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psnet.ahrq.gov/issue/factors-impacting-patient-setup-analysis-and-error-management-during-breast-cancer
September 15, 2021 - position verification systems, error types associated with immobilization systems, and the influence of treatment … September 9, 2020
Health disparities: impact of health disparities and treatment decision-making … Related Resources
Quality and Safety Considerations in Intensity Modulated Radiation Therapy … January 25, 2023
Identifying patients whose symptoms are underrecognized during treatment … October 19, 2012
Radiation Therapy Safety: The Critical Role of the Radiation Therapist
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psnet.ahrq.gov/issue/making-health-care-safer-think-sepsis-time-matters
August 31, 2016 - article and accompanying set of infographics spotlight the importance of prompt identification and treatment … June 26, 2013
Preventing Infections During Cancer Treatment. … July 28, 2013
Preventing Infections During Cancer Treatment.
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psnet.ahrq.gov/issue/oncologist-perceptions-racial-disparity-racial-anxiety-and-unconscious-bias-clinical
October 19, 2022 - Oncologist perceptions of racial disparity, racial anxiety, and unconscious bias in clinical interactions, treatment … Oncologist perceptions of racial disparity, racial anxiety, and unconscious bias in clinical interactions, treatment … Oncologist perceptions of racial disparity, racial anxiety, and unconscious bias in clinical interactions, treatment … May 28, 2008
Therapeutic errors involving diabetes medications reported to United States … impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment
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psnet.ahrq.gov/issue/frequency-missed-test-results-and-associated-treatment-delays-highly-computerized-health
July 22, 2009 - Study
The frequency of missed test results and associated treatment delays in a highly … The frequency of missed test results and associated treatment delays in a highly computerized health … The frequency of missed test results and associated treatment delays in a highly computerized health … Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment … 2016
Root cause analysis reports help identify common factors in delayed diagnosis and treatment
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psnet.ahrq.gov/issue/new-technologies-radiation-therapy-ensuring-patient-safety-radiation-safety-and-regulatory
November 01, 2023 - Study
New technologies in radiation therapy: ensuring patient safety, radiation safety … New technologies in radiation therapy: ensuring patient safety, radiation safety and regulatory issues … According to the authors, the advent of more sophisticated technologies and more complex treatment plans … New technologies in radiation therapy: ensuring patient safety, radiation safety and regulatory issues … January 16, 2013
Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment
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psnet.ahrq.gov/issue/nobody-cared-women-who-have-reported-mistreatment-while-giving-birth-say-cdc-report-validates
April 27, 2022 - Advocates call for systemic change in treatment of pregnant people. … Advocates call for systemic change in treatment of pregnant people. Dwyer D, See P. ABC News. … Advocates call for systemic change in treatment of pregnant people. Dwyer D, See P. ABC News.
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psnet.ahrq.gov/issue/unintended-exposure-patient-lisa-norris-during-radiotherapy-treatment-beatson-oncology-centre
March 06, 2005 - Book/Report
Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment … Citation Text:
Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment at the Beatson … Citation
Citation Text:
Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment
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psnet.ahrq.gov/issue/association-current-opioid-use-serious-adverse-events-among-older-adult-survivors-breast
February 15, 2023 - pain is a well-established patient safety problem but less is known about chronic use after cancer treatment … assess the risks of serious adverse events associated with continued prescription opioid use after treatment … Findings indicate that opioid use after active cancer treatment was associated with a 15-fold increase … to improve outcomes by closely monitoring and reducing unnecessary long-term opioid use after cancer treatment … February 15, 2023
Health disparities: impact of health disparities and treatment decision-making
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psnet.ahrq.gov/issue/assessment-patient-retention-inpatient-care-information-post-hospitalization
June 01, 2022 - Although the majority of patients (>90%) felt confident in their knowledge of their diagnosis and treatment … plan, chart review indicated that only 43% to 64% correctly recalled details about their diagnosis, treatment … , post-discharge treatment plan, and medication changes. … April 5, 2023
Teamwork is associated with reduced hospital staff burnout at military treatment … Patient Safety Innovations
Project BOOST Increases Patient Understanding of Treatment
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psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
August 20, 2018 - Failed Interpretation of Screening Tool: Delayed Treatment. PSNet [internet]. … Failed Interpretation of Screening Tool: Delayed Treatment. PSNet [internet]. … identification of infection and sepsis is critical to providing the proper and timely life-sustaining therapies … Failed Interpretation of Screening Tool: Delayed Treatment. PSNet [internet]. … Supraventricular Tachycardia Masquerading as Panic Attacks
June 30, 2021
Optimizing Therapy
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psnet.ahrq.gov/issue/randomized-ambora-trial-clinical-practice-comparison-medication-errors-oral-antitumor-therapy
April 21, 2021 - the randomized AMBORA trial to clinical practice: comparison of medication errors in oral antitumor therapy … April 21, 2021
Medication errors during treatment with new oral anticancer agents: consequences … 2024
Association of polypharmacy and potential drug-drug interactions with adverse treatment … July 19, 2023
Use of therapeutic outcomes monitoring method for performing of pharmaceutical … December 29, 2014
Minimising treatment-associated risks in systemic cancer therapy.
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psnet.ahrq.gov/issue/interventions-improve-communication-hospital-discharge-and-rates-readmission-systematic
January 12, 2022 - systematic review assessed the impact of discharge communication on hospital readmissions, adherence to treatment … improved communication at discharge reduced 30-day hospital readmissions and increased adherence to treatment … January 4, 2021
Assessment of overuse of medical tests and treatments at US hospitals … Patient Safety Innovations
Project BOOST Increases Patient Understanding of Treatment
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psnet.ahrq.gov/node/851971/psn-pdf
July 31, 2023 - behavioral observation may be helpful until a sustained period of no impulsive
behavior (on pharmacologic therapy … This procedure requires a
combination of topical local anesthesia to suppress the gag reflex as well … iron deficiency frequently stops the craving for non-digestible objects.28,29 Adherence with oral
therapy … unhoused patients, but this is not a reason to withhold medically indicated
testing or pharmacologic therapy … Button Battery Ingestion Triage and Treatment Guidelines. National Capital Poison Center.
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psnet.ahrq.gov/issue/learning-no-fault-treatment-injury-claims-improve-safety-older-patients
September 27, 2023 - Study
Learning from no-fault treatment injury claims to improve the safety of older … Learning from no-fault treatment injury claims to improve the safety of older patients. … Learning from no-fault treatment injury claims to improve the safety of older patients.
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psnet.ahrq.gov/issue/does-compliance-patient-safety-tasks-improve-and-sustain-when-radiotherapy-treatment
December 05, 2018 - Study
Does compliance to patient safety tasks improve and sustain when radiotherapy treatment … Does compliance to patient safety tasks improve and sustain when radiotherapy treatment processes are … quality improvement study found that adherence to patient safety measures while providing radiation therapy—such … Does compliance to patient safety tasks improve and sustain when radiotherapy treatment processes are … November 20, 2015
Compliance to technical guidelines for radiotherapy treatment in relation
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psnet.ahrq.gov/issue/insulin-treatment-tracer-identifying-latent-patient-safety-risks-home-based-diabetes-care
September 28, 2010 - Study
Insulin treatment as a tracer for identifying latent patient safety risks in … Citation Text:
Insulin treatment as a tracer for identifying latent patient safety risks in home-based … Copy URL
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Insulin treatment
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psnet.ahrq.gov/issue/triad-xii-are-patients-aware-and-agree-dnr-or-polst-orders-their-medical-records
September 15, 2021 - single-center study found that Do-Not-Resuscitate (DNR) orders and Physician Orders for Life-Sustaining Treatment … When queried by study staff, 44% of patients expressed wishes for life-sustaining treatment that differed … TRIAD VII: do prehospital providers understand Physician Orders for Life-Sustaining Treatment … Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments
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psnet.ahrq.gov/issue/educational-intervention-contextualizing-patient-care-and-medical-students-abilities-probe
March 02, 2016 - in probing for contextual factors (biomedical or psychosocial factors that could impact diagnosis or treatment … ) while interviewing patients were better able to develop individualized treatment plans.
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psnet.ahrq.gov/issue/cancer-drug-shortages-are-creating-dire-circumstances-some-patients
September 21, 2022 - Until these cancer drugs are available, many patients will receive no treatment, or treatment that is … May 31, 2023
Mothers face broken addiction treatment system.
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psnet.ahrq.gov/issue/racial-disparities-diagnostic-delay-among-women-breast-cancer
November 10, 2021 - Delayed diagnosis and treatment of breast cancer can lead to poor outcomes . … November 10, 2021
Breast cancer treatment delays by socioeconomic and health care access … A mixed-methods analysis of patient safety incidents involving opioid substitution treatment … July 6, 2022
Identifying patients whose symptoms are underrecognized during treatment … January 4, 2021
Breast cancer treatment delays by socioeconomic and health care access