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psnet.ahrq.gov/issue/preventing-errors-high-risk-medications
May 20, 2020 - Newspaper/Magazine Article
Preventing errors with high-risk medications.
Citation Text:
Preventing errors with high-risk medications. Wiley F. Drug Topics. August 2019;1633:16-18.
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psnet.ahrq.gov/issue/slowly-vanishing-prescription-pad
April 08, 2019 - Commentary
The (slowly) vanishing prescription pad.
Citation Text:
Steinbrook R. The (slowly) vanishing prescription pad. N Engl J Med. 2008;359(2):115-7. doi:10.1056/NEJMp0802864.
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psnet.ahrq.gov/issue/influencing-leadership-perceptions-patient-safety-through-just-culture-training
September 24, 2010 - Commentary
Influencing leadership perceptions of patient safety through just culture training.
Citation Text:
Vogelsmeier A, Scott-Cawiezell J, Miller B, et al. Influencing leadership perceptions of patient safety through just culture training. J Nurs Care Qual. 2010;25(4):288-94. doi:…
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psnet.ahrq.gov/issue/recent-evidence-health-it-improves-patient-safety-issue-brief
June 29, 2016 - Book/Report
Recent Evidence That Health IT Improves Patient Safety: Issue Brief.
Citation Text:
Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Banger A, Graber ML. Washington, DC: Office of the National Coordinator for Health Information Technology; February 2015.
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psnet.ahrq.gov/issue/patient-safety-20-slaying-dragons-not-just-investigating-them
September 14, 2016 - Commentary
Patient safety 2.0: slaying dragons, not just investigating them.
Citation Text:
Card AJ. Patient safety 2.0: slaying dragons, not just investigating them. J Patient Saf. 2023;19(6):394-395. doi:10.1097/pts.0000000000001140.
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psnet.ahrq.gov/issue/errors-and-adverse-events-otolaryngology
October 27, 2010 - Review
Errors and adverse events in otolaryngology.
Citation Text:
Shah RK, Roberson DW, Healy GB. Errors and adverse events in otolaryngology. Curr Opin Otolaryngol Head Neck Surg. 2006;14(3):164-9.
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psnet.ahrq.gov/issue/va-patient-safety-program-cultural-perspective-four-medical-facilities
October 26, 2022 - Book/Report
VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities.
Citation Text:
VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities. General Accounting Office. Washington, DC: Government Printing Office; 2004. Report no. GAO-05-83.
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psnet.ahrq.gov/issue/actions-needed-help-ensure-appropriate-medication-continuation-and-prescribing-practices
September 07, 2016 - Book/Report
Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing Practices.
Citation Text:
Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing Practices. Washington, DC: United States Government Accountability Office; January 5, …
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psnet.ahrq.gov/issue/improving-safety-throughout-medication-use-process-neonatal-intensive-care-unit
January 27, 2012 - Commentary
Improving safety throughout the medication use process in a neonatal intensive care unit.
Citation Text:
Asdigha MN. Improving Safety Throughout the Medication Use Process in a Neonatal Intensive Care Unit. Hosp Pharm. 2010;41(11):1067-1075. doi:10.1310/hpj4111-1067.
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psnet.ahrq.gov/issue/prescribing-safely-children
September 03, 2014 - Review
Prescribing safely for children.
Citation Text:
Sinha Y, Cranswick NE. Prescribing safely for children. J Paediatr Child Health. 2007;43(3):112-6.
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psnet.ahrq.gov/issue/leadership-survey-immunization-against-burnout-insights-report
November 15, 2016 - Book/Report
Leadership Survey: Immunization Against Burnout: Insights Report.
Citation Text:
Leadership Survey: Immunization Against Burnout: Insights Report. Swensen S, Strongwater S, Mohta NS. NEJM Catalyst: Insights Report. April 12, 2018.
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psnet.ahrq.gov/issue/surgical-fires-clear-and-present-danger
May 16, 2018 - Review
Surgical fires, a clear and present danger.
Citation Text:
Yardley IE, Donaldson LJ. Surgical fires, a clear and present danger. Surgeon. 2010;8(2):87-92. doi:10.1016/j.surge.2010.01.005.
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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/adherence-medication-safety-protocol-current-practice-labeling-medications-and-solutions
July 19, 2023 - Study
Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field.
Citation Text:
Brown-Brumfield D, DeLeon A. Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile f…
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psnet.ahrq.gov/issue/optimizing-health-it-safe-integration-behavioral-health-and-primary-care
March 10, 2021 - Book/Report
Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care.
Citation Text:
Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2021.
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psnet.ahrq.gov/issue/drug-shortages-national-survey-reveals-high-level-frustration-low-level-safety
April 05, 2023 - Newspaper/Magazine Article
Drug shortages: national survey reveals high level of frustration, low level of safety.
Citation Text:
Drug shortages: national survey reveals high level of frustration, low level of safety. ISMP Medication Safety Alert! Acute Care Edition. September 23, 2010:1…
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psnet.ahrq.gov/issue/two-effective-initiatives-c-suite-leaders-improve-medication-safety-and-reliability-outcomes
March 14, 2023 - Newspaper/Magazine Article
Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes.
Citation Text:
Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. ISMP Medication Safety Alert! …
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psnet.ahrq.gov/issue/defense-health-agency-processes-responding-provider-quality-and-safety-concerns
December 09, 2020 - Book/Report
Defense Health Agency Processes for Responding to Provider Quality and Safety Concerns.
Citation Text:
Defense Health Agency Processes for Responding to Provider Quality and Safety Concerns. Washington DC; Governmental Accountability Office; December 1, 2020. Publication GAO-…
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psnet.ahrq.gov/issue/preprinted-order-sets-safety-intervention-pediatric-sedation
April 16, 2010 - Study
Preprinted order sets as a safety intervention in pediatric sedation.
Citation Text:
Broussard M, Bass PF, Arnold CL, et al. Preprinted order sets as a safety intervention in pediatric sedation. J Pediatr. 2009;154(6):865-8. doi:10.1016/j.jpeds.2008.12.022.
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psnet.ahrq.gov/issue/use-duodenoscopes-innovative-designs-enhance-safety-fda-safety-communication
October 19, 2022 - Press Release/Announcement
Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication.
Citation Text:
Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; April 5, 2022.
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