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psnet.ahrq.gov/node/33728/psn-pdf
May 01, 2012 - Our initial work with triggers started with drug safety and then expanded to hospital-acquired infections … They haven't started to bleed yet.
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psnet.ahrq.gov/issue/medical-abbreviations-have-contradictory-or-ambiguous-meanings
November 18, 2020 - Newspaper/Magazine Article
Medical abbreviations that have contradictory or ambiguous meanings.
Citation Text:
Medical abbreviations that have contradictory or ambiguous meanings. Davis N. ISMP Medication Safety Alert! Acute care edition! January 30, 2020;25(2):1-5.
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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/hospital-rphs-weigh-new-jcaho-patient-safety-goals
May 20, 2020 - Newspaper/Magazine Article
Hospital R.Ph.s weigh in on new JCAHO patient safety goals.
Citation Text:
Hospital R.Ph.s weigh in on new JCAHO patient safety goals. Vecchione A. Drug Topics. July 11, 2005
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psnet.ahrq.gov/issue/premature-closure-not-so-fast
September 28, 2022 - Commentary
Premature closure? Not so fast.
Citation Text:
Dhaliwal G. Premature closure? Not so fast. BMJ Qual Saf. 2017;26(2):87-89. doi:10.1136/bmjqs-2016-005267.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
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psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
September 01, 2007 - Robert Wachter, Editor, AHRQ WebM&M: You started Better with a story about the "eyeball test"a resident … But I really didn't have it come together until I started thinking about the hospital in Pittsburgh that
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psnet.ahrq.gov/node/49656/psn-pdf
June 01, 2012 - He was started on broad-spectrum
antibiotics; however, the patient's respiratory status continued to
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psnet.ahrq.gov/Webmm/submit-case-info
August 10, 2025 - Selection Criteria and Honorarium Information
How it works
Health care professionals may submit de-identified cases that highlight medical errors or other patient
safety/quality
issues. Note that you can choose to submit cases either …
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psnet.ahrq.gov/node/33791/psn-pdf
September 01, 2015 - We started with our super-user group, they need the same sort of education.
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psnet.ahrq.gov/perspective/medias-role-patient-safety
April 27, 2022 - Millenson (MM): I started working for the Chicago Tribune in 1980 as a financial reporter. … I started down the healthcare path in 1982, covering big healthcare companies like Baxter and Abbott, … When you see what's happening in the real world versus what people allow reporters to see, it started
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psnet.ahrq.gov/perspective/medical-scribes-and-patient-safety
August 01, 2019 - Susan Smith : The reasons that we started it were primarily to try to address physician burnout. … Once we started having a scribe for physicians, the idea that we were going to take away the scribe was … We based our criteria on the number of visits that a provider has per week, started at the top of the
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psnet.ahrq.gov/perspective/conversation-michael-l-millenson
April 27, 2022 - Millenson (MM): I started working for the Chicago Tribune in 1980 as a financial reporter. … I started down the healthcare path in 1982, covering big healthcare companies like Baxter and Abbott, … When you see what's happening in the real world versus what people allow reporters to see, it started
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psnet.ahrq.gov/issue/three-new-best-practices-2022-2023-targeted-medication-safety-best-practices-hospitals
March 15, 2022 - Newspaper/Magazine Article
Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals.
Citation Text:
Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. ISMP Medication Safety Alert! Acute care edition…
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psnet.ahrq.gov/issue/emergency-preparedness-be-ready-unanticipated-electronic-health-record-ehr-downtime
April 20, 2022 - Newspaper/Magazine Article
Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime.
Citation Text:
Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. ISMP Medication Safety Alert! Acute care edition! August 25, 2…
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psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-patient-safety
September 07, 2022 - Newspaper/Magazine Article
Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety.
Citation Text:
Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. ISMP Medication Safety Alert! Acut…
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psnet.ahrq.gov/node/60977/psn-pdf
January 08, 2020 - The patient filled her prescription the
same day and started using the medication that same evening. … When used for its intended indications (seizures, migraines, etc.), topiramate is started at a
dose
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psnet.ahrq.gov/node/845472/psn-pdf
March 15, 2023 - Sarah Mossburg: GW has a Maritime Medical Access Program that started in 1989, which provides
emergency
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psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
June 01, 2010 - medicine that I really wasn't aware of what was going on in the department until suddenly everything started … I started seeing these repeated thinking errors that very hard-working people were making. … Work on this started about 40 years ago.
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psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
April 01, 2018 - And I started thinking that transient cognitive dysfunction was part of this syndrome. … It started seeming to me like a syndrome. … When I really got into this, I started remembering all these situations where I had a patient, maybe
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psnet.ahrq.gov/node/33720/psn-pdf
November 01, 2011 - That was the usual response I received when I first started this. … ES: Just how we started; there is a science of teams and team training.