
Using external errors to signal a clear and present danger.
Citation Text:
Using external errors to signal a clear and present danger. ISMP Medication Safety Alert! Acute Care Edition. November 6, 2008;13:1-2.
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psnet.ahrq.gov/issue/federal-speech-rulings-may-embolden-health-care-workers-call-out-safety-issues
July 24, 2013 - Newspaper/Magazine Article
Federal speech rulings may embolden health care workers to call out safety issues.
Citation Text:
Federal speech rulings may embolden health care workers to call out safety issues. Meyer H. Kaiser Health News. July 9, 2021.
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psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-laser-safety
July 16, 2018 - Commentary
Implementing AORN recommended practices for laser safety.
Citation Text:
Castelluccio D, Nurses A of OR. Implementing AORN Recommended Practices for Laser Safety. AORN J. 2012;95(5):612-24; quiz 625-7. doi:10.1016/j.aorn.2012.03.001.
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psnet.ahrq.gov/issue/nhtsa-fatigue-ems-project
December 21, 2011 - Special or Theme Issue
NHTSA Fatigue in EMS Project.
Citation Text:
NHTSA Fatigue in EMS Project. Patterson PD, ed. Prehosp Emerg Care. 2018;22(suppl 1):1-118.
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psnet.ahrq.gov/issue/actively-caring-safety-overcoming-bystander-apathy
December 03, 2014 - Newspaper/Magazine Article
Actively caring for safety: overcoming bystander apathy.
Citation Text:
Actively caring for safety: overcoming bystander apathy. ISMP Medication Safety Alert! Acute Care Edition. November 20, 2008:13:1-3.
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psnet.ahrq.gov/issue/disclosure-and-apology-whats-missing-advancing-programs-support-clinicians
December 07, 2016 - Book/Report
Disclosure and Apology: What's Missing? Advancing Programs that Support Clinicians.
Citation Text:
Disclosure and Apology: What's Missing? Advancing Programs that Support Clinicians. Carr S. Chestnut Hill, MA: Medically Induced Trauma Support Services; 2009.
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psnet.ahrq.gov/issue/diagnostic-safety-event-reporting
August 05, 2020 - Newspaper/Magazine Article
Diagnostic safety event reporting.
Citation Text:
Diagnostic safety event reporting. Carr S. ImproveDx. July 2021;8(4).
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psnet.ahrq.gov/issue/point-care-medication-error-prevention-best-practices-action
December 24, 2007 - Newspaper/Magazine Article
Point-of-care medication error prevention: best practices in action.
Citation Text:
Point-of-care medication error prevention: best practices in action. Swenson D. Patient Safety Qual Heathc. May/June 2007.
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