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8801. Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. | PSNet
      psnet.ahrq.gov/issue/hardwiring-safety-computer-system-one-hospitals-actions-provide-technology-support-u-500
      February 24, 2016 - Newspaper/Magazine Article Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. Citation Text: Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. ISMP Medicatio…

8802. Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. | PSNet
      psnet.ahrq.gov/issue/mix-ups-between-epidural-analgesia-and-iv-antibiotics-labor-and-delivery-units-continue-cause
      January 24, 2018 - Newspaper/Magazine Article Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. Citation Text: Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. ISMP Medication Safety Alert! Acut…

8803. Is an indication-based prescribing system in our future? | PSNet
      psnet.ahrq.gov/issue/indication-based-prescribing-system-our-future
      February 24, 2016 - Newspaper/Magazine Article Is an indication-based prescribing system in our future? Citation Text: Is an indication-based prescribing system in our future? ISMP Medication Safety Alert! Acute Care Edition. November 17, 2016;21:1-5. Copy Citation Save Save to your …

8804. Improving care transitions: optimizing medication reconciliation. | PSNet
      psnet.ahrq.gov/issue/improving-care-transitions-optimizing-medication-reconciliation
      June 17, 2014 - Commentary Improving care transitions: optimizing medication reconciliation. Citation Text: Association AP, Pharmacists AS of H-S, Steeb D, et al. Improving care transitions: optimizing medication reconciliation. J Am Pharm Assoc (2003). 2012;52(4):e43-e52. doi:10.1331/JAPhA.2012.12527…

8805. 2005 Quest for Quality Prize. | PSNet
      psnet.ahrq.gov/issue/2005-quest-quality-prize
      June 17, 2014 - Award Recipient 2005 Quest for Quality Prize. Citation Text: Association AH, Pharmacists AS of H-S, Networks H and H. Medication Safety Issue Brief. Bar Code implementation strategies. Hosp Health Netw. 2005;79(7):65-66. Copy Citation Format: Google Scholar PubMed BibTeX En…

8806. Clinical Risk Management. Enhancing Patient Safety. 2nd ed. | PSNet
      psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed
      May 20, 2019 - Book/Report Classic Clinical Risk Management. Enhancing Patient Safety. 2nd ed. Citation Text: Clinical Risk Management. Enhancing Patient Safety. 2nd ed. Vincent CA, ed. London, UK: BMJ Books; 2001. ISBN: 9780727913920. Copy Citation Save …

8807. Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. | PSNet
      psnet.ahrq.gov/issue/getting-closer-bulls-eye-2014-2015-targeted-medication-safety-best-practices
      July 08, 2015 - Newspaper/Magazine Article Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. Citation Text: Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. ISMP Medication Safety Alert! Acute Care Edition. February 12, 2015;20:1…

8808. The Shift Coupon: an innovative method to monitor adverse events. | PSNet
      psnet.ahrq.gov/issue/shift-coupon-innovative-method-monitor-adverse-events
      June 25, 2010 - Study The Shift Coupon: an innovative method to monitor adverse events. Citation Text: Kellogg VA, Havens DS. The Shift Coupon: an innovative method to monitor adverse events. J Nurs Care Qual. 2006;21(1):49-55. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

8809. Guide to Patient and Family Engagement: Environmental Scan Report. | PSNet
      psnet.ahrq.gov/issue/guide-patient-and-family-engagement-environmental-scan-report
      August 01, 2012 - Book/Report Guide to Patient and Family Engagement: Environmental Scan Report. Citation Text: Guide to Patient and Family Engagement: Environmental Scan Report. Maurer M, Dardess P, Carman KL, Frazier K, Smeeding L. Rockville, MD: Agency for Healthcare Research and Quality; May 2012. AHR…

8810. Towards a model of surgeons' leadership in the operating room. | PSNet
      psnet.ahrq.gov/issue/towards-model-surgeons-leadership-operating-room
      July 01, 2020 - Review Towards a model of surgeons' leadership in the operating room. Citation Text: Parker SH, Yule S, Flin R, et al. Towards a model of surgeons' leadership in the operating room. BMJ Qual Saf. 2011;20(7):570-9. doi:10.1136/bmjqs.2010.040295. Copy Citation Format: DOI G…

8811. Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics. | PSNet
      psnet.ahrq.gov/issue/causes-consequences-detection-and-prevention-identification-errors-laboratory-diagnostics
      July 05, 2017 - Review Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics. Citation Text: Lippi G, Blanckaert N, Bonini P, et al. Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics. Clin Chem Lab Med. 2009;…

8812. The emotional fallout from the culture of blame and shame. | PSNet
      psnet.ahrq.gov/issue/emotional-fallout-culture-blame-and-shame
      October 28, 2020 - Commentary The emotional fallout from the culture of blame and shame. Citation Text: Ferguson CC. The emotional fallout from the culture of blame and shame. JAMA Pediatr. 2017;171(12):1141. doi:10.1001/jamapediatrics.2017.2691. Copy Citation Format: DOI Google Scholar PubMe…

8813. Dermatology faces a reckoning: lack of darker skin in textbooks and journals harms care for patients of color. | PSNet
      psnet.ahrq.gov/issue/dermatology-faces-reckoning-lack-darker-skin-textbooks-and-journals-harms-care-patients-color
      February 14, 2024 - Newspaper/Magazine Article Dermatology faces a reckoning: lack of darker skin in textbooks and journals harms care for patients of color. Citation Text: Dermatology faces a reckoning: lack of darker skin in textbooks and journals harms care for patients of color. McFarling UL. Stat.…

8814. Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. | PSNet
      psnet.ahrq.gov/issue/trends-pregnancy-related-deaths-and-federal-efforts-reduce-them
      May 27, 2020 - Book/Report Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. Citation Text: Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. Washington, DC: United States Government Accountability Office; March 2020. Publication GAO-20-248. Copy Citat…

8815. Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. | PSNet
      psnet.ahrq.gov/issue/toolkit-engage-high-risk-patients-safe-transitions-across-ambulatory-settings
      March 11, 2017 - Toolkit Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. Citation Text: Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. Davis K, Collier S, Situ J, et al. Rockville, MD: Agency for Healthcare Research and Quality; D…

8816. Errors in a stat laboratory: changes in type and frequency since 1996. | PSNet
      psnet.ahrq.gov/issue/errors-stat-laboratory-changes-type-and-frequency-1996
      December 21, 2016 - Study Errors in a stat laboratory: changes in type and frequency since 1996. Citation Text: Carraro P, Plebani M. Errors in a stat laboratory: types and frequencies 10 years later. Clin Chem. 2007;53(7):1338-42. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

8817. Dissemination and Implementation of Equity-Focused Evidence-Based Interventions in Healthcare Delivery Systems (R18). | PSNet
      psnet.ahrq.gov/issue/dissemination-and-implementation-equity-focused-evidence-based-interventions-healthcare
      April 20, 2022 - Grant Announcement Dissemination and Implementation of Equity-Focused Evidence-Based Interventions in Healthcare Delivery Systems (R18). Citation Text: Dissemination and Implementation of Equity-Focused Evidence-Based Interventions in Healthcare Delivery Systems (R18). Rockville, MD: Age…

8818. Medication administration errors: understanding the issues. | PSNet
      psnet.ahrq.gov/issue/medication-administration-errors-understanding-issues
      December 15, 2011 - Review Medication administration errors: understanding the issues. Citation Text: McBride-Henry K, Foureur M. Medication administration errors: understanding the issues. Aust J Adv Nurs. 2006;23(3):33-41. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

8819. The quality and economic impact of disruptive behaviors on clinical outcomes of patient care. | PSNet
      psnet.ahrq.gov/issue/quality-and-economic-impact-disruptive-behaviors-clinical-outcomes-patient-care
      February 03, 2010 - Commentary The quality and economic impact of disruptive behaviors on clinical outcomes of patient care. Citation Text: Rosenstein AH. The quality and economic impact of disruptive behaviors on clinical outcomes of patient care. Am J Med Qual. 2011;26(5):372-9. doi:10.1177/106286061140…

8820. AHRQ announces interest in research on health IT safety. | PSNet
      psnet.ahrq.gov/issue/ahrq-announces-interest-research-health-it-safety
      August 15, 2018 - Press Release/Announcement AHRQ announces interest in research on health IT safety. Citation Text: AHRQ announces interest in research on health IT safety. Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. March 9, 2016. Publication No. NOT-HS-16-009. …