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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/45575/psn-pdf
November 09, 2016 - success in reducing the unneeded intervention: fewer serum creatinine tests ordered in
those with end stage
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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%
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psnet.ahrq.gov/node/46624/psn-pdf
November 29, 2017 - shared decision-making in conversations between urology fellows and patients about
how to treat early stage
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psnet.ahrq.gov/node/33673/psn-pdf
September 01, 2008 - safety.(2)
Research has shown that most medication errors are made by providers during the prescribing stage … intravenous (IV) infusion pumps have been developed to mitigate errors that occur at the
administration stage … trials evaluating
the impact of this technology on reducing medication errors at the administration stage
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psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
March 03, 2021 - Commentary
Classic
Leading change: why transformation efforts fail.
Citation Text:
Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev 1995;73(2);59-67.
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psnet.ahrq.gov/issue/lost-mislabeled-and-mishandled-surgical-and-clinical-pathology-specimens-systematic-review
September 23, 2020 - This review analyzed the evidence on specimen errors during the pre-analytical stage.
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psnet.ahrq.gov/issue/medicines-safety-anaesthetic-practice
February 02, 2022 - safe medication administration and recommends strategies to reduce opportunities for error at each stage
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psnet.ahrq.gov/issue/assessing-utility-chatgpt-throughout-entire-clinical-workflow-development-and-usability-study
February 12, 2020 - ChatGPT had an overall accuracy of 72%, with the highest level of accuracy at the final diagnosis stage
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psnet.ahrq.gov/issue/iconic-language-graphical-representation-medical-concepts
March 05, 2025 - Such systems may serve as a method to prevent medication errors, particularly at the prescribing stage
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psnet.ahrq.gov/issue/peripheral-vision-expertise-real-world-contexts
April 24, 2018 - The authors describe a five-stage model of acquiring expertise and applying it to diagnostic and surgical
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psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
September 01, 2008 - ( 2 )
Research has shown that most medication errors are made by providers during the prescribing stage … intravenous (IV) infusion pumps have been developed to mitigate errors that occur at the administration stage … trials evaluating the impact of this technology on reducing medication errors at the administration stage … 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
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psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events
July 26, 2023 - anticoagulant-related ADEs were attributable to medication errors, usually at the medication administration stage
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psnet.ahrq.gov/issue/international-review-patient-safety-measures-radiotherapy-practice
May 22, 2019 - 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/40167/psn-pdf
January 22, 2017 - take effect in July 2011, and one of
those recommendations emphasizes enhanced supervision of early-stage
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.224_slideshow.ppt
October 01, 2010 - oversight
*
*
Case: Dangerous Dialysis
A 48-year-old man with a long history of diabetes and end-stage … *
US Renal Data System, USRDS 2009 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage … End-Stage Renal Disease (ESRD) Networks 18 geographically organized committees under CMS supervision.
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psnet.ahrq.gov/issue/relationships-among-clinician-delay-diagnosis-breast-cancer-and-tumor-size-nodal-status-and
March 08, 2017 - relationships among clinician delay of diagnosis of breast cancer and tumor size, nodal status, and stage … relationships among clinician delay of diagnosis of breast cancer and tumor size, nodal status, and stage … relationships among clinician delay of diagnosis of breast cancer and tumor size, nodal status, and stage
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psnet.ahrq.gov/issue/saying-sorry
October 20, 2021 - August 2, 2023
High Quality Care for All: NHS Next Stage Review Final Report.
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psnet.ahrq.gov/issue/double-key-bounce-and-double-keying-errors
February 01, 2023 - May 2, 2018
Anticoagulant safety takes center stage in 2007.
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psnet.ahrq.gov/issue/theres-more-60-minutes-story-heparin-errors
March 15, 2022 - May 7, 2018
Anticoagulant safety takes center stage in 2007.