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psnet.ahrq.gov/node/33784/psn-pdf
April 01, 2015 - Suddenly there appeared to be very strong evidence that going through a checklist before a
surgical … Suddenly all of the nurses, anesthesia assistants, respiratory therapists, everyone's in the room; everyone
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psnet.ahrq.gov/issue/electronic-data-collection-using-medwatchplus-portal-and-rational-questionnaire
July 03, 2013 - Government Resource
Electronic data collection using MedWatchPlus portal and rational questionnaire.
Citation Text:
Electronic data collection using MedWatchPlus portal and rational questionnaire. Shuren J. Federal Register. October 23, 2008;73:63153-63157.
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psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
June 12, 2019 - Suddenly there appeared to be very strong evidence that going through a checklist before a surgical procedure … Suddenly all of the nurses, anesthesia assistants, respiratory therapists, everyone's in the room; everyone
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psnet.ahrq.gov/node/838222/psn-pdf
September 28, 2022 - Suddenly, it was a
conversation that could happen at the dinner table, at the bowling alley, or at the … So suddenly, having more data may
be good, but we have to be careful about how we curate it and take
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psnet.ahrq.gov/issue/information-healthcare-professionals-risk-transmission-blood-borne-pathogens-shared-use
April 08, 2020 - Press Release/Announcement
Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens.
Citation Text:
Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens. FDA …
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psnet.ahrq.gov/issue/fda-cautions-about-dose-confusion-and-medication-errors-antibacterial-drug-zerbaxa
April 08, 2020 - Government Resource
FDA cautions about dose confusion and medication errors for antibacterial drug Zerbaxa (ceftolozane and tazobactam).
Citation Text:
FDA cautions about dose confusion and medication errors for antibacterial drug Zerbaxa (ceftolozane and tazobactam). Food and Drug Admin…
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psnet.ahrq.gov/issue/fda-funding-available-research-aimed-reducing-preventable-harm-medication
October 28, 2020 - Grant Announcement
FDA Funding Available for Research Aimed at Reducing Preventable Harm from Medication
Citation Text:
FDA Funding Available for Research Aimed at Reducing Preventable Harm from Medication Silver Spring, MD; US Food and Drug Administration: October 4, 2019.
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psnet.ahrq.gov/issue/prevalence-adverse-drug-combinations-large-post-mortem-toxicology-database
July 29, 2020 - Study
Prevalence of adverse drug combinations in a large post-mortem toxicology database.
Citation Text:
Launiainen T, Vuori E, Ojanperä I. Prevalence of adverse drug combinations in a large post-mortem toxicology database. Int J Legal Med. 2009;123(2):109-15. doi:10.1007/s00414-008-02…
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psnet.ahrq.gov/issue/surgical-accountability-1880s-death-susan-nixon
November 16, 2022 - Commentary
Surgical accountability in the 1880s: the death of Susan Nixon.
Citation Text:
Watters GR, Walker DR. Surgical accountability in the 1880s: the death of Susan Nixon. ANZ J Surg. 2005;75(8). doi:10.1111/j.1445-2197.2005.03501.x.
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psnet.ahrq.gov/issue/national-prescription-drug-take-back-day
May 20, 2020 - Press Release/Announcement
National Prescription Drug Take Back Day.
Citation Text:
National Prescription Drug Take Back Day. Drug Enforcement Administration. April 22, 2023.
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psnet.ahrq.gov/issue/use-duodenoscopes-innovative-designs-enhance-safety-fda-safety-communication
October 19, 2022 - Press Release/Announcement
Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication.
Citation Text:
Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; April 5, 2022.
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psnet.ahrq.gov/issue/fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded
February 15, 2024 - Press Release/Announcement
FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products.
Citation Text:
FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injecta…
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psnet.ahrq.gov/issue/important-information-safe-use-tussionex-pennkinetic-extended-release-suspension
February 15, 2024 - Government Resource
Important information for the safe use of Tussionex Pennkinetic Extended-Release Suspension.
Citation Text:
Important information for the safe use of Tussionex Pennkinetic Extended-Release Suspension. FDA Consumer Health Information. Silver Spring, MD: US Food and…
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psnet.ahrq.gov/issue/governor-signs-executive-order-creating-new-division-patient-safety
October 25, 2023 - Press Release/Announcement
Governor signs Executive Order creating new Division of Patient Safety.
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July 26, 2006
This news release announces the go…
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psnet.ahrq.gov/periodic-issue/periodic-issue-303
August 25, 2021 - endoscopist were serially dilating the esophagus with larger and larger rigid dilators when the patient suddenly
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psnet.ahrq.gov/issue/laparoscopic-bile-duct-injury-understanding-psychology-and-heuristics-error
May 29, 2014 - Study
Laparoscopic bile duct injury: understanding the psychology and heuristics of the error.
Citation Text:
Dekker SWA, Hugh TB. Laparoscopic bile duct injury: understanding the psychology and heuristics of the error. ANZ J Surg. 2008;78(12):1109-14. doi:10.1111/j.1445-2197.2008.0476…
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psnet.ahrq.gov/issue/interruptions-and-blood-transfusion-checks-lessons-simulated-operating-room
September 24, 2016 - Study
Interruptions and blood transfusion checks: lessons from the simulated operating room.
Citation Text:
Liu D, Grundgeiger T, Sanderson P, et al. Interruptions and blood transfusion checks: lessons from the simulated operating room. Anesth Analg. 2009;108(1):219-22. doi:10.1213/ane.0…
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psnet.ahrq.gov/issue/potential-false-positive-results-antigen-tests-rapid-detection-sars-cov-2-letter-clinical
April 08, 2020 - Press Release/Announcement
Potential for false positive results with antigen tests for rapid detection of SARS-CoV-2--letter to clinical laboratory staff and health care providers.
Citation Text:
Potential for false positive results with antigen tests for rapid detection of SARS-CoV-2--l…
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psnet.ahrq.gov/issue/thinking-threes-changing-surgical-patient-safety-practices-complex-modern-operating-room
April 28, 2021 - Commentary
Thinking in three's: changing surgical patient safety practices in the complex modern operating room.
Citation Text:
Gibbs VC. Thinking in three's: changing surgical patient safety practices in the complex modern operating room. World J Gastroenterol. 2012;18(46):6712-9. doi:…
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psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story
October 28, 2020 - Commentary
Learning from tragedy: the Julia Berg story.
Citation Text:
Graber ML, Berg D, Jerde W, et al. Learning from tragedy: the Julia Berg story. Diagnosis (Berl). 2018;5(4):257-266. doi:10.1515/dx-2018-0067.
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