-
psnet.ahrq.gov/node/74226/psn-pdf
February 01, 2019 - Note that the target population does not include patients with
OUD in medication-assisted treatment … reviews for patients identified to be at the
highest risk of overdose and/or suicide and implement treatment … Case reviews are conducted by an interdisciplinary team and include follow-up to ensure a treatment plan … electronic medical record data to identify factors (e.g., history of overdose, receiving mental health
treatment … is collaborative and includes the range of the patient’s care
providers, focusing on the patient’s treatment
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psnet.ahrq.gov/node/867533/psn-pdf
January 15, 2025 - Care omission,
treatment delay, and staff distraction illustrate topics covered by this notice.
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psnet.ahrq.gov/issue/she-lay-dying-how-i-fought-stop-medical-errors-killing-my-mom
December 19, 2012 - A physician whose mother experienced a treatment delay that led to her death describes the hospital's … June 21, 2016
Readiness to report medical treatment errors: the effects of safety procedures
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psnet.ahrq.gov/issue/guide-infection-prevention-outpatient-settings-minimum-expectations-safe-care
June 11, 2014 - June 26, 2013
Preventing Infections During Cancer Treatment. … November 29, 2012
Preventing Infections During Cancer Treatment.
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psnet.ahrq.gov/issue/legacy-black-physician-reckons-racism-medicine
March 20, 2024 - Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments … July 12, 2023
Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment
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psnet.ahrq.gov/issue/deadly-deliveries
March 30, 2022 - March 30, 2022
White patients’ physical responses to healthcare treatments are influenced … September 21, 2022
Racial bias in pain assessment and treatment recommendations, and
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psnet.ahrq.gov/issue/preventing-medication-errors-during-codes
February 22, 2023 - 2018
Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment … May 22, 2019
Beware of basal opioid infusions with PCA therapy. … May 26, 2011
Heparin: improving treatment and reducing risk of harm.
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psnet.ahrq.gov/issue/how-pandemic-defeated-america
July 01, 2020 - July 22, 2020
Racial and ethnic disparities in the treatment of chronic pain. … June 17, 2020
Fear of Covid-19 leads other patients to decline critical treatment.
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psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
January 01, 2025 - Primary Treatment
protocols,
enhanced data
collection/
analysis
Hospital
mortality, O/E
mortality … Primary RRS Treatment
protocols, enhanced
data collection and
analysis
Incidence of
cardiorespiratory … interventions
38
Opioid Stewardship Interventions
• Did not include
► Interventions focused on treatment … facilitators
► Cost, staffing, time
• Process
► Urine drug screen ordering
or administration
► Treatment … reluctance & expectations
• Lack of a comprehensive approach
• Inadequate access to alternative
treatments
-
psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
March 29, 2023 - There are often questions about measuring screening and referral to treatment. … Healthcare providers should identify and discuss the available treatment options for perinatal mental … health concerns, including medication, therapy, and support groups. … be personalized to the patient's needs and may include regular check-ins, medication management, and therapy … July 5, 2023
Mothers face broken addiction treatment system.
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psnet.ahrq.gov/issue/implementation-patient-safety-structures-and-processes-patient-centered-medical-home
September 28, 2022 - physician panel to examine ambulatory patient safety concerns (e.g., medication safety, diagnostic error, treatment … sets of criteria for potentially inappropriate prescribing in older people to identify inadequate drug treatment
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psnet.ahrq.gov/issue/systematic-review-impact-physician-implicit-racial-bias-clinical-decision-making
May 18, 2022 - Numerous studies have shown physician implicit bias in diagnosis and treatment of patients in the … July 13, 2022
Impact of clinical decision support therapeutic interchanges on hospital … , Please
May 1, 2004
The girl who cried pain: a bias against women in the treatment
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psnet.ahrq.gov/issue/leading-causes-anesthesia-related-liability-claims-ambulatory-surgery-centers
December 16, 2020 - discuss the role of preoperative risk assessment, use of routine dental and airway assessment, adequate treatment … Download Citation
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Miscarriage treatment-related
-
psnet.ahrq.gov/issue/whats-harm-results-active-surveillance-adverse-event-reporting-system-chiropractors-and
December 23, 2020 - between October 2015 and December 2017, 21% reported experiencing an adverse event 2 to 7 days post-treatment … June 19, 2024
Defining the landscape of patient harm after osteopathic manipulative treatment … See More About The Topic
Ambulatory Clinic or Office
Physical and Occupational Therapy
-
psnet.ahrq.gov/issue/hearing-impairment-and-amelioration-avoidable-medical-error-cross-sectional-survey
June 09, 2021 - Hearing impairment can lead to misunderstanding of a patient’s health condition, treatment, or follow … September 9, 2011
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health
-
psnet.ahrq.gov/issue/determinants-patient-oncologist-prognostic-discordance-advanced-cancer
July 13, 2022 - improve physician–patient communication about prognosis in order to ensure appropriate discussion of treatment … 2022
Association of polypharmacy and potential drug-drug interactions with adverse treatment
-
psnet.ahrq.gov/issue/promising-roles-pharmacists-addressing-us-opioid-crisis
May 19, 2021 - patients and prescribers , informing patients about risks of opioid use, and recommending addiction treatment … May 19, 2021
What works in medication reconciliation: an on-treatment and site analysis
-
psnet.ahrq.gov/issue/best-practices-chemotherapy-administration-pediatric-oncology-quality-and-safety-process
September 23, 2020 - Chemotherapy is a high-risk treatment that requires specific safety protocols. … October 23, 2024
Improving shared situation awareness for high-risk therapies in hospitalized … April 16, 2014
Chemotherapy medication errors in a pediatric cancer treatment center:
-
psnet.ahrq.gov/issue/prevalence-triggers-and-patient-harm-identified-global-trigger-tool-specialized-palliative
June 14, 2023 - identified by the GTT, 16 were considered part of the patient's disease trajectory or known consequences of treatment … Resources
Cognitive biases and moral characteristics of healthcare workers and their treatment
-
psnet.ahrq.gov/issue/older-folks-hospitals-contributing-factors-and-recommendations-incident-prevention
April 13, 2022 - prior studies suggesting that older adults experience high rates of harm while receiving medical treatment … March 16, 2022
Learning from no-fault treatment injury claims to improve the safety of … February 24, 2011
Therapeutic errors involving adults in the community setting: nature