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psnet.ahrq.gov/issue/drug-shortages-effect-parenteral-nutrition-therapy
June 20, 2018 - Review
Drug shortages: effect on parenteral nutrition therapy. … Drug Shortages: Effect on Parenteral Nutrition Therapy. … Shortages of medications and compounding components can lead to diversion from recommended treatment … Drug Shortages: Effect on Parenteral Nutrition Therapy. … March 28, 2018
Clinicians' expectations of the benefits and harms of treatments, screening
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psnet.ahrq.gov/issue/comprehensive-stroke-centers-overcome-weekend-versus-weekday-gap-stroke-treatment-and
July 13, 2010 - Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment … Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality … Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality
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psnet.ahrq.gov/issue/are-opioid-dependence-and-methadone-maintenance-treatment-mmt-documented-medical-record
August 15, 2018 - Study
Are opioid dependence and methadone maintenance treatment (MMT) documented … Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? … Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? … Related Resources From the Same Author(s)
Improving adherence to long-term opioid therapy
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psnet.ahrq.gov/issue/chemotherapy-medication-errors-pediatric-cancer-treatment-center-prospective-characterization
January 22, 2017 - Study
Chemotherapy medication errors in a pediatric cancer treatment center: prospective … Chemotherapy medication errors in a pediatric cancer treatment center: prospective characterization of … Chemotherapy medication errors in a pediatric cancer treatment center: prospective characterization of
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psnet.ahrq.gov/issue/modes-failure-venous-thromboembolism-prophylaxis
October 19, 2022 - with VTE and found that only 15% received correct risk stratification and appropriate management and treatment … review found that patients were commonly incorrectly stratified, received incorrect pharmaceutical treatment … January 19, 2014
Delivery of optimized inpatient anticoagulation therapy: consensus statement … September 24, 2010
Heparin: improving treatment and reducing risk of harm.
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psnet.ahrq.gov/node/73549/psn-pdf
July 28, 2021 - The treatment of LAST is multifaceted, including circulatory and ventilatory support along with seizure … suppression, but the primary treatment is the infusion of intralipid. … Following treatment of LAST, the patient should be observed for at least 2 hours after a CNS event and … It also highlights that the correct diagnosis and treatment of LAST in the operating
room is critically … Effective treatment of LAST is multifactorial but the administration of intralipid is critical to a
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psnet.ahrq.gov/issue/toward-patient-centered-cancer-care-patient-perceptions-problematic-events-impact-and
March 11, 2013 - to errors due to the complex, multidisciplinary nature of the care they require and the risks of the treatments … This qualitative study of patients undergoing treatment for breast or colon cancer found that a significant … editorial calls for clinicians to communicate more effectively with patients throughout their course of treatment … April 22, 2020
Patient involvement in evaluation of safety in oral antineoplastic treatment
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psnet.ahrq.gov/issue/hidden-danger-obvious-opportunity-error-and-risk-management-cancer
June 07, 2018 - This commentary provides context on risks, errors, and safety in cancer treatment in light of a recent … analysis by the Chief Medical Officer for the United Kingdom regarding error in radiation therapy. … August 15, 2018
Modern palliative radiation treatment: do complexity and workload contribute … April 17, 2013
Radiation Therapy Safety: The Critical Role of the Radiation Therapist … September 30, 2011
Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment
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psnet.ahrq.gov/issue/non-intercepted-dose-errors-prescribing-antineoplastic-treatment-prospective-comparative
June 18, 2013 - Study
Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective … Non-intercepted dose errors in prescribing anti-neoplastic treatment: a prospective, comparative cohort … Non-intercepted dose errors in prescribing anti-neoplastic treatment: a prospective, comparative cohort
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psnet.ahrq.gov/issue/what-are-safety-risks-patients-undergoing-treatment-multiple-specialties-retrospective
March 18, 2013 - Study
What are the safety risks for patients undergoing treatment by multiple specialties … What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective … What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective
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psnet.ahrq.gov/issue/safety-work-and-risk-management-burdens-treatment-primary-care-insights-focused-ethnographic
January 24, 2018 - Study
Safety work and risk management as burdens of treatment in primary care: insights … Safety work and risk management as burdens of treatment in primary care: insights from a focused ethnographic … Safety work and risk management as burdens of treatment in primary care: insights from a focused ethnographic
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psnet.ahrq.gov/issue/lyme-disease-baffling-even-experts-new-insights-are-last-accumulating
August 19, 2020 - This magazine article reports on the persistent misdiagnosis and ineffective treatment of Lyme disease … , including how lack of a standardized test for the disease and bias affect diagnosis and treatment
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psnet.ahrq.gov/issue/how-opioid-backlash-went-wrong
May 24, 2023 - This article discusses precursors to the system failure affecting these patients and treatment options … May 31, 2023
Mothers face broken addiction treatment system.
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psnet.ahrq.gov/web-mm/forgotten-line
March 11, 2011 - Access to central blood vessels for administration of life-saving therapies and measuring hemodynamics … remove those that are not.( 7 ) Second, we know that lines placed during emergencies (in this case, treatment … complications), and (iv) establishing policies for automatic removal for central lines once disconnected from therapy … Verbal and written information explaining risk / benefits and care of catheter Avoid: Use of topical … gauze dressings every 2 days [2], transparent dressing every 7 days [1B] Change IV therapy
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psnet.ahrq.gov/issue/identifying-medication-errors-surgical-prescription-charts
April 17, 2024 - 2015
Does compliance to patient safety tasks improve and sustain when radiotherapy treatment … January 23, 2013
Minimising treatment-associated risks in systemic cancer therapy. … July 2, 2008
Compliance to technical guidelines for radiotherapy treatment in relation … Related Resources
WebM&M Cases
Delayed Diagnosis and Treatment
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psnet.ahrq.gov/issue/tragic-death-shows-how-ers-fail-patients-who-struggle-addiction
August 07, 2024 - with access and cost affect identification of these vulnerable patients and their ability to receive treatment … May 26, 2021
Addiction treatment providers in Pa. face little state scrutiny despite
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psnet.ahrq.gov/issue/standardized-orders-titrating-vasopressors-do-efforts-improve-safety-slow-delivery-care
March 20, 2019 - quality improvement initiative seeking to reduce the opportunity for mistakes may have resulted in treatment … TRIAD VII: do prehospital providers understand Physician Orders for Life-Sustaining Treatment … February 12, 2020
What do patients and their carers do to support the safety of cancer treatment
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psnet.ahrq.gov/issue/impact-patient-safety-bundle-and-team-based-training-obstetric-hypertensive-emergencies
July 21, 2021 - Pregnancy patient safety bundle to increase the percentage of patients who receive evidence-based treatment … After several cycles of plan-do-study-act, the percentage of patients receiving appropriate treatment … 2018
Association of polypharmacy and potential drug-drug interactions with adverse treatment
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psnet.ahrq.gov/issue/adherence-national-guidelines-timeliness-test-results-communication-patients-veterans-affairs
March 03, 2019 - Delayed communication of abnormal test results can contribute to diagnostic and treatment delays , patient … Veterans Affairs specifies abnormal test results be communicated to the patient within seven days if treatment … is required, and within 14 days if no treatment is required.
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psnet.ahrq.gov/issue/evaluation-outcomes-national-patient-initiated-second-opinion-program
July 15, 2015 - Diagnostic errors can lead to delayed or incorrect treatments, resulting in serious patient harms. … Second opinions led to a change in diagnosis or treatment in more than 40% of participants. … have moderate or major clinical impact on patients' diagnoses in approximately 21% of cases and on treatments … Patient-initiated second opinions: systematic review of characteristics and impact on diagnosis, treatment