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psnet.ahrq.gov/issue/health-care-safety-during-pandemic-and-beyond-building-system-ensures-resilience
July 29, 2020 - Citation Text:
Fleisher LA, Schreiber M, Cardo D, et al. … Linkedin
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February 23, 2022
Fleisher LA, Schreiber M, Cardo D, … Cite
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Citation Text:
Fleisher LA, Schreiber M, Cardo D, … October 21, 2020
Structural racism--a 60-year-old black woman with breast cancer.
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psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
January 03, 2018 - Facebook
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Cristiane Gomes-Lima, MD, and Kenneth D. … Initial evaluation revealed low-grade fever, a heart rate of 170 beats per minute, and trace lower extremity … The Commentary
by Cristiane Gomes-Lima, MD, and Kenneth D. … March 29, 2006
Navigating risks in breast cancer diagnosis and treatment. … Communication
November 29, 2023
WebM&M Cases
Delay in Malignancy
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psnet.ahrq.gov/issue/addressing-opioid-crisis-united-states
September 28, 2005 - September 2, 2020
Defining, estimating, and communicating overdiagnosis in cancer screening … October 28, 2020
Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose
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psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
August 31, 2020 - homelessness_programs_resources/hrc-factsheet-current-statistics-prevalence-characteristics-homelessness.pdf
Aufderheide D. … /www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/LTCF-residents.html
Gardner W, States D, … Effect of delays in the 2-week-wait cancer referral pathway during the COVID-19 pandemic on cancer survival … Network Open . 2020;3:e203976. doi: 10.1001/jamanetworkopen.2020.3976 [ PSNet ]
Greenberg N, Weston D, … Ann Intern Med . 2020;172(9):621-622. doi: 10.7326/M20-0907 [ PSNet ]
Stark N, Kerrissey M, Grade M
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psnet.ahrq.gov/issue/impact-medical-errors-ninety-day-costs-and-outcomes-examination-surgical-patients
March 08, 2017 - E-prescribing and adverse drug events: an observational study of the Medicare Part D … Meaningful Use stage 2 e-prescribing threshold and adverse drug events in the Medicare Part D … May 27, 2015
Patient–doctor continuity and diagnosis of cancer: electronic medical records
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psnet.ahrq.gov/issue/do-black-and-white-patients-experience-similar-rates-adverse-safety-events-same-hospital
April 07, 2021 - August 15, 2018
Opioids in Medicare Part D: Concerns About Extreme Use and Questionable … August 15, 2012
Delivering High-Quality Cancer Care: Charting a New Course for a System
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psnet.ahrq.gov/issue/medicare-proposes-new-hospital-value-based-purchasing-program
June 29, 2016 - November 2, 2016
Opioids in Medicare Part D: Concerns About Extreme Use and Questionable … 31, 2013
National trends in hospital-acquired preventable adverse events after major cancer
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psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
March 01, 2018 - Ausserhofer D, Zander B, Busse R, et al; RN4CAST consortium. … Bruyneel L, Li B, Ausserhofer D, et al. … than 22,000 nurses in 577 hospitals, we found that 38% of nurses gave their hospitals an unfavorable grade … currently under review), about one third of nurses still gave their hospital an unfavorable patient safety grade … in the Intensive Care Unit
December 1, 2012
Ireland investigates cervical cancer
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psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
November 08, 2023 - The factors most commonly implicated are a history of recent surgery, active cancer, pregnancy or being … Dyspnea is the most common symptom, followed by chest pain, cough, low grade fever, and syncope.( 5 ) … Anderson FA II, Zayaruzny M, Heit JA, Fidan D, Cohen AT. … Pollack CV, Schreiber D, Goldhaber SZ, et al. … Elbadawi A, Wright C, Patel D, et al.
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psnet.ahrq.gov/issue/implementation-pediatric-rapid-response-team-experience-hospital-sick-children-toronto
September 10, 2014 - May 24, 2017
Implementation of medication reconciliation in outpatient cancer care. … August 8, 2018
The Lawrence D.
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psnet.ahrq.gov/issue/patient-safety-event-reporting-expectation-does-it-influence-residents-attitudes-and
November 16, 2022 - November 7, 2018
The Lawrence D. … December 19, 2018
International evaluation of an AI system for breast cancer screening
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psnet.ahrq.gov/issue/postoperative-opioid-prescribing-and-pain-scores-hospital-consumer-assessment-healthcare
January 29, 2020 - , 2023
Primary care collaboration to improve diagnosis and screening for colorectal cancer … May 27, 2020
Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose
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psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
April 27, 2022 - instrumentation, blunt spinal trauma, intravenous drug use, vertebral column abnormalities, immunosuppression, malignancy … Sampath P, Rigamonti D. Spinal Epidural Abscess. J Spinal Disord 1999;12(2):89–93. … Nussbaum ES, Rigamonti D, Standiford H, et al. … Rigamonti D, Liem L, Sampath P, et al. … February 10, 2021
WebM&M Cases
Delayed Breast Cancer
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psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
June 01, 2004 - He was found to have a low-grade fever and was a little sleepy with some redness in his throat. … A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error. … Gallagher TH, Studdert D, Levinson W. Disclosing harmful medical errors to patients. … Carrier ER, Reschovsky JD, Mello MM, Mayrell RC, Katz D. … February 10, 2021
WebM&M Cases
Delayed Breast Cancer
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psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
February 01, 2019 - Citizenship in Health Professions Education: The Continued Call for Health Systems Science Curricula
Jed D. … Jed D. … Gonzalo JD, Wolpaw T, Wolpaw D. … Hafferty FW, Levinson D. … January 11, 2017
Navigating risks in breast cancer diagnosis and treatment.
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psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
February 01, 2019 - that students needed it—if some of them were going to grow up to be physician–investigators who cure cancer … revealed that more people die each year as a result of medical errors than from traffic accidents, breast cancer … Jed D. … Gonzalo JD, Wolpaw T, Wolpaw D. … Hafferty FW, Levinson D.
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psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - For example, diagnoses can be completely missed (cancer missed despite alarming symptoms), wrong (patients … Electronic trigger-based intervention to reduce delays in diagnostic evaluation for cancer: a cluster … For example, diagnosis of lung cancer cases that should have been made in 3 or 4 months but stretched … element of these reports is a handful of high impact recommendations—if the system just did a, b, c, d, … There is some data; for example, optometrists looking at diabetic eyes don't all agree on what grade
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psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
January 01, 2016 - For example, diagnosis of lung cancer cases that should have been made in 3 or 4 months but stretched … element of these reports is a handful of high impact recommendations—if the system just did a, b, c, d, … There is some data; for example, optometrists looking at diabetic eyes don't all agree on what grade … For example, diagnoses can be completely missed (cancer missed despite alarming symptoms), wrong (patients … Electronic trigger-based intervention to reduce delays in diagnostic evaluation for cancer: a cluster
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psnet.ahrq.gov/web-mm/mobility-lost-icu
August 01, 2018 - Trees D, Coale N. … October 24, 2007
National Cancer Institute–American Society of Clinical Oncology Teams … in Cancer Care Project.
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psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
November 27, 2023 - https://www.qsen.org/strategies
Sullivan DT, Hirst D, Cronenwett L. … https://doi.org/10.1097/PTS.0000000000000548
Hoffmann M, Schwarz CM, Schwappach D, Banfi C, Palli C … Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer