-
psnet.ahrq.gov/node/49736/psn-pdf
June 01, 2015 - The anti–tumor necrosis factor alpha therapies (anti-TNFs) are the backbone of treatment for patients … A short-term study of chimeric monoclonal antibody
cA2 to tumor necrosis factor alpha for Crohn's disease … Risk of melanoma and
nonmelanoma skin cancer among patients with inflammatory bowel disease.
-
psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
November 26, 2014 - angioectasias.( 4 ) Common causes of lower GIB include diverticulosis, ischemic colitis, hemorrhoids, polyps or neoplasms … Related Resources
WebM&M Cases
Anemia and Delayed Colon Cancer
-
psnet.ahrq.gov/node/33647/psn-pdf
March 01, 2007 - alerted physicians and nurses to many potential sentinel events.(1) A 5-year-old girl
hospitalized for cancer
-
psnet.ahrq.gov/primer/handoffs
October 18, 2023 - The I-PASS handoff tool has been effective in cancer care and pediatric emergency care.
-
psnet.ahrq.gov/primer/communication-between-clinicians
September 15, 2024 - Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer
-
psnet.ahrq.gov/node/33613/psn-pdf
May 01, 2005 - organizational-change-face-highly-public-errors-ii-duke-experience
https://psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
-
psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer
March 04, 2020 - provider to perform a detailed history of alcohol ingestion, presentation for fractures or certain cancers
-
psnet.ahrq.gov/node/33684/psn-pdf
May 01, 2009 - in primary care specialties is delay or error in diagnosis, most commonly involving breast and lung
cancers
-
psnet.ahrq.gov/node/33570/psn-pdf
June 15, 2024 - Missed or delayed
diagnoses (particularly cancer diagnoses) are a prominent reason for malpractice claims
-
psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
April 18, 2018 - specimen loss or mislabeling events can lead to catastrophic outcomes such as consequential delays in cancer … January 20, 2021
Changes in cancer detection and false-positive recall in mammography
-
psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
August 25, 2021 - The Case
A man in his 70s with a history of multiple myeloma (a cancer of the bone marrow), high … December 21, 2022
WebM&M Cases
Delayed Breast Cancer
-
psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - based on 1997 data from the National Inpatient Sample Excludes patients with any code for cancer … discharges Excludes patients who have principal diagnosis codes for trauma, seizure, metastatic cancer
-
psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
December 23, 2020 - Resources From the Same Author(s)
WebM&M Cases
Delayed Breast Cancer … Advancing the future of patient safety in oncology: implications of patient safety education on cancer
-
psnet.ahrq.gov/perspective/conversation-withpatrick-s-romano-md-mph
July 10, 2024 - sometimes how institutions can perform very well, for example, at cardiac care, but not so well on cancer … If I were interested in a particular condition, if I had cancer or heart disease, then I would probably
-
psnet.ahrq.gov/sites/default/files/2023-01/spotlight_respiratory_distress_after_neck_surgery_two_cases_of_postoperative_cervical_hematoma.pdf
January 01, 2023 - earlier was admitted to a tertiary care center for
elective thyroid lobectomy for papillary thyroid cancer … Factors and Outcomes of Postoperative Neck Hematomas: An Analysis of 5,900 Thyroidectomies Performed at a Cancer
-
psnet.ahrq.gov/node/49675/psn-pdf
February 01, 2013 - 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
-
psnet.ahrq.gov/perspective/conversation-andrew-bindman-md
June 15, 2024 - of adverse medical events, our investment in AHRQ pales in comparison to the investments we make in cancer … Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer
-
psnet.ahrq.gov/node/49708/psn-pdf
May 01, 2014 - with abdominal pain and
diagnosed with a bowel obstruction, secondary to a new diagnosis of colon cancer … She underwent an
uncomplicated surgical resection of the colon cancer with relief of the obstruction
-
psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
March 27, 2024 - headaches can be the presenting sign of elevated intracranial pressure from a mass lesion, such as a brain tumor … Patients' and doctors' views and experiences of the patient safety trajectory of breast cancer … November 23, 2011
Failure to administer recommended chemotherapy: acceptable variation or cancer
-
psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
March 27, 2024 - ophthalmologists in detecting diabetic retinopathy. 2 Another example is the early detection of lung cancer … End-to-end lung cancer screening with three-dimensional deep learning on low-dose chest computed tomography … Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer