-
psnet.ahrq.gov/node/45893/psn-pdf
August 28, 2017 - Investigators determined multiple unintended consequences of
electronic prescribing, at every stage
-
psnet.ahrq.gov/node/43388/psn-pdf
July 30, 2014 - For the baseline stage, patients received a live follow-up call 3 weeks after their visit.
-
psnet.ahrq.gov/node/37838/psn-pdf
June 11, 2008 - However, as noted in prior research, problems were noted at each stage of the testing process,
implying
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psnet.ahrq.gov/issue/mobilising-team-who-surgical-safety-checklist-qualitative-video-study
September 29, 2017 - properly mobilize the operating room team to participate in a timeout or signout at the appropriate stage
-
psnet.ahrq.gov/issue/second-victim-unanticipated-adverse-events
February 12, 2020 - formal support programs, this commentary also encourages a culture of safety and understanding of the 6-stage
-
psnet.ahrq.gov/issue/developing-cancer-specific-trigger-tool-identify-treatment-related-adverse-events-using
May 20, 2020 - 19% of patients during their initial year in treatment, and that trigger burden varied by disease, stage
-
psnet.ahrq.gov/issue/potentiality-algorithms-and-artificial-intelligence-adoption-improve-medication-management
July 27, 2022 - Most studies targeted the prescribing stage, and the main category of AI was computerized decision support
-
psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-warns-about-prescribing-and-dispensing-errors-resulting
August 05, 2020 - proprietary names, this announcement describes near misses with the drugs at the prescribing and dispensing stage
-
psnet.ahrq.gov/issue/identifying-electronic-health-record-contributions-diagnostic-error-ambulatory-settings
January 25, 2023 - contributed to diagnostic error in 61% of claims, the majority in outpatient care, and 92% at the testing stage
-
psnet.ahrq.gov/node/49835/psn-pdf
January 01, 2020 - man with diabetes mellitus complicated by retinopathy, neuropathy, and nephropathy;
glaucoma; and stage … with nephrology approval required before any long-term
venous access can be placed in patients with stage … achieving any fistula or graft.(11)
The patient in this illustrative case had complicated diabetes with stage
-
psnet.ahrq.gov/node/33561/psn-pdf
September 15, 2024 - death or serious injury associated with a fall while being cared for in a healthcare setting
Any stage … 3, stage 4, and unstageable pressure ulcers acquired after admission/presentation to a
healthcare setting
-
psnet.ahrq.gov/node/33672/psn-pdf
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
-
psnet.ahrq.gov/issue/patient-safety-incident-response-framework
October 20, 2021 - June 12, 2019
High Quality Care for All: NHS Next Stage Review Final Report.
-
psnet.ahrq.gov/issue/patient-safety-improvement-act-2020
February 12, 2020 - October 3, 2017
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease
-
psnet.ahrq.gov/issue/nhs-improvement
April 15, 2020 - May 1, 2016
High Quality Care for All: NHS Next Stage Review Final Report.
-
psnet.ahrq.gov/issue/statement-hospital-healthsystem-association-pennsylvania
January 08, 2020 - March 19, 2014
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.149_slideshow.ppt
May 01, 2007 - abstract&list_uids=10458831
Factors That Can Alter Phenytoin Protein Binding
Hypoalbuminemia
End-stage … clinical status
Require that unbound phenytoin levels be reported in patients with hypoalbuminemia or end-stage … the potential for displacement from albumin binding sites
In patients with low serum albumin or end-stage
-
psnet.ahrq.gov/issue/complaints-about-acute-trusts-2016-2017
April 17, 2024 - September 10, 2014
High Quality Care for All: NHS Next Stage Review Final Report.
-
psnet.ahrq.gov/issue/addressing-burnout-behavioral-health-workforce-through-organizational-strategies
December 24, 2008 - Behavioral health workers are particularly susceptible to burnout , which sets the stage for unsafe
-
psnet.ahrq.gov/node/49609/psn-pdf
October 01, 2010 - The Case
A 48-year-old man with a long history of diabetes and end-stage renal disease (ESRD) on hemodialysis … In 2007,
more than 500,000 end-stage renal disease (ESRD) patients were dialyzed in the United States … 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