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psnet.ahrq.gov/issue/start-year-right-preventing-these-top-10-medication-errors-and-hazards-2020
February 09, 2022 - Newspaper/Magazine Article
Start the year off right by preventing these top 10 medication errors and hazards from 2020.
Citation Text:
Start the year off right by preventing these top 10 medication errors and hazards from 2020. ISMP Medication Safety Alert! Acute care edition. January 27…
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psnet.ahrq.gov/issue/ahrq-safety-program-methicillin-resistant-staphylococcus-aureus-prevention-request-proposal
June 16, 2021 - Press Release/Announcement
AHRQ Safety Program for Methicillin-Resistant Staphylococcus Aureus Prevention. Request for Proposal Comment.
Citation Text:
AHRQ Safety Program for Methicillin-Resistant Staphylococcus Aureus Prevention. Request for Proposal Comment. Agency for Healthcare Rese…
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psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety-challenges
March 03, 2021 - Newspaper/Magazine Article
Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges.
Citation Text:
Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(…
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psnet.ahrq.gov/issue/tqip-mortality-reporting-system-case-reports
March 23, 2022 - Special or Theme Issue
TQIP Mortality Reporting System Case Reports.
Citation Text:
TQIP Mortality Reporting System Case Reports. ACS TQIP Mortality Reporting System Writing Group. J Trauma Acute Care Surg. 2023.
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psnet.ahrq.gov/issue/medicare-failed-investigate-suspicious-infection-cases-96-hospitals
May 29, 2019 - Newspaper/Magazine Article
Medicare failed to investigate suspicious infection cases from 96 hospitals.
Citation Text:
Medicare failed to investigate suspicious infection cases from 96 hospitals. Jewett C. Kaiser Health News. May 9, 2017.
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psnet.ahrq.gov/issue/surgical-fires-decreasing-incidence-relies-continued-prevention-efforts
April 03, 2019 - Newspaper/Magazine Article
Surgical fires: decreasing incidence relies on continued prevention efforts.
Citation Text:
Surgical fires: decreasing incidence relies on continued prevention efforts. Bruley ME, Arnold TV, Finley E, Deutsch ES, Treadwell JR. PA-PSRS Pa Patient Saf Advis. June…
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psnet.ahrq.gov/node/33657/psn-pdf
September 01, 2007 - just like that upper level course, the "student" must rely on preparation and participation and
then submit
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psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program
October 10, 2012 - Measurement Tool/Indicator
ISMP National Vaccine Errors Reporting Program.
Citation Text:
ISMP National Vaccine Errors Reporting Program. Institute for Safe Medication Practices.
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psnet.ahrq.gov/issue/understanding-and-managing-iv-container-overfill
June 10, 2018 - Newspaper/Magazine Article
Understanding and managing IV container overfill.
Citation Text:
Understanding and managing IV container overfill. ISMP Medication Safety Alert! Acute care edition. November 14, 2013;18:1-4.
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psnet.ahrq.gov/issue/key-vulnerabilities-surgical-environment-container-mix-ups-and-syringe-swaps
June 10, 2018 - Newspaper/Magazine Article
Key vulnerabilities in the surgical environment: container mix-ups and syringe swaps.
Citation Text:
Key vulnerabilities in the surgical environment: container mix-ups and syringe swaps. ISMP Medication Safety Alert! Acute Care Edition. November 5, 2015;20:1-5.…
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psnet.ahrq.gov/issue/wrong-site-orthopedic-operations-extremities-pennsylvania-experience
July 18, 2018 - Newspaper/Magazine Article
Wrong-site orthopedic operations on the extremities: the Pennsylvania experience.
Citation Text:
Wrong-site orthopedic operations on the extremities: the Pennsylvania experience. Clarke JR. PA-PSRS Patient Saf Advis. 2015;12:19-27.
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psnet.ahrq.gov/issue/analysis-reported-drug-interactions-recipe-harm-patients
January 20, 2016 - Newspaper/Magazine Article
Analysis of reported drug interactions: a recipe for harm to patients.
Citation Text:
Analysis of reported drug interactions: a recipe for harm to patients. Grissinger M. PA-PSRS Patient Saf Advis. December 2016;13:137-148.
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psnet.ahrq.gov/issue/safer-care-acutely-ill-patient-learning-serious-incidents
August 07, 2018 - Book/Report
Safer Care for the Acutely Ill Patient: Learning from Serious Incidents.
Citation Text:
Safer Care for the Acutely Ill Patient: Learning from Serious Incidents. Thomson R, Luettel D, Healey F, Scobie S. London, England: National Patient Safety Agency; 2007. ISBN 978095563…
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psnet.ahrq.gov/issue/role-electronic-health-record-patient-safety-events
September 25, 2013 - Newspaper/Magazine Article
The role of the electronic health record in patient safety events.
Citation Text:
The role of the electronic health record in patient safety events. Sparnon E, Marella WM. Pa Patient Saf Advis 2012 Dec;9(4):113-21.
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psnet.ahrq.gov/issue/medication-errors-year-review-january-through-december-2021
September 26, 2018 - Newspaper/Magazine Article
Medication errors: the year in review: January through December 2021.
Citation Text:
Medication errors: the year in review: January through December 2021. Pharmacy Practice News Special Edition. December 13, 2022: 43-54.
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psnet.ahrq.gov/issue/medication-errors-attributed-health-information-technology
March 27, 2018 - Newspaper/Magazine Article
Medication errors attributed to health information technology.
Citation Text:
Medication errors attributed to health information technology. Lawes S, Grissinger M. PA-PSRS Patient Saf Advis. March 2017;14:1-8.
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psnet.ahrq.gov/issue/medication-errors-involving-healthcare-students
December 19, 2016 - Newspaper/Magazine Article
Medication errors involving healthcare students.
Citation Text:
Medication errors involving healthcare students. Hess L, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. March 2016;13:18-23.
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psnet.ahrq.gov/issue/medication-errors-involving-neuromuscular-blocking-agents
November 01, 2012 - Study
Medication errors involving neuromuscular blocking agents.
Citation Text:
Santell JP. Medication errors involving neuromuscular blocking agents. Jt Comm J Qual Patient Saf. 2006;32(8):470-5, 417.
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psnet.ahrq.gov/issue/managing-costs-clinical-negligence-trusts
March 28, 2018 - Book/Report
Managing the Costs of Clinical Negligence in Trusts.
Citation Text:
Managing the Costs of Clinical Negligence in Trusts. Comptroller and Auditor General, Department of Health; London, UK: National Audit Office; 2017. ISBN: 9781786041395.
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psnet.ahrq.gov/issue/investigating-clinical-incidents-nhs
February 04, 2015 - Book/Report
Investigating Clinical Incidents in the NHS.
Citation Text:
Investigating Clinical Incidents in the NHS. Sixth Report of Session 2014–15. House of Commons Public Administration Select Committee. London, England: The Stationery Office; March 27, 2015. Publication HC 886.
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