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psnet.ahrq.gov/issue/walking-tightrope-balancing-risk-diagnostic-error-inpatient-pediatrics
November 24, 2010 - November 12, 2014
Inaccuracies in assignment of clinical stage for localized prostate … cancer. … emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening … January 19, 2022
Follow-up of abnormal screening mammograms among low-income ethnically … February 6, 2019
Defining, estimating, and communicating overdiagnosis in cancer screening
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psnet.ahrq.gov/issue/utility-clinical-examination-diagnosis-emergency-department-patients-admitted-department
April 06, 2022 - July 26, 2023
Early readmissions to the department of medicine as a screening tool for … May 22, 2019
Inaccuracies in assignment of clinical stage for localized prostate cancer … Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening
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psnet.ahrq.gov/issue/call-application-patient-safety-culture-medical-humanitarian-action-literature-review
February 10, 2021 - April 4, 2012
Estimation of breast cancer overdiagnosis in a U.S. breast screening cohort … May 6, 2015
Validation of hospital administrative dataset for adverse event screening … June 21, 2017
Clinical staging error in prostate cancer: localization and relevance of
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psnet.ahrq.gov/issue/deficiencies-facility-leaders-response-critical-surgical-events-michael-e-debakey-va-medical
November 13, 2013 - 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/2006-update-consumers-views-patient-safety-and-quality-information
March 06, 2005 - 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.
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psnet.ahrq.gov/issue/drug-shortages-public-health-threat-continues-despite-efforts-help-ensure-product
March 19, 2014 - July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … July 19, 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/nursing-home-complaint-investigations
September 27, 2006 - 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.
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psnet.ahrq.gov/issue/factors-associated-neuroradiologic-diagnostic-errors-large-tertiary-care-academic-medical
August 17, 2022 - Artificial intelligence-supported screen reading versus standard double reading in the Mammography Screening … trial (MASAI): a clinical safety analysis of a randomised, controlled, non-inferiority, single-blinded, screening … August 2, 2023
Breast cancer missed at screening; hindsight or mistakes?
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psnet.ahrq.gov/issue/are-pathologists-self-aware-their-diagnostic-accuracy-metacognition-and-diagnostic-process
September 21, 2022 - Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening … January 23, 2019
Estimation of breast cancer overdiagnosis in a U.S. breast screening … 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.
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psnet.ahrq.gov/issue/deficiencies-emergency-department-care-patient-who-died-suicide-john-cochran-division-va-st
July 05, 2023 - report shares recommendations to address leadership failures and other deficiencies including poor screening … 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/comparison-accuracy-human-readers-versus-machine-learning-algorithms-pigmented-skin-lesion
July 22, 2020 - November 16, 2016
Clinical staging error in prostate cancer: localization and relevance … January 31, 2018
Multilevel factors associated with time to biopsy after abnormal screening
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psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
April 01, 2005 - Inconsistent use of screening guidelines was an issue identified in the eA process for advanced colon … A lack of screening was a significant issue identified in the eA process for AAA. 1
Based on the eA … Following these findings, the SureNet system, as well as a screening program based on a Best Practice … Inconsistent use of screening guidelines was an issue identified in the eA for advanced colon cancer. … Beyond screening: an interim report and analysis of a multimodal initiative to decrease colon cancer
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psnet.ahrq.gov/issue/applying-principles-aviation-safety-investigations-root-cause-analysis-critical-incident
July 27, 2016 - March 30, 2011
Clinical staging error in prostate cancer: localization and relevance … October 24, 2007
Universal screening for methicillin-resistant Staphylococcus aureus … May 23, 2012
An adverse event screening tool based on routinely collected hospital-acquired
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psnet.ahrq.gov/issue/recognition-and-management-potential-drug-drug-interactions-patients-internal-medicine-wards
October 21, 2015 - July 27, 2016
Clinical staging error in prostate cancer: localization and relevance of … August 6, 2008
Universal screening for methicillin-resistant Staphylococcus aureus at … July 19, 2023
Multilevel factors associated with time to biopsy after abnormal screening
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psnet.ahrq.gov/issue/eight-recommendations-policies-communicating-abnormal-test-results
May 16, 2007 - , 2022
Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate … Cancer at the Hampton VA Medical Center in Virginia. … 1, 2018
WebM&M Cases
Failed Interpretation of Screening
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psnet.ahrq.gov/issue/review-alleged-patient-deaths-patient-wait-times-and-scheduling-practices-phoenix-va-health
June 04, 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.
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psnet.ahrq.gov/issue/two-decades-err-human-progress-still-chasm
March 13, 2013 - Use of administrative data to find substandard care: validation of the complications screening … October 3, 2018
International evaluation of an AI system for breast cancer screening. … June 15, 2011
Effect of using the same vs different order for second readings of screening
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psnet.ahrq.gov/issue/patient-safety-and-adverse-events
July 20, 2022 - January 6, 2010
Obstetric Care Consensus No. 5: Severe Maternal Morbidity: 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/improving-papanicolaou-test-quality-and-reducing-medical-errors-using-toyota-production
April 08, 2008 - January 30, 2005
Primary care collaboration to improve diagnosis and screening for colorectal
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psnet.ahrq.gov/issue/adverse-events-hospitals-quarter-medicare-patients-experienced-harm-october-2018
February 01, 2023 - 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.