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psnet.ahrq.gov/issue/improving-pain-management-hospitalized-medical-patients
July 24, 2024 - WebM&M Cases
Overdose of Gabapentin and Oxycodone in a Patient with End-Stage
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psnet.ahrq.gov/node/42711/psn-pdf
October 31, 2014 - Characterising the complexity of medication safety using
a human factors approach: an observational study in two
intensive care units.
October 31, 2014
Carayon P, Wetterneck TB, Cartmill R, et al. Characterising the complexity of medication safety using a
human factors approach: an observational study in two inten…
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psnet.ahrq.gov/node/73146/psn-pdf
April 28, 2021 - When kidney damage becomes
severe enough, patients may be diagnosed with end-stage kidney disease (ESKD … and
ongoing communication between the patient and the care team.7
Mitigating Safety Risks in End-Stage … the Medical Director for Satellite Health Care and as a
member of the Medical Advisory Board for Nx Stage
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psnet.ahrq.gov/issue/machine-learning-medicine
March 13, 2024 - Machine learning in health care is in the early stage of application.
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psnet.ahrq.gov/node/33711/psn-pdf
May 01, 2011 - (iv) enduring the inquisition, (v) obtaining emotional first aid, and (vi) moving on.(18) The sixth stage … The Table
illustrates the six-stage recovery trajectory as well as stage characteristics and recommended … participants then offered their recommendations regarding
desired or ideal institutional support for each stage
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psnet.ahrq.gov/node/44922/psn-pdf
March 01, 2017 - properly mobilize the operating room team to participate in a timeout or
signout at the appropriate stage
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psnet.ahrq.gov/node/44393/psn-pdf
August 12, 2015 - proprietary names, this
announcement describes near misses with the drugs at the prescribing and dispensing stage
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psnet.ahrq.gov/node/45965/psn-pdf
April 19, 2017 - measuring-harm-and-informing-quality-improvement-welsh-nhs-longitudinal-
welsh-national
This publication compared the use of the Global Trigger Tool with a two-stage
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psnet.ahrq.gov/node/49434/psn-pdf
February 01, 2004 - Upon evaluation by a gynecologic-oncologist, she was found to
be Stage IIB cancer. … of more
rapidly progressive disease have been reported, here it appears that this woman's advanced stage … system also contributed to the failure to detect this woman's
disease in an earlier, more curable stage … Determinants of late stage diagnosis of breast
and cervical cancer: the impact of age, race, social
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psnet.ahrq.gov/node/34795/psn-pdf
December 23, 2008 - The authors also present data on the stage at which an ADE
occurred, consequences of the preventable
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psnet.ahrq.gov/issue/computerized-order-entry-systems-may-miss-medication-errors
July 28, 2010 - Impact of health information technology on detection of potential adverse drug events at the ordering stage
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psnet.ahrq.gov/issue/safe-critical-care-project-testing-improvement-strategies
January 30, 2008 - Tools/Toolkit
A morning briefing: setting the stage for a clinically and operationally
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psnet.ahrq.gov/node/38758/psn-pdf
July 08, 2009 - The authors discuss the types of errors that may occur at each stage of radiotherapy and
recommend error
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psnet.ahrq.gov/node/37992/psn-pdf
August 20, 2008 - Most reported errors occurred at the prescribing
stage (e.g., prescribing an incorrect dose), and nearly
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psnet.ahrq.gov/perspective/conversation-witheric-g-poon-md-mph
September 01, 2008 - about a third to a half of serious medication errors are committed during the physician prescribing stage … setting, but those strategies can only go so far when the reliability is already at the 95% to 99% stage … the field that if an error is committed early in the medication use process during the order-writing stage … ( 2 )
Research has shown that most medication errors are made by providers during the prescribing stage … trials evaluating the impact of this technology on reducing medication errors at the administration stage
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psnet.ahrq.gov/node/40807/psn-pdf
September 01, 2016 - provider order entry (CPOE) hold promise for reducing
medication errors at the prescribing and dispensing stage
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psnet.ahrq.gov/node/40993/psn-pdf
December 14, 2011 - anticoagulant-
related ADEs were attributable to medication errors, usually at the medication administration stage
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psnet.ahrq.gov/issue/patient-safety-dialysis-access
September 29, 2017 - This publication raises awareness of safety in end-stage renal disease care, explores factors specific
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psnet.ahrq.gov/issue/complaints-about-acute-trusts-2013-14-and-q1-and-q2-2014-15
February 18, 2009 - September 10, 2014
High Quality Care for All: NHS Next Stage Review Final Report.
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psnet.ahrq.gov/node/39800/psn-pdf
January 19, 2011 - The prescribing stage was responsible for nearly 95% of the errors in the former category
but only 60%