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psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all-hospitals
November 16, 2015 - Newspaper/Magazine Article
Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals.
Citation Text:
Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19…
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psnet.ahrq.gov/issue/getting-wrong-persons-medicine-pharmacy-easy-steps-consumers-can-take-help-eliminate-these
August 07, 2024 - Newspaper/Magazine Article
Getting the wrong person's medicine at the pharmacy: easy steps consumers can take to help eliminate these errors.
Citation Text:
Getting the wrong person's medicine at the pharmacy: easy steps consumers can take to help eliminate these errors. ISMP Safe Medici…
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psnet.ahrq.gov/issue/will-saying-im-sorry-prevent-malpractice-lawsuit
October 23, 2018 - Commentary
Will saying "I'm sorry" prevent a malpractice lawsuit?
Citation Text:
Berlin L. Will Saying "I'm Sorry" Prevent a Malpractice Lawsuit? AJR Am J Roentgenol. 2006;187(1):10-5.
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psnet.ahrq.gov/issue/implementing-rapid-response-team
June 30, 2011 - Commentary
Implementing a rapid response team.
Citation Text:
Durkin SE. Implementing a rapid response team. Am J Nurs. 2006;106(10):50-53.
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psnet.ahrq.gov/issue/medicare-cuts-payments-nursing-homes-whose-patients-keep-ending-hospital
June 27, 2018 - Newspaper/Magazine Article
Medicare cuts payments to nursing homes whose patients keep ending up in hospital.
Citation Text:
Medicare cuts payments to nursing homes whose patients keep ending up in hospital. Rau J. Kaiser Health News. December 3, 2018.
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psnet.ahrq.gov/issue/building-culture-candour-review-threshold-duty-candour-and-incentives-care-organisations-be
June 12, 2019 - Book/Report
Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid.
Citation Text:
Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisa…
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psnet.ahrq.gov/issue/ask-or-not-ask-results-formative-assessment-video-empowering-patients-ask-their-health-care
June 28, 2013 - Image/Poster
To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their health care providers to perform hand hygiene.
Citation Text:
To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their h…
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psnet.ahrq.gov/issue/cvs-taps-design-legend-reinvent-prescription-label-next-stop-pharmacy
April 12, 2017 - Newspaper/Magazine Article
CVS taps a design legend to reinvent the prescription label. Next stop: the pharmacy.
Citation Text:
CVS taps a design legend to reinvent the prescription label. Next stop: the pharmacy. Kuang C. Fast Company. October 4, 2017.
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psnet.ahrq.gov/issue/diagnoses-without-names-challenges-medical-care-research-and-policy
January 20, 2021 - Book/Report
Diagnoses Without Names: Challenges for Medical Care, Research, and Policy.
Citation Text:
Diagnoses Without Names: Challenges for Medical Care, Research, and Policy. Lockshin MD, Crow MK, Barbhaiya M, eds. Springer Nature: Cham, Switzerland; 2022. ISBN 9783031049347.&n…
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psnet.ahrq.gov/issue/american-hospital-association-mckesson-quest-quality-prize
September 23, 2020 - Award Recipient
American Hospital Association-McKesson Quest for Quality Prize.
Citation Text:
American Hospital Association-McKesson Quest for Quality Prize. Jt Comm J Qual Patient Saf. 2006;32(10):541-572.
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psnet.ahrq.gov/issue/unintended-side-effects-arbitration-and-deterrence-medical-error
January 20, 2021 - Commentary
Unintended side effects: arbitration and the deterrence of medical error.
Citation Text:
Unintended side effects: arbitration and the deterrence of medical error. Shieh D. N Y Univ Law Rev. 2014;89:1806-1835.
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psnet.ahrq.gov/issue/actively-caring-safety-overcoming-bystander-apathy
December 03, 2014 - Newspaper/Magazine Article
Actively caring for safety: overcoming bystander apathy.
Citation Text:
Actively caring for safety: overcoming bystander apathy. ISMP Medication Safety Alert! Acute Care Edition. November 20, 2008:13:1-3.
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psnet.ahrq.gov/issue/telling-true-stories-ismp-hallmark-heres-why-you-should-tell-stories-too
June 10, 2018 - Newspaper/Magazine Article
Telling true stories is an ISMP hallmark: here's why you should tell stories, too.
Citation Text:
Telling true stories is an ISMP hallmark: here's why you should tell stories, too. ISMP Medication Safety Alert! Acute Care Edition. September 8, 2011;16:1-3.
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psnet.ahrq.gov/issue/raising-index-suspicion-red-flags-represent-credible-threats-patient-safety
February 13, 2019 - Newspaper/Magazine Article
Raising the index of suspicion: red flags that represent credible threats to patient safety.
Citation Text:
Raising the index of suspicion: red flags that represent credible threats to patient safety. ISMP Medication Safety Alert! Acute Care Edition. July 26, 2…
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psnet.ahrq.gov/issue/medication-safety-and-hospital-referrals-report-health-and-disability-commissioner
March 30, 2022 - Book/Report
Medication Safety and Hospital Referrals: A Report by the Health and Disability Commissioner.
Citation Text:
Medication Safety and Hospital Referrals: A Report by the Health and Disability Commissioner. Paterson R. Auckland, NZ; Office of the Health and Disability Commiss…
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psnet.ahrq.gov/issue/my-medicines
January 13, 2016 - Tools/Toolkit
My Medicines.
Citation Text:
My Medicines. Silver Spring, MD: US Food and Drug Administration. Office of Women's Health and National Association of Chain Drug Stores.
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psnet.ahrq.gov/issue/nutrition-support-safety
July 10, 2024 - Special or Theme Issue
Nutrition Support Safety.
Citation Text:
Nutrition Support Safety. Nutr Clin Pract. 2023;38(6):1181-1415.
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psnet.ahrq.gov/issue/openness-and-honesty-when-things-go-wrong-professional-duty-candour
October 04, 2017 - Book/Report
Openness and Honesty When Things Go Wrong: the Professional Duty of Candour.
Citation Text:
Openness and Honesty When Things Go Wrong: the Professional Duty of Candour. London, UK: General Medical Council and the Nursing and Midwifery Council; June 29, 2015.
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psnet.ahrq.gov/issue/if-safety-your-yardstick-measuring-culture-top-down-must-be-priority
April 29, 2018 - Newspaper/Magazine Article
If safety is your yardstick, measuring culture from the top down must be a priority.
Citation Text:
If safety is your yardstick, measuring culture from the top down must be a priority. ISMP Medication Safety Alert! Acute care edition. March 22, 2007.
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psnet.ahrq.gov/issue/addressing-nurse-fatigue-promote-safety-and-health-joint-responsibilities-registered-nurses
November 16, 2015 - Organizational Policy/Guidelines
Addressing nurse fatigue to promote safety and health: joint responsibilities of registered nurses and employers to reduce risks.
Citation Text:
Addressing nurse fatigue to promote safety and health: joint responsibilities of registered nurses and employe…