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psnet.ahrq.gov/issue/opioid-epidemic-what-can-surgeons-do-about-it
March 27, 2019 - This commentary provides suggestions for surgeons at preoperative, postoperative, and outpatient care stages
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psnet.ahrq.gov/issue/ai-promise-or-peril-patient-safety
July 20, 2022 - The PFPS-US AI Working Group stresses patients should have an active role in all stages of development
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psnet.ahrq.gov/issue/preventing-medication-errors-information-age
February 15, 2023 - suggest solutions to these weaknesses, including improving access to support personnel through all stages
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psnet.ahrq.gov/issue/organizational-and-intraorganizational-development-disasters
May 12, 2021 - The author examines three major disasters in order to identify common features and characterize stages
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psnet.ahrq.gov/issue/crowding-emergency-department-challenges-care-children
October 19, 2022 - factors that influence crowding and improvement at the input, departmental, and hospital/outpatient stages
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psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-prospective-medication-safety-risk
June 05, 2024 - Medication management encompasses several stages, including ordering, preparing , dispensing, administering
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psnet.ahrq.gov/node/33588/psn-pdf
March 15, 2025 - A qualitative descriptive study with 31 clinicians described 6 stages of recovery after an incident ( … Stages of Recovery for Second Victims
Stage of
Recovery
Summary
Chaos and
Accident
Response
Clinician
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psnet.ahrq.gov/issue/parenteral-nutrition-errors-and-potential-errors-reported-over-past-10-years
June 20, 2018 - The majority of errors occurred during the compounding or dispensing and administration stages.
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psnet.ahrq.gov/issue/characteristics-medication-errors-parenteral-cytotoxic-drugs
July 01, 2017 - found that chemotherapy medication errors occurred most frequently at the prescribing and preparation stages
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psnet.ahrq.gov/issue/patient-centered-insights-using-health-care-complaints-reveal-hot-spots-and-blind-spots
November 29, 2023 - Researchers classified 1110 patient complaints submitted to England's National Health Service to identify stages
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psnet.ahrq.gov/issue/medication-incident-recovery-and-prevention-utilising-australian-community-pharmacy-incident
July 28, 2021 - community pharmacists reported 1,013 medication incidents, mainly at the prescribing and dispensing stages
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psnet.ahrq.gov/issue/comprehensive-program-reduce-rates-hospital-acquired-pressure-ulcers-system-community
May 12, 2021 - Rates of severe (stages III and IV) ulcers declined in participating facilities, demonstrating that a
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psnet.ahrq.gov/issue/novel-study-situational-awareness-among-out-hospital-providers-during-online-clinical
June 08, 2022 - medical technicians (EMT) participated in a video simulation to assess their SA at each of the three stages
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psnet.ahrq.gov/issue/transfusion-safety-nature-and-outcomes-errors-patient-registration
December 16, 2020 - The authors discuss how problems can occur during various stages in the transfusion process and result
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psnet.ahrq.gov/issue/accuracy-spinal-anesthesia-drug-concentrations-mixtures-prepared-anesthetists
September 21, 2022 - Anesthesia medications prepared in the operating room are vulnerable to errors at all stages of medication
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psnet.ahrq.gov/issue/racial-bias-cesarean-decision-making
June 02, 2019 - Racial bias negatively impacts maternal safety across all stages of pregnancy.
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psnet.ahrq.gov/issue/multi-tiered-approach-safety-education
January 31, 2018 - This commentary describes an initiative that incorporated patient safety training into earlier stages
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psnet.ahrq.gov/issue/care-we-need
March 25, 2020 - information technology usability issues contributing to medication errors across medication process stages
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psnet.ahrq.gov/issue/4-actions-reduce-medical-errors-us-hospitals
July 24, 2024 - information technology usability issues contributing to medication errors across medication process stages
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psnet.ahrq.gov/issue/care-point-impact-insights-second-victim-experience
January 03, 2017 - This commentary reviews the stages of recovery that such health care workers experience, determined