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psnet.ahrq.gov/issue/building-accountability-through-patient-safety-organizations
June 19, 2024 - Commentary
Building accountability through patient safety organizations.
Citation Text:
Ross J. Building accountability through patient safety organizations. J Perianesth Nurs. 2007;22(5):346-8.
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psnet.ahrq.gov/issue/neurologic-patient-safety-depth-study-malpractice-claims
November 11, 2015 - Study
Neurologic patient safety: an in-depth study of malpractice claims.
Citation Text:
Glick TH, Cranberg LD, Hanscom RB, et al. Neurologic patient safety: an in-depth study of malpractice claims. Neurology. 2005;65(8):1284-6.
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psnet.ahrq.gov/issue/proactive-prevention-maternal-death-maternal-hemorrhage
January 15, 2020 - Newspaper/Magazine Article
Proactive prevention of maternal death from maternal hemorrhage.
Citation Text:
Proactive prevention of maternal death from maternal hemorrhage. Quick Safety. October 29, 2019;(51):1-3.
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psnet.ahrq.gov/issue/preventing-cathetertubing-misconnections-much-needed-help-way
May 07, 2018 - Newspaper/Magazine Article
Preventing catheter/tubing misconnections: much needed help is on the way.
Citation Text:
Preventing catheter/tubing misconnections: much needed help is on the way. ISMP Medication Safety Alert! Acute care edition! July 15, 2010;15:1-2.
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psnet.ahrq.gov/issue/needlestick-injuries-among-surgeons-training
November 26, 2008 - Study
Needlestick injuries among surgeons in training.
Citation Text:
Makary MA, Al-Attar A, Holzmueller CG, et al. Needlestick injuries among surgeons in training. N Engl J Med. 2007;356(26):2693-9.
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psnet.ahrq.gov/issue/improving-health-care-work-environment
March 28, 2018 - Special or Theme Issue
Improving the Health Care Work Environment.
Citation Text:
Improving the Health Care Work Environment. Jt Comm J Qual Saf. 2007;33(11 supp):s2-s84.
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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/new-frontier-patient-safety
February 03, 2011 - Commentary
A new frontier in patient safety.
Citation Text:
McCannon J, Berwick DM. A new frontier in patient safety. JAMA. 2011;305(21):2221-2. doi:10.1001/jama.2011.742.
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psnet.ahrq.gov/issue/assessing-patient-safety-culture-review-and-synthesis-measurement-tools
July 10, 2008 - Review
Assessing patient safety culture: a review and synthesis of the measurement tools.
Citation Text:
Singla AK, Kitch BT, Weissman JS, et al. Assessing Patient Safety Culture. J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000235388.39149.5a.
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psnet.ahrq.gov/issue/2009-older-adults-knowledge-about-medications-can-impact-driving
July 12, 2016 - Book/Report
2009 Older Adults' Knowledge About Medications That Can Impact Driving.
Citation Text:
2009 Older Adults' Knowledge About Medications That Can Impact Driving. MacLennan PA, Owsley C, Rue LW III, McGwin G Jr. Washington, DC: American Automobile Association Foundation for…
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psnet.ahrq.gov/issue/physician-assistants-and-disclosure-medical-error
May 11, 2016 - Commentary
Physician assistants and the disclosure of medical error.
Citation Text:
Brock DM, Quella A, Lipira L, et al. Physician assistants and the disclosure of medical error. Acad Med. 2014;89(6):858-62. doi:10.1097/ACM.0000000000000261.
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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/disrespectful-behavior-healthcare-has-it-improved-please-take-our-survey
May 19, 2021 - Newspaper/Magazine Article
Disrespectful behavior in healthcare: has it improved? Please take our survey!
Citation Text:
Disrespectful behavior in healthcare: has it improved? Please take our survey! ISMP Medication Safety Alert! Acute care edition. September 9, 2021;26(18);1-5.
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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/administering-just-diluent-or-one-two-vaccine-components-leaves-patients-unprotected
May 07, 2018 - Newspaper/Magazine Article
Administering just the diluent or one of two vaccine components leaves patients unprotected.
Citation Text:
Administering just the diluent or one of two vaccine components leaves patients unprotected. ISMP Medication Safety Alert! Acute care edition. May 22, 20…
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psnet.ahrq.gov/issue/diversion-threat-patient-safety-adopting-best-practices
April 20, 2022 - Webinar
Diversion is a Threat to Patient Safety: Adopting Best Practices.
Citation Text:
Diversion is a Threat to Patient Safety: Adopting Best Practices. Institute for Safe Medication Practices. April 6, 2022.
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psnet.ahrq.gov/issue/technological-methods-used-prevent-errors-arent-infallible
January 05, 2017 - Newspaper/Magazine Article
Technological methods used to prevent errors aren't infallible.
Citation Text:
Santell JP. Technological methods used to prevent errors aren't infallible. Mater Manag Health Care. 2006;15(12):26-30.
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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/challenges-requiring-five-characters-during-adc-drug-searches-override
October 20, 2021 - Newspaper/Magazine Article
Challenges with requiring five characters during ADC drug searches via override.
Citation Text:
Challenges with requiring five characters during ADC drug searches via override. ISMP Medication Safety Alert! Acute care edition. October 21, 2021;26(21):1-3.
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psnet.ahrq.gov/issue/fatal-pca-adverse-events-continue-happenbetter-patient-monitoring-essential-prevent-harm
June 10, 2018 - Newspaper/Magazine Article
Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm.
Citation Text:
Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. ISMP Medication Safety Alert! Acute Care E…