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  1. psnet.ahrq.gov/issue/your-high-alert-medication-list-relatively-useless-without-associated-risk-reduction
    May 07, 2014 - Newspaper/Magazine Article Your high-alert medication list—relatively useless without associated risk-reduction strategies. Citation Text: Your high-alert medication list—relatively useless without associated risk-reduction strategies. ISMP Medication Safety Alert! Acute Care Edition. Ap…
  2. psnet.ahrq.gov/issue/accidental-iv-infusion-heparinized-irrigation-or
    September 14, 2016 - Newspaper/Magazine Article Accidental IV infusion of heparinized irrigation in the OR. Citation Text: Accidental IV infusion of heparinized irrigation in the OR. ISMP Medication Safety Alert! Acute Care Edition. December 1, 2016;21:1-3. Copy Citation Save Save to …
  3. psnet.ahrq.gov/issue/durasal-durezol-mix-illustrates-how-dangerous-product-problems-persist-long-after-recognition
    June 10, 2018 - Newspaper/Magazine Article Durasal–Durezol mix-up illustrates how dangerous product problems persist long after recognition. Citation Text: Durasal–Durezol mix-up illustrates how dangerous product problems persist long after recognition. ISMP Medication Safety Alert! Acute care edition. …
  4. psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead-data-entry-errors
    June 10, 2018 - Newspaper/Magazine Article Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. Citation Text: Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. ISMP Medication Safety Alert! Acute care…
  5. psnet.ahrq.gov/issue/reduce-readmissions-pharmacy-programs-focus-transitions-hospital-community
    September 26, 2016 - Newspaper/Magazine Article Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community. Citation Text: Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community. ISMP Medication Safety Alert! Acute …
  6. psnet.ahrq.gov/issue/side-tracks-safety-express-interruptions-lead-errors-and-unfinishedwait-what-was-i-doing
    June 10, 2018 - Newspaper/Magazine Article Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing? Citation Text: Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing? ISMP Medication Safety Alert! Acute care…
  7. psnet.ahrq.gov/issue/shortage-everything-except-errors-harm-associated-drug-shortages
    February 13, 2019 - Newspaper/Magazine Article A shortage of everything except errors: harm associated with drug shortages. Citation Text: A shortage of everything except errors: harm associated with drug shortages. ISMP Medication Safety Alert! Acute Care Edition. April 19, 2012;17:1-3. Copy Citation …
  8. psnet.ahrq.gov/issue/improving-patient-safety-office-institute-safety-office-based-surgery
    August 13, 2014 - Newspaper/Magazine Article Improving patient safety in the office: The Institute for Safety in Office-Based Surgery. Citation Text: Improving patient safety in the office: The Institute for Safety in Office-Based Surgery. Urman RD, Shapiro FE. APSF Newsletter. 2011;3-4,9.   …
  9. psnet.ahrq.gov/issue/misidentification-alphanumeric-symbols-both-handwritten-and-computer-generated-information
    May 07, 2018 - Newspaper/Magazine Article Misidentification of alphanumeric symbols in both handwritten and computer-generated information. Citation Text: Misidentification of alphanumeric symbols in both handwritten and computer-generated information. ISMP Medication Safety Alert! Acute Care Edition. …
  10. psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare
    September 15, 2021 - Special or Theme Issue Human Factors and Ergonomics in Healthcare. Citation Text: Human Factors and Ergonomics in Healthcare. Carayon P, Hignett S, Albolino S eds. Int J Qual Health Care. 2021;33(Supp1):1-71.    Copy Citation Save Save to your libra…
  11. psnet.ahrq.gov/issue/risk-management-obstetrics-and-gynaecology
    June 15, 2011 - Special or Theme Issue Risk Management in Obstetrics and Gynaecology. Citation Text: Risk Management in Obstetrics and Gynaecology. Edozien LC, ed. Best Pract Res Clin Obstet Gynaecol. 2013;27:A1-A14,479-640.    Copy Citation Save Save to your li…
  12. psnet.ahrq.gov/issue/efforts-improve-safety-culture-elderly-nursing-homes-qualitative-study
    April 18, 2018 - Study Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. Citation Text: Indarwati R, Efendi F, Fauziningtyas R, et al. Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. Risk Manag Healthc Policy. 2023;16:3…
  13. psnet.ahrq.gov/issue/guidelines-timely-medication-administration-response-cms-30-minute-rule
    June 10, 2018 - Newspaper/Magazine Article Guidelines for timely medication administration: response to the CMS "30-minute rule." Citation Text: Guidelines for timely medication administration: response to the CMS "30-minute rule." ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-…
  14. psnet.ahrq.gov/issue/comparing-perspectives-organisational-silence-analysis-gosport-inquiry
    September 29, 2021 - Commentary Comparing perspectives on organisational silence: an analysis of the Gosport inquiry. Citation Text: Comparing perspectives on organisational silence: an analysis of the Gosport inquiry. Powell M. J Health Org Manag. 2023;37(1):67-83. Copy Citation Save …
  15. psnet.ahrq.gov/issue/ordering-continuous-renal-replacement-therapy-computerized-provider-order-entry-system
    April 01, 2024 - Commentary Ordering of continuous renal replacement therapy in a computerized provider order entry system. Citation Text: Ordering of continuous renal replacement therapy in a computerized provider order entry system. Oh SS; Sinclair-Pingel J; Feldott CC; Hargrove FR. Copy Citation …
  16. psnet.ahrq.gov/issue/first-do-less-harm-confronting-inconvenient-problems-patient-safety
    March 29, 2007 - Book/Report First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety. Citation Text: First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety. Koppel R, Gordon S, ed. Ithaca, NY: Cornell University Press; 2012. ISBN: 9780801450778. Copy Citat…
  17. psnet.ahrq.gov/issue/few-hospitals-are-willing-bear-cost-providing-psychiatric-care-kids
    March 15, 2023 - Newspaper/Magazine Article Few hospitals are willing to bear the cost of providing psychiatric care for kids. Citation Text: Few hospitals are willing to bear the cost of providing psychiatric care for kids. Schorsch K, Karp S. WBEZ Chicago. March 9, 2023. Copy Citation …
  18. psnet.ahrq.gov/issue/computer-will-see-you-now
    March 22, 2017 - Newspaper/Magazine Article The computer will see you now. Citation Text: The computer will see you now. Whitaker P. New Statesman. August 2, 2019;148:38-43. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitt…
  19. psnet.ahrq.gov/issue/doctors-turned-my-sister-away-less-two-years-later-she-died-cervical-cancer
    September 09, 2020 - Newspaper/Magazine Article Doctors turned my sister away; less than two years later she died of cervical cancer. Citation Text: Doctors turned my sister away; less than two years later she died of cervical cancer. Harvey-Jenner C. Cosmopolitan. August 27, 2020.  Copy Citation …
  20. psnet.ahrq.gov/issue/standing-doctors-speaking-out-patients-final-report
    July 05, 2013 - Book/Report Standing Up for Doctors, Speaking Out for Patients. Final Report. Citation Text: Standing Up for Doctors, Speaking Out for Patients. Final Report. London, UK: Health Policy & Economic Research Unit, British Medical Association Scotland; May 2010.  Copy Citation …