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3941. In Conversation With... Michael L. Millenson | PSNet
      psnet.ahrq.gov/perspective/conversation-michael-l-millenson
      April 27, 2022 - Betsy Lehman was a young mother in a Harvard-affiliated hospital being treated for breast cancer when … The Dana-Farber Cancer Institute experience. … https://psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute … Doctor’s orders killed cancer patient.

3942. Code Status vs. Care Status | PSNet
      psnet.ahrq.gov/web-mm/code-status-vs-care-status
      September 30, 2020 - In addition to his cancer, the patient had a past medical history of schizophrenia, developmental delay … medical ethics, was consulted to discuss goals of care with the patient, particularly regarding further cancer … around the clock nursing care at the time the decision was made to shift the focus of his care from full cancer … Failure to Latch September 1, 2008 Moving toward improved teamwork in cancer

3943. Spotlight-Slides-Wright-Schiff (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-04/spotlight-slides-wright-schiff.pdf
      January 01, 2020 - with CPOE systems 3 Case: Lost Start Date A 71-year-old man underwent resection of a colorectal cancer

3944. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49643/psn-pdf
      December 01, 2011 - Decision aids and breast cancer: do they influence choice for surgery and knowledge of treatment options … Specifics CAC Screening (9) Harms known to outweigh benefits No outcomes benefit, risks of radiation (cancer

3945. The Dropped "No" | PSNet
      psnet.ahrq.gov/web-mm/dropped-no
      October 30, 2019 - Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer … June 30, 2021 WebM&M Cases Delayed Breast Cancer

3946. "Recurrent" Appendicitis | PSNet
      psnet.ahrq.gov/web-mm/recurrent-appendicitis
      January 15, 2020 - Health, Brigham and Women's Hospital Faculty, Center for Outcomes & Policy Research, Dana-Farber Cancer … Centralization of cancer surgery: implications for patient access to optimal care.

3947. Emerging Safety Issues in Artificial Intelligence | PSNet
      psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
      February 20, 2019 - Dermatologist-level classification of skin cancer with deep neural networks. … Impact of deep learning assistance on the histopathologic review of lymph nodes for metastatic breast cancer

3948. CYP450 Drugs: Expect the Unexpected | PSNet
      psnet.ahrq.gov/web-mm/cyp450-drugs-expect-unexpected
      October 19, 2022 - Time to remove the subspecialty blinders: breast cancer does not exist in isolation. … J Natl Cancer Inst. 2008;100:230-231. [go to PubMed] Table Table.

3949. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications | PSNet
      psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
      February 01, 2004 - Twenty years ago, a prominent physician touchingly related his daughter's death from cervical cancer … after the patient has left; and (iii) outpatient biopsies or other test results that are indicative of cancer … More Related Resources WebM&M Cases Delay in Malignancy

3950. In Conversation With… Rosemary Gibson, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-rosemary-gibson-msc
      September 01, 2014 - The dreaded thought of missing a cancer diagnosis leads to overtesting. … But another moral hazard is even more problematic: Health care organizations that build new cancer centers … Computed tomography (CT) scans expose patients to levels of radiation associated with increased rates of cancer

3951. Overuse as a Patient Safety Problem | PSNet
      psnet.ahrq.gov/perspective/overuse-patient-safety-problem
      September 01, 2014 - Computed tomography (CT) scans expose patients to levels of radiation associated with increased rates of cancer … The dreaded thought of missing a cancer diagnosis leads to overtesting. … But another moral hazard is even more problematic: Health care organizations that build new cancer centers

3952. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.182_slideshow.ppt
      September 01, 2008 - administered unless infection has been excluded by appropriate studies After infection seems unlikely, malignancy … Pediatr Blood Cancer. 2008;50:1127-1235. http://www.ncbi.nlm.nih.gov/pubmed/18085676 Lesson from … ruled out Severe multi-system disease without a clear diagnosis is more often caused by infection, malignancy

3953. Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database. | PSNet
      psnet.ahrq.gov/issue/breakdowns-initial-patient-provider-encounter-are-frequent-source-diagnostic-error-among
      January 23, 2019 - misdiagnosis-related harms in malpractice claims: the "Big Three": vascular events, infections, and cancers … diagnostic errors and serious misdiagnosis-related harms for major vascular events, infections, and cancers … for serious illness: a mixed-methods analysis October 9, 2019 Missed diagnosis of cancer

3954. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/866984
      January 01, 2020 - This article describes the multifaceted response of Dana-Farber Cancer Institute after a highly publicized … This article describes the multifaceted response of Dana-Farber Cancer Institute after a highly publicized

3955. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846768/psn-pdf
      March 29, 2023 - increase in sleep apnea, metabolic syndrome, type 2 diabetes mellitus, non-alcoholic fatty liver disease, cancer … Obesity and cancer risk: emerging biological mechanisms and perspectives.

3956. Premature Closure: Was It Just Syncope? | PSNet
      psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
      February 10, 2021 - of survival, rather than their likelihood of mortality. 3 For example, a patient presented with a cancer … Similarly, physicians recommended timelier follow-up for cancer screening when presented with the frequency … (e.g. 1 in 167 patients) rather than the percentage probability (e.g. 0.6%) of developing a form of cancer

3957. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72517/psn-pdf
      November 25, 2020 - conversation-mark-l-graber-md Diagnostic errors can cause significant preventable harm;9 vascular events, infections, and cancers … misdiagnosis-related harms in malpractice claims: The "Big Three" - vascular events, infections, and cancers

3958. Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. | PSNet
      psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
      November 30, 2021 - Diagnostic errors can cause significant preventable harm; 9 vascular events, infections, and cancers … misdiagnosis-related harms in malpractice claims: The "Big Three" - vascular events, infections, and cancers

3959. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33567/psn-pdf
      June 15, 2024 - The I-PASS handoff tool has been effective in cancer care and pediatric emergency care.

3960. Supporting safe, equitable care during the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/supporting-safe-equitable-care-during-covid-19-pandemic
      March 02, 2022 - June 9, 2021 A crisis of undiagnosed cancers is emerging in the pandemic’s second year … Covid-19 surge could lead to another drop in patient visits, doctors fear—and more missed pediatric cancers