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psnet.ahrq.gov/issue/adoption-health-information-technology-medication-safety-us-hospitals-2006
August 07, 2013 - information technology usability issues contributing to medication errors across medication process stages
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psnet.ahrq.gov/issue/are-we-there-yet-ten-persistent-hazards-and-inefficiencies-use-medication-administration
August 04, 2021 - information technology usability issues contributing to medication errors across medication process stages
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psnet.ahrq.gov/node/73527/psn-pdf
July 28, 2021 - Guidance for health care leaders during the recovery
stage of the COVID-19 pandemic: a consensus statement.
July 28, 2021
Geerts JM, Kinnair D, Taheri P, et al. Guidance for health care leaders during the recovery stage of the
COVID-19 pandemic: a consensus statement. JAMA Netw Open. 2021;4(7):e2120295.
doi:10.100…
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psnet.ahrq.gov/node/46256/psn-pdf
August 09, 2017 - What stage are low-income and middle-income countries
(LMICs) at with patient safety curriculum implementation
and what are the barriers to implementation? A two-stage
cross-sectional study.
August 9, 2017
Ginsburg LR, Dhingra-Kumar N, Donaldson LJ. What stage are low-income and middle-income countries
(LMICs) at…
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psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis
March 24, 2021 - There is an evolution of clinical signs of necrotizing fasciitis—from early to late stages. … Evolution of physical signs of necrotizing fasciitis, from early to late stages.( 18 )
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psnet.ahrq.gov/node/40321/psn-pdf
March 30, 2011 - Inaccuracies in assignment of clinical stage for localized
prostate cancer.
March 30, 2011
Reese AC, Sadetsky N, Carroll PR, et al. Inaccuracies in assignment of clinical stage for localized prostate
cancer. Cancer. 2011;117(2):283-9. doi:10.1002/cncr.25596.
https://psnet.ahrq.gov/issue/inaccuracies-assignment-cli…
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psnet.ahrq.gov/node/38694/psn-pdf
June 10, 2009 - Clinical staging error in prostate cancer: localization and
relevance of undetected tumour areas.
June 10, 2009
Bolenz C, Gierth M, Grobholz R, et al. Clinical staging error in prostate cancer: localization and relevance
of undetected tumour areas. BJU Int. 2009;103(9):1184-9. doi:10.1111/j.1464-410X.2008.08243.x.
…
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psnet.ahrq.gov/node/846170/psn-pdf
March 15, 2023 - the hospital environment, medication management is a complex process usually involving at least four
stages … Medication
management is associated with a risk of errors and inefficiencies across all stages of the … approximately
10% - 39%), dispensing (approximately 11% - 40%), and administration (approximately 11 - 38%) stages
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psnet.ahrq.gov/node/40006/psn-pdf
November 17, 2010 - Impact of health information technology on detection of
potential adverse drug events at the ordering stage.
November 17, 2010
Roberts LL, Ward MM, Brokel JM, et al. Impact of health information technology on detection of potential
adverse drug events at the ordering stage. Am J Health Syst Pharm. 2010;67(21):1838-…
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psnet.ahrq.gov/node/44486/psn-pdf
January 06, 2016 - The effect of a staged, emergency department specific
rapid response system on reporting of clinical
deterioration.
January 6, 2016
Considine J, Rawet J, Currey J. The effect of a staged, emergency department specific rapid response
system on reporting of clinical deterioration. Australas Emerg Nurs J. 2015;18(4):…
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psnet.ahrq.gov/node/44158/psn-pdf
September 30, 2015 - Meaningful Use stage 2 e-prescribing threshold and
adverse drug events in the Medicare Part D population
with diabetes.
September 30, 2015
Powers C, Gabriel MH, Encinosa W, et al. Meaningful use stage 2 e-prescribing threshold and adverse
drug events in the Medicare Part D population with diabetes. J Am Med Inform…
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psnet.ahrq.gov/node/47440/psn-pdf
April 07, 2019 - Improving inpatient mental health medication safety
through the process of obtaining HIMSS Stage 7: a case
report.
April 7, 2019
Sulkers H, Tajirian T, Paterson J, et al. JAMIA Open. 2019;2:35–39.
https://psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process-
obtaining-himss-sta…
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psnet.ahrq.gov/node/36565/psn-pdf
December 06, 2011 - Hearing on Patient Safety and Quality Issues in End Stage
Renal Disease Treatment.
December 6, 2011
House Committee on Ways and Means. 109th Congress, 2nd Sess (December 6, 2006).
https://psnet.ahrq.gov/issue/hearing-patient-safety-and-quality-issues-end-stage-renal-disease-treatment
This hearing focused on…
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psnet.ahrq.gov/node/35230/psn-pdf
January 02, 2017 - A morning briefing: setting the stage for a clinically and
operationally good day.
January 2, 2017
Thompson DA, Holzmueller CG, Hunt D, et al. A morning briefing: setting the stage for a clinically and
operationally good day. Jt Comm J Qual Patient Saf. 2005;31(8):476-9.
https://psnet.ahrq.gov/issue/morning-briefi…
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psnet.ahrq.gov/issue/ahrq-safety-program-end-stage-renal-disease-facilities-toolkit
December 24, 2008 - Government Resource
AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit.
Citation Text:
AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; January 2015.
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psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
September 01, 2008 - successful execution of a complex system of scores of individual tasks that can be categorized into five stages … administration record (eMAR) targets errors that occur at the drug dispensing, transcription, and administration stages … two-thirds of serious medication errors occur during the transcription, dispensing, and administration stages … lot of incident reports reflected failure points in the transcription, dispensing, and administration stages
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psnet.ahrq.gov/node/43873/psn-pdf
February 04, 2015 - AHRQ Safety Program for End-Stage Renal Disease
Facilities—Toolkit.
February 4, 2015
Rockville, MD: Agency for Healthcare Research and Quality; January 2015.
https://psnet.ahrq.gov/issue/ahrq-safety-program-end-stage-renal-disease-facilities-toolkit
Health care–associated infections are a known contributor to adve…
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psnet.ahrq.gov/node/49714/psn-pdf
August 21, 2014 - There is an evolution of clinical signs of necrotizing fasciitis—from early to late stages. … Evolution of physical signs of necrotizing fasciitis, from early to late stages.(18)
Stage 1 (early)
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psnet.ahrq.gov/node/49387/psn-pdf
February 01, 2003 - In one large
study of medication errors and adverse drug events, the stages of serious medication errors
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psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
November 13, 2024 - During iterative analyses, we identified six stages that described the second victim recovery process … reviewed the proposed recovery trajectory and validated that they had indeed experienced the identified stages