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psnet.ahrq.gov/issue/safer-care-home-use-simulation-training-improve-standards
August 05, 2020 - May 1, 2013
What works in medication reconciliation: an on-treatment and site analysis … Safety risks associated with physical interactions between patients and caregivers during treatment … August 26, 2011
Insulin treatment as a tracer for identifying latent patient safety risks
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psnet.ahrq.gov/issue/improving-reporting-outpatient-pediatric-medical-errors
March 14, 2022 - October 7, 2013
Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired … January 5, 2017
Electronic medical record availability and primary care depression treatment … 2014
Root cause analysis reports help identify common factors in delayed diagnosis and treatment
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psnet.ahrq.gov/issue/perfect-storm-averted-flawed-systems-dropped-ball-and-cognitive-biases-delay-critical
November 30, 2022 - impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment … July 13, 2022
Miscarriage treatment-related morbidities and adverse events in hospitals … WebM&M Cases
Failed Interpretation of Screening Tool: Delayed Treatment
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psnet.ahrq.gov/issue/one-stop-diagnostic-breast-clinics-how-often-are-breast-cancers-missed
August 04, 2021 - July 6, 2022
Identifying patients whose symptoms are underrecognized during treatment … August 9, 2011
Compliance to technical guidelines for radiotherapy treatment in relation … June 27, 2011
Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment
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psnet.ahrq.gov/issue/evaluating-iatrogenic-prescribing-development-oncology-focused-trigger-tool
December 23, 2020 - October 30, 2024
Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid … impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment … events in cancer patients: strategies to efficiently avoid chemotherapy errors in in- and outpatient treatment … January 2, 2009
Minimising treatment-associated risks in systemic cancer therapy.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.191_slideshow.ppt
January 01, 2009 - The defibrillation stopped after treatment with amiodarone and supportive care. … the patient continued to have more ventricular arrhythmias and firings of his AICD even with medical treatment … and Active Labor Act (EMTALA) is a federal statute that regulates treatment refusals and transfers between … Emergency Medical Treatment and Active Labor Act (EMTALA). … Emergency Medical Treatment and Active Labor Act (EMTALA).
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psnet.ahrq.gov/perspective/health-care-delivery-and-pharmacists-during-covid-19-pandemic
June 29, 2020 - As COVID-19 is a novel virus, there are currently no specific treatments approved by the Food and Drug … management for critically ill patients, infection control, the roles of antiviral and immune-based therapy … Accessed May 18, 2020. [7] Coronavirus Disease 2019 (COVID-10): Therapeutic Options. … CDC_AAref_Val=https://www.cdc.gov/coronavirus/2019-ncov/hcp/therapeutic-options.html . … To learn about federal resources addressing recommended treatments, the latest evidence available for
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psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
June 17, 2010 - These therapies were given to prevent the need for a more risky exchange transfusion. … The patient improved and he ultimately did well with appropriate therapies. … Therefore, ensuring sufficient follow-up and treatment to prevent kernicterus without excessive visits … , blood tests, and treatments is challenging. … thresholds represent bilirubin levels at which the benefits of treatment exceed risks and costs.
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psnet.ahrq.gov/node/837634/psn-pdf
July 06, 2022 - Similar to prior reports, Error Related to
Procedure/Treatment/Test remained the most commonly reported … events, followed by Medication Error,
Complication of Procedure/Treatment/Test, and Fall.
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psnet.ahrq.gov/node/47932/psn-pdf
August 21, 2019 - transition communication:
implementation of an electronic medical record-based
tool for improved cancer treatment … Transition Communication: Implementation
of an Electronic Medical Record-Based Tool for Improved Cancer Treatment
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psnet.ahrq.gov/node/845638/psn-pdf
March 08, 2023 - commercialised-experience-operating-embodied-preferences-ambiguous-
variations-and-explaining
Research has identified variations in treatment … to women and was ultimately recalled by several patient safety agencies:
transvaginal mesh for the treatment
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psnet.ahrq.gov/node/73114/psn-pdf
April 07, 2021 - clinical-and-financial-implications-second-opinion-surgical-pathology-review
Newly diagnosed cancer patients may request second opinions to confirm diagnosis, treatment … confirmed that second opinions can reduce diagnostic errors and
potentially lower costs of subsequent treatment
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psnet.ahrq.gov/node/764394/psn-pdf
March 02, 2022 - and into five further categories of event
types (systems, documentation, diagnostic, procedural, and treatment … Most errors were attributed to both
residents and attendings, and treatment errors were the most common
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psnet.ahrq.gov/node/60360/psn-pdf
May 20, 2020 - address the situation is to assure patients
diagnosed with the disorder get the medication-assisted treatment … opioids-medicare-part-d-concerns-about-extreme-use-and-questionable-prescribing
https://psnet.ahrq.gov/issue/are-opioid-dependence-and-methadone-maintenance-treatment-mmt-documented-medical-record
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psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
November 21, 2021 - The delay in appropriate treatment of sepsis with continued antibiotic therapy on admission resulted … has been associated with worse outcomes, and early aggressive treatment has been linked to improved … dates for antibiotics were in place, we found only 3 instances in which the expiration of an antibiotic therapy … Rivers E, Nguyen B, Havstad S, et al; Early Goal-Directed Therapy Collaborative Group. … Early goal-directed therapy in the treatment of severe sepsis and septic shock.
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psnet.ahrq.gov/issue/factorial-survey-safety-behavior-providing-opportunities-improve-safety
November 16, 2015 - 2015
Does compliance to patient safety tasks improve and sustain when radiotherapy treatment … January 8, 2018
Compliance to technical guidelines for radiotherapy treatment in relation … September 18, 2019
Chasing zero harm in radiation oncology: using pre-treatment peer … September 17, 2014
Compliance to technical guidelines for radiotherapy treatment in relation … The use of human factors methods to identify and mitigate safety issues in radiation therapy
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psnet.ahrq.gov/node/49631/psn-pdf
July 01, 2011 - Everett Koop
This case portrays low treatment adherence that is life-threatening. … Adherence, the extent to which patients
take their treatments as prescribed, is surprisingly low with … Thus, this is a vital missing link in translation
of evidence-based treatments into effective practice … patients and providers alike on expected and achieved processes of care, adherence to
appointments and treatments … A meta-analysis of the association between adherence to
drug therapy and mortality.
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psnet.ahrq.gov/issue/countering-cognitive-biases-minimising-low-value-care
May 11, 2019 - May 11, 2019
To expand the evidence base about harms from tests and treatments. … March 14, 2022
Assessment of overuse of medical tests and treatments at US hospitals … October 3, 2017
Patients' expectations of the benefits and harms of treatments, screening … September 29, 2017
Clinicians' expectations of the benefits and harms of treatments,
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psnet.ahrq.gov/web-mm/amphotericin-toxicity
April 01, 2014 - subsided, and she ultimately was discharged home with IV caspofungin to finish her course of antifungal therapy … She was discharged home with a PICC line for prolonged IV caspofungin therapy (a suboptimal antifungal … voriconazole as first-line therapy.( 2 ) Although posaconazole has excellent in vitro activity against … successful outcomes for invasive Aspergillus, posaconazole should be reserved as a second- or third-line therapy … Therapy with posaconazole suspension is associated with subtherapeutic serum concentrations compared
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psnet.ahrq.gov/node/44880/psn-pdf
September 06, 2016 - Drug shortages forcing hard decisions on rationing
treatments.
September 6, 2016
Fink S. … https://psnet.ahrq.gov/issue/drug-shortages-forcing-hard-decisions-rationing-treatments
Drug shortages … https://psnet.ahrq.gov/issue/drug-shortages-forcing-hard-decisions-rationing-treatments
https://psnet.ahrq.gov