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psnet.ahrq.gov/issue/hardwiring-safety-computer-system-one-hospitals-actions-provide-technology-support-u-500
February 24, 2016 - 2018
Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment
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psnet.ahrq.gov/issue/accuracies-diagnostic-methods-acute-appendicitis
September 06, 2017 - Cases
An Obstructed View
October 1, 2015
Prevention and treatment
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psnet.ahrq.gov/issue/addressing-electronic-health-record-contributions-diagnostic-error
July 29, 2009 - November 6, 2024
Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired
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psnet.ahrq.gov/issue/communication-factors-follow-abnormal-mammograms
March 02, 2011 - Patient Safety
February 1, 2013
WebM&M Cases
Treatment
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psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine
July 15, 2015 - Patient-initiated second opinions: systematic review of characteristics and impact on diagnosis, treatment
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psnet.ahrq.gov/issue/systematic-review-evidence-publishing-patient-care-performance-data-improves-quality-care
September 06, 2017 - March 2, 2011
Association of adverse events in opioid addiction treatment with quality
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psnet.ahrq.gov/issue/maternal-and-infant-health-inequality-new-evidence-linked-administrative-data
August 23, 2017 - April 19, 2023
Mothers face broken addiction treatment system.
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psnet.ahrq.gov/issue/biased-test-kept-thousands-black-people-getting-kidney-transplant
September 02, 2016 - Safety Risk of Air Embolus Associated with Central Venous Catheters Used for Haemodialysis Treatment … May 7, 2018
Ordering of continuous renal replacement therapy in a computerized provider
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psnet.ahrq.gov/issue/insulin-pumps-have-most-reported-problems-fda-database
October 03, 2018 - October 3, 2018
Mounting drug shortages delay treatments for patients with bladder cancer
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psnet.ahrq.gov/issue/deny-dismiss-dehumanise-what-happened-when-i-went-hospital
September 09, 2015 - February 1, 2023
Effect of cognitive aids on adherence to best practice in the treatment
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psnet.ahrq.gov/web-mm/mismanagement-delirium
February 13, 2014 - He was admitted to a skilled nursing facility for physical therapy to establish mobility and for assistance … nonpharmacological approaches should be considered first-line therapy because they are more likely to … effective in managing dementia-related behavioral symptoms while avoiding adverse effects from drug therapy … be conservative and used for severe agitation or psychotic symptoms, only after nonpharmacological treatments … for sleep, anxiety, agitation, and pain, including music, massage, relaxation techniques, physical therapy
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psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
January 01, 2015 - medications and muscle relaxants at "trigger points," nitrous oxide ("laughing gas"), as well alternative therapies … care, the way the use of ketorolac (Toradol), a nonopioid anti-inflammatory, has become first-line treatment … safe medication use research ( PA-16-421 ) and an initiative that will implement medication-assisted treatment … For acute pain, CDC recommends limiting duration of therapy, generally to one week or less.
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psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
July 02, 2011 - Early treatment efforts focus on securing the aneurysm with clipping or endovascular intervention, which … in the posterior circulation, and an aneurysm >10 mm in size. 13 For these reasons, the timing of treatment … Critical to successful surgical treatment is the surgeon’s identification of vessels that emerge from … Multimodality Techniques in Microsurgical Clipping as the Gold Standard Treatment in the Management of … April 27, 2022
WebM&M Cases
Delayed Diagnosis and Treatment
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psnet.ahrq.gov/web-mm/bleeding-risk
November 01, 2003 - The principal complication of warfarin therapy is hemorrhage. … inadequate monitoring, co-administration of medications that interact with warfarin, or inadequate treatment … disorders, but it has a relatively narrow therapeutic window. … Treatment of warfarin-associated coagulopathy with oral vitamin K: a randomized clinical trial. … Conservative treatment of overanticoagulated patients.
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psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
June 01, 2016 - important distinguishing features.( 11 ) First, the year-end transfer often terminates a long-term treatment … Finally, patient factors such as adherence to and engagement in treatment plans are more problematic … and how incoming residents should approach the initial visit, prioritize tasks, and establish a new therapeutic … February 18, 2011
WebM&M Cases
Treatment Challenges After
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psnet.ahrq.gov/issue/potential-drug-interactions-hospitalized-cancer-patients
June 07, 2016 - June 4, 2014
View More
Related Resources
Use of therapeutic outcomes … impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment
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psnet.ahrq.gov/issue/medication-reconciliation-community-nonteaching-hospital
October 19, 2012 - November 11, 2020
Effect of cognitive aids on adherence to best practice in the treatment
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psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment
September 29, 2017 - December 21, 2017
Clinicians' expectations of the benefits and harms of treatments, screening
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psnet.ahrq.gov/issue/reducing-diagnostic-error-through-medical-home-based-primary-care-reform
July 15, 2015 - Patient-initiated second opinions: systematic review of characteristics and impact on diagnosis, treatment
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psnet.ahrq.gov/issue/pharmacist-outpatient-prescription-review-emergency-department-pediatric-tertiary-hospital
March 15, 2016 - January 10, 2024
Assessment of overuse of medical tests and treatments at US hospitals