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psnet.ahrq.gov/issue/weak-oversight-allows-lab-failures-put-patients-risk
June 12, 2019 - March 27, 2013
Ireland investigates cervical cancer screening scandal. … August 17, 2022
Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate … Cancer at the Hampton VA Medical Center in Virginia. … October 24, 2018
Ireland investigates cervical cancer screening scandal.
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psnet.ahrq.gov/issue/frequency-and-outcome-cervical-cancer-prevention-failures-united-states
October 26, 2005 - This AHRQ-funded study of cervical cancer screening results found a remarkably low incidence of missed … error rate in anatomic pathology cancer diagnosis, this study documents that the US cervical cancer screening
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psnet.ahrq.gov/issue/diagnostic-errors-and-abnormal-diagnostic-tests-lost-follow-source-needless-waste-and-delay
March 06, 2005 - May 12, 2021
Delayed or failure to follow-up abnormal breast cancer screening mammograms … December 1, 2010
Follow-up of abnormal screening mammograms among low-income ethnically … October 12, 2022
Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate … Cancer at the Hampton VA Medical Center in Virginia.
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psnet.ahrq.gov/issue/perfect-storm-averted-flawed-systems-dropped-ball-and-cognitive-biases-delay-critical
April 21, 2021 - March 17, 2021
Multilevel factors associated with time to biopsy after abnormal screening … 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.
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psnet.ahrq.gov/issue/high-costs-unnecessary-care
June 28, 2023 - November 10, 2010
Inaccuracies in assignment of clinical stage for localized prostate … cancer. … Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening … April 6, 2022
Estimation of breast cancer overdiagnosis in a U.S. breast screening cohort
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psnet.ahrq.gov/issue/speaking-factors-and-issues-nurses-advocating-patients-when-patients-are-jeopardy
March 29, 2023 - June 26, 2019
Clinical staging error in prostate cancer: localization and relevance of … May 12, 2021
Delayed or failure to follow-up abnormal breast cancer screening mammograms … March 14, 2022
Follow-up of abnormal screening mammograms among low-income ethnically
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psnet.ahrq.gov/issue/deficiencies-emergent-and-outpatient-care-patient-alcohol-use-disorder-richard-l-roudebush-va
March 16, 2022 - 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.
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psnet.ahrq.gov/issue/oversight-hearing-recent-patient-safety-issues
November 06, 2019 - July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … 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.
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psnet.ahrq.gov/issue/causes-errors-electrocardiographic-diagnosis-atrial-fibrillation-physicians
March 03, 2017 - 2022
Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate … Cancer at the Hampton VA Medical Center in Virginia. … December 12, 2018
WebM&M Cases
Abdominal Aortic Aneurysm Screening … August 1, 2018
Ireland investigates cervical cancer screening scandal.
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psnet.ahrq.gov/issue/missed-signals
August 26, 2009 - April 26, 2017
Ireland investigates cervical cancer screening scandal.
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psnet.ahrq.gov/issue/patient-safety-anatomic-pathology-measuring-discrepancy-frequencies-and-causes
June 17, 2015 - April 13, 2016
Screening for adverse drug events: a randomized trial of automated calls … October 31, 2018
Double reading in breast cancer screening: cohort evaluation in the … July 13, 2016
Effect of using the same vs different order for second readings of screening
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psnet.ahrq.gov/issue/rate-diagnostic-errors-and-serious-misdiagnosis-related-harms-major-vascular-events
July 28, 2023 - July 28, 2023
Breast cancer missed at screening; hindsight or mistakes? … August 10, 2022
Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate … Cancer at the Hampton VA Medical Center in Virginia. … July 13, 2022
Multilevel factors associated with time to biopsy after abnormal screening
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psnet.ahrq.gov/issue/managing-prevention-retained-surgical-instruments-what-value-counting
June 11, 2008 - pose an ongoing threat to patient safety, with past studies suggesting intraoperative radiographic screening … August 9, 2017
International evaluation of an AI system for breast cancer screening. … July 24, 2013
Inaccuracies in assignment of clinical stage for localized prostate cancer
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psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
June 01, 2016 - discussion, the provider sent off a prostate-specific antigen (PSA) test to screen the patient for prostate … cancer. … Imaging tests confirmed metastatic prostate cancer and also uncovered the missed follow-up of the elevated
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psnet.ahrq.gov/issue/inadequate-outpatient-mental-health-triage-and-care-patient-chico-community-based-outpatient
November 29, 2023 - November 8, 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.
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psnet.ahrq.gov/issue/impact-errors-paper-based-and-computerized-diabetes-management-decision-support-hospitalized
April 03, 2024 - February 20, 2008
Clinical staging error in prostate cancer: localization and relevance … Medication reconciliation performed by pharmacy technicians at the time of preoperative screening
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psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-care-coordination-veterans
July 27, 2022 - 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.
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psnet.ahrq.gov/issue/quality-care-cranial-implant-surgeries-james-haley-va-medical-center-tampa-florida
December 23, 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.
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psnet.ahrq.gov/issue/rate-occult-specimen-provenance-complications-routine-clinical-practice
November 07, 2007 - August 25, 2021
Implementing universal suicide risk screening in a pediatric hospital
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psnet.ahrq.gov/issue/indian-health-service-actions-needed-improve-use-data-adverse-events
April 24, 2024 - July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … October 12, 2022
Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate … Cancer at the Hampton VA Medical Center in Virginia.