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psnet.ahrq.gov/issue/misadministration-iv-insulin-associated-dose-measurement-and-hyperkalemia-treatment
August 24, 2016 - Newspaper/Magazine Article
Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment.
Citation Text:
Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment. ISMP Medication Safety Alert! Acute Care Edition. August 11,…
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psnet.ahrq.gov/issue/oral-solid-medication-appearance-should-play-greater-role-medication-error-prevention
February 20, 2019 - Newspaper/Magazine Article
Oral solid medication appearance should play a greater role in medication error prevention.
Citation Text:
Oral solid medication appearance should play a greater role in medication error prevention. ISMP Medication Safety Alert! Acute care edition. July 28, 201…
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psnet.ahrq.gov/issue/losing-laura
June 06, 2018 - Newspaper/Magazine Article
Losing Laura.
Citation Text:
Losing Laura. DeMarco P. Globe Magazine. November 3, 2018.
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psnet.ahrq.gov/issue/eric-cropp-weighs-error-sent-him-prison
May 07, 2018 - Newspaper/Magazine Article
Eric Cropp weighs in on the error that sent him to prison.
Citation Text:
Eric Cropp weighs in on the error that sent him to prison. ISMP Medication Safety Alert! Acute Care Edition. December 3, 2009;14:1-3.
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psnet.ahrq.gov/issue/beware-basal-opioid-infusions-pca-therapy
June 05, 2018 - Newspaper/Magazine Article
Beware of basal opioid infusions with PCA therapy.
Citation Text:
Beware of basal opioid infusions with PCA therapy. ISMP Medication Safety Alert! Acute Care Edition. March 12, 2009;14:1-3.
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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/drug-shortages-threaten-patient-safety
May 07, 2018 - Newspaper/Magazine Article
Drug shortages threaten patient safety.
Citation Text:
Drug shortages threaten patient safety. ISMP Medication Safety Alert! Acute Care Edition. July 29, 2010;15:1-4.
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psnet.ahrq.gov/issue/walgreens-will-stop-judging-its-pharmacy-staffers-how-fast-they-work
May 05, 2021 - Newspaper/Magazine Article
Walgreens will stop judging its pharmacy staffers by how fast they work.
Citation Text:
Walgreens will stop judging its pharmacy staffers by how fast they work. Kaplan A. NBC News. October 27, 2022.
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psnet.ahrq.gov/issue/teamwork-and-communication-surgical-teams-implications-patient-safety
March 25, 2020 - Study
Teamwork and communication in surgical teams: implications for patient safety.
Citation Text:
Teamwork and communication in surgical teams: implications for patient safety. Mills P; Neily J; Dunn E.
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psnet.ahrq.gov/issue/agency-information-collection-activities-assessing-impact-national-implementation-teamstepps
July 03, 2013 - Press Release/Announcement
Agency information collection activities: Assessing the Impact of the National Implementation of TeamSTEPPS Master Training Program; comment request.
Citation Text:
Agency information collection activities: Assessing the Impact of the National Implementation …
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psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care
December 24, 2008 - Toolkit
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care.
Citation Text:
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. Ganz DA, Huang C, Saliba D, et al. Rockville, MD: Agency for Healthcare Research and Quality; January 2013. AHRQ Publicat…
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psnet.ahrq.gov/issue/nursing-homes-fined-covid-infection-control-lapses
November 24, 2021 - Newspaper/Magazine Article
Nursing homes fined for COVID infection control lapses.
Citation Text:
Nursing homes fined for COVID infection control lapses. Jaffe S. Medpage Today. November 25, 2020.
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psnet.ahrq.gov/issue/first-do-no-harm-report-independent-medicines-and-medical-devices-safety-review
December 09, 2020 - Book/Report
First Do No Harm. The Report of the Independent Medicines and Medical Devices Safety Review.
Citation Text:
First Do No Harm. The Report of the Independent Medicines and Medical Devices Safety Review. Cumberlege J. London, England, Crown Copyright. July 8, 2020.
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psnet.ahrq.gov/issue/life-and-death-elizabeth-dixon-catalyst-change
November 16, 2022 - Book/Report
The Life and Death of Elizabeth Dixon: A Catalyst for Change.
Citation Text:
The Life and Death of Elizabeth Dixon: A Catalyst for Change. Kirkup B. London, England: Crown Copyright; 2020. ISBN 9781528622714.
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psnet.ahrq.gov/issue/health-worker-safety-priority-patient-safety
October 07, 2020 - Book/Report
Health Worker Safety: A Priority for Patient Safety.
Citation Text:
Health Worker Safety: A Priority for Patient Safety. Geneva, Switzerland: World Health Organization; September 17, 2020.
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psnet.ahrq.gov/issue/nhs-staff-cried-safety-interviews-says-watchdog
August 30, 2023 - Newspaper/Magazine Article
NHS staff cried in safety interviews, says watchdog.
Citation Text:
NHS staff cried in safety interviews, says watchdog. Reed J. BBC. February 27, 2023.
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psnet.ahrq.gov/issue/patient-safety-culture-report-focusing-indicators
February 22, 2023 - Book/Report
Patient Safety Culture Report: Focusing on Indicators.
Citation Text:
Patient Safety Culture Report: Focusing on Indicators. Utrecht, Netherlands: European Network for Patient Safety; 2010.
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psnet.ahrq.gov/issue/kentucky-first-state-decriminalize-medical-errors
March 13, 2024 - Newspaper/Magazine Article
Kentucky first state to decriminalize medical errors.
Citation Text:
Kentucky first state to decriminalize medical errors. Robertson R. MedPage Today. April 30, 2024.
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psnet.ahrq.gov/issue/ambulatory-safety-and-quality-program-health-it-portfolio-2007-2013
August 01, 2012 - Grant Recipient
Ambulatory Safety and Quality Program: Health IT Portfolio.
Citation Text:
Ambulatory Safety and Quality Program: Health IT Portfolio. Rockville,MD: Agency for Healthcare Research and Quality; July 2010. AHRQ Pub. No. 10-P004.
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psnet.ahrq.gov/issue/lessons-learned-covid-19-pandemic-improve-diagnosis-proceedings-workshop-brief
April 20, 2022 - Book/Report
Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. Proceedings of a Workshop–in Brief.
Citation Text:
Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. Proceedings of a Workshop–in Brief. National Academies of Sciences, Engineering, and Medicine. …