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Frequency and severity of harm of medication errors related to the parenteral nutrition process in a large university teaching hospital. | PSNet

psnet.ahrq.gov/issue/frequency-and-severity-harm-medication-errors-related-parenteral-nutrition-process-large

January 16, 2019 - Use of administrative data to find substandard care: validation of the complications screening … June 18, 2014 Screening for adverse drug events: a randomized trial of automated calls … August 15, 2018 Primary care collaboration to improve diagnosis and screening for colorectal

Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. | PSNet

psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fy-2020

August 25, 2021 - March 16, 2022 Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate … Cancer at the Hampton VA Medical Center in Virginia. … July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor.

Patient Options for Safe and Effective Disposal of Unused Opioids. | PSNet

psnet.ahrq.gov/issue/patient-options-safe-and-effective-disposal-unused-opioids

March 06, 2019 - July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … July 27, 2022 Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate … Cancer at the Hampton VA Medical Center in Virginia.

Incidence of Adverse Events in Indian Health Service Hospitals. | PSNet

psnet.ahrq.gov/issue/incidence-adverse-events-indian-health-service-hospitals

January 09, 2019 - July 27, 2022 Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate … Cancer at the Hampton VA Medical Center in Virginia. … July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor.

Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications. | PSNet

psnet.ahrq.gov/issue/assessment-dod-wounded-warrior-matters-managing-risks-multiple-medications

March 16, 2022 - June 4, 2014 Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate … Cancer at the Hampton VA Medical Center in Virginia. … July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor.

Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. | PSNet

psnet.ahrq.gov/issue/defense-health-agency-should-improve-tracking-serious-adverse-medical-events-and-monitoring

August 15, 2018 - July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … July 27, 2022 Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate … Cancer at the Hampton VA Medical Center in Virginia.

Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota. | PSNet

psnet.ahrq.gov/issue/deficiencies-care-coordination-and-facility-response-patient-suicide-minneapolis-va-health

December 16, 2020 - July 27, 2022 Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate … Cancer at the Hampton VA Medical Center in Virginia. … July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor.

Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. | PSNet

psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-efforts-assess-progress-and-reduce-risk

May 16, 2018 - July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … July 27, 2022 Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate … Cancer at the Hampton VA Medical Center in Virginia.

DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. | PSNet

psnet.ahrq.gov/issue/dod-and-va-health-care-medication-needs-during-transitions-may-not-be-managed-all

December 09, 2020 - July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … July 27, 2022 Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate … Cancer at the Hampton VA Medical Center in Virginia.

Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. | PSNet

psnet.ahrq.gov/issue/improved-policies-and-oversight-needed-reviewing-and-reporting-providers-quality-and-safety

November 22, 2017 - July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … July 27, 2022 Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate … Cancer at the Hampton VA Medical Center in Virginia.

The role of dynamic trade-offs in creating safety—a qualitative study of handover across care boundaries in emergency care. | PSNet

psnet.ahrq.gov/issue/role-dynamic-trade-offs-creating-safety-qualitative-study-handover-across-care-boundaries

January 21, 2015 - August 24, 2016 Comparison of traditional trigger tool to data warehouse based screening … February 27, 2019 Inaccuracies in assignment of clinical stage for localized prostate … cancer.

Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients. | PSNet

psnet.ahrq.gov/issue/diagnostic-discrepancies-between-antemortem-clinical-diagnosis-and-autopsy-findings-pediatric

July 28, 2021 - August 3, 2022 Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate … Cancer at the Hampton VA Medical Center in Virginia.

The Leapfrog Group. | PSNet

psnet.ahrq.gov/issue/leapfrog-group

March 06, 2005 - April 2, 2014 Follow-up of abnormal screening mammograms among low-income ethnically … July 27, 2022 Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate … Cancer at the Hampton VA Medical Center in Virginia.

Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed. | PSNet

psnet.ahrq.gov/issue/patient-safety-hhs-has-taken-steps-address-unsafe-injection-practices-more-action-needed

September 05, 2012 - July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … July 5, 2023 Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate … Cancer at the Hampton VA Medical Center in Virginia.

Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices. | PSNet

psnet.ahrq.gov/issue/patient-safety-hospitals-face-challenges-implementing-evidence-based-practices

May 04, 2016 - July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … July 27, 2022 Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate … Cancer at the Hampton VA Medical Center in Virginia.

The Food and Drug Administration's National Drug Code Directory. | PSNet

psnet.ahrq.gov/issue/food-and-drug-administrations-national-drug-code-directory

July 27, 2016 - July 27, 2022 Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate … Cancer at the Hampton VA Medical Center in Virginia. … July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor.

Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities. | PSNet

psnet.ahrq.gov/issue/evaluation-registered-nurse-competency-processes-veterans-health-administration-facilities

April 26, 2006 - July 27, 2022 Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate … Cancer at the Hampton VA Medical Center in Virginia. … July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor.

Physician-Owned Specialty Hospital's Ability to Manage Medical Emergencies. | PSNet

psnet.ahrq.gov/issue/physician-owned-specialty-hospitals-ability-manage-medical-emergencies

January 18, 2012 - July 27, 2022 Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate … Cancer at the Hampton VA Medical Center in Virginia. … July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor.

Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet. | PSNet

psnet.ahrq.gov/issue/healthcare-inspection-evaluation-veterans-health-administrations-national-consult-delay

September 10, 2014 - July 26, 2023 Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate … Cancer at the Hampton VA Medical Center in Virginia. … July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor.

Hospital Reporting of Deaths Related to Restraint and Seclusion. | PSNet

psnet.ahrq.gov/issue/hospital-reporting-deaths-related-restraint-and-seclusion

September 20, 2006 - July 27, 2022 Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate … Cancer at the Hampton VA Medical Center in Virginia. … July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor.

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