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psnet.ahrq.gov/issue/low-perfusion-and-missed-diagnosis-hypoxemia-pulse-oximetry-darkly-pigmented-skin-prospective
March 14, 2022 - 2022
Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment
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psnet.ahrq.gov/issue/deficiencies-provider-reported-interpreter-use-clinical-trial-comparing-telephonic-and-video
August 12, 2020 - April 21, 2021
Improving timely recognition and treatment of sepsis in the pediatric
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psnet.ahrq.gov/issue/measuring-harm-and-informing-quality-improvement-welsh-nhs-longitudinal-welsh-national
October 12, 2016 - December 23, 2012
Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment
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psnet.ahrq.gov/issue/structural-racism-and-impact-sickle-cell-disease-sickle-cell-lives-matter
February 15, 2023 - impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment
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psnet.ahrq.gov/issue/medication-histories-critically-ill-patients-completed-pharmacy-personnel
September 23, 2020 - July 22, 2020
Breast cancer treatment delays by socioeconomic and health care access
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psnet.ahrq.gov/issue/fda-safety-communication-caution-when-using-robotically-assisted-surgical-devices-womens
September 01, 2021 - experience with these procedures and discussing benefits, risks, and alternatives regarding available treatment
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psnet.ahrq.gov/issue/remote-patient-monitoring-improves-patient-falls-and-reduces-harm
April 16, 2018 - September 23, 2020
What works in medication reconciliation: an on-treatment and site
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psnet.ahrq.gov/issue/early-warning-scores-predict-noncritical-events-overnight-hospitalized-medical-patients
March 30, 2022 - September 1, 2021
Treatment patterns and clinical outcomes after the introduction of
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psnet.ahrq.gov/issue/iatrogenic-events-admitted-neonates-prospective-cohort-study
December 18, 2014 - Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment
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psnet.ahrq.gov/issue/national-and-local-medication-error-reporting-systems-survey-practices-16-countries
September 09, 2015 - August 16, 2017
Improving adherence to long-term opioid therapy guidelines to reduce … December 8, 2011
Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment
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psnet.ahrq.gov/issue/use-error-management-theory-quantify-and-characterize-residents-error-recovery-strategies
June 14, 2023 - October 26, 2022
WebM&M Cases
Delayed Diagnosis and Treatment
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psnet.ahrq.gov/issue/families-experiences-central-line-infection-children-qualitative-study
July 29, 2020 - Safety risks associated with physical interactions between patients and caregivers during treatment
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psnet.ahrq.gov/issue/impact-staff-turnover-during-cardiac-surgical-procedures
November 06, 2019 - December 23, 2020
Effect of cognitive aids on adherence to best practice in the treatment
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psnet.ahrq.gov/issue/evaluation-physician-informatics-tool-improve-patient-handoffs
January 07, 2015 - AHRQ WebM&M commentary discussed a case of a failed signout process that contributed to a delay in treatment
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psnet.ahrq.gov/issue/comparing-evolution-risk-culture-radiation-oncology-aviation-and-nuclear-power
October 07, 2020 - August 18, 2021
Breast cancer treatment delays by socioeconomic and health care access
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psnet.ahrq.gov/issue/clinical-evaluation-ade-scorecards-decision-support-tool-adverse-drug-event-analysis-and
December 31, 2014 - February 9, 2011
Insulin treatment as a tracer for identifying latent patient safety
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psnet.ahrq.gov/issue/multidisciplinary-approach-gi-cancer-results-change-diagnosis-and-management-patients
December 21, 2014 - multidisciplinary program for evaluation of gastrointestinal cancer cases led to changes in diagnosis and treatment
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psnet.ahrq.gov/issue/hospital-computerized-provider-order-entry-adoption-and-quality-examination-united-states
May 20, 2020 - , CPOE adoption was associated with poor performance on a ( now discarded ) performance measure for treatment
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psnet.ahrq.gov/issue/exploring-perinatal-shift-shift-handover-communication-and-process-observational-study
April 04, 2018 - November 3, 2015
What are the safety risks for patients undergoing treatment by multiple
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psnet.ahrq.gov/issue/changes-adverse-event-rates-hospitals-over-time-longitudinal-retrospective-patient-record
November 03, 2015 - September 16, 2015
What are the safety risks for patients undergoing treatment by multiple