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4001. Organizational ambidexterity and the hybrid middle manager: the case of patient safety in UK hospitals. | PSNet
      psnet.ahrq.gov/issue/organizational-ambidexterity-and-hybrid-middle-manager-case-patient-safety-uk-hospitals
      January 29, 2014 - July 2, 2014 Algorithm based smartphone apps to assess risk of skin cancer in adults: … April 27, 2019 Use of artificial intelligence for image analysis in breast cancer screening … November 16, 2011 One-stop diagnostic breast clinics: how often are breast cancers missed

4002. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.239_slideshow.ppt
      May 01, 2011 - A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error.

4003. Leadership Role in Improving Safety | PSNet
      psnet.ahrq.gov/primer/leadership-role-improving-safety
      September 15, 2024 - transformed their practices and organizational culture to emphasize patient safety include the  Dana-Farber Cancer

4004. Diagnostic Errors | PSNet
      psnet.ahrq.gov/primer/diagnostic-errors
      June 15, 2024 - Missed or delayed diagnoses (particularly cancer diagnoses) are a prominent reason for malpractice claims

4005. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49801/psn-pdf
      August 01, 2017 - Improving outcomes with lung cancer surgery: selective referral or quality improvement? … Variation in mortality after high-risk cancer surgery: failure to rescue.

4006. Updates in the Management of High-Risk Pulmonary Embolism | PSNet
      psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
      December 02, 2020 - The factors most commonly implicated are a history of recent surgery, active cancer, pregnancy or being … December 4, 2019 Missed diagnosis of cancer in primary care: insights from malpractice

4007. Medication Reconciliation With a Twist (or Dare We Say, a Patch?) | PSNet
      psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
      April 03, 2024 - hospital 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.

4008. Translating From Normal to Abnormal | PSNet
      psnet.ahrq.gov/web-mm/translating-normal-abnormal
      October 02, 2019 - October 28, 2016 How timely is diagnosis of lung cancer? … Cohort study of individuals with lung cancer presenting in ambulatory care in the United States.

4009. The Wet Read | PSNet
      psnet.ahrq.gov/web-mm/wet-read
      October 01, 2017 - Case & Commentary: Part 1 A 66-year-old man with prostate cancer and known bone metastases presented … Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

4010. Misplaced Nasogastric Tube Resulting in Aspiration | PSNet
      psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
      August 01, 2009 - View More Related Resources Interventions to improve timely cancer … Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

4011. In Conversation With… Kaveh Shojania, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
      February 26, 2025 - He was talking about the debates in public health at the time around doing cancer screening for everybody … A new breast cancer drug comes out, a new treatment for MI, some new type of surgery.

4012. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50754/psn-pdf
      December 18, 2019 - “Allow natural death” versus “do not resuscitate”: What do patients with advanced cancer choose? … Survival in cancer patients undergoing in-hospital cardiopulmonary resuscitation: a meta-analysis.

4013. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-10/trocar_injury_final.pdf
      January 01, 2022 - history of morbid obesity (body mass index [BMI] 49); chronic pelvic pain; urinary incontinence; breast cancer … indication for the left oophorectomy was a mixed echogenic ovarian mass concerning for possible ovarian cancer

4014. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838900/psn-pdf
      October 27, 2022 - history of morbid obesity (body mass index [BMI] 49); chronic pelvic pain; urinary incontinence; breast cancer … indication for the left oophorectomy was a mixed echogenic ovarian mass concerning for possible ovarian cancer

4015. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33793/psn-pdf
      November 01, 2015 - He was talking about the debates in public health at the time around doing cancer screening for everybody … A new breast cancer drug comes out, a new treatment for MI, some new type of surgery.

4016. Technology as a Tool for Improving Patient Safety | PSNet
      psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
      April 26, 2023 - Performance drift in a mortality prediction algorithm among patients with cancer during the SARS-CoV- … Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

4017. Types and origins of diagnostic errors in primary care settings. | PSNet
      psnet.ahrq.gov/issue/types-and-origins-diagnostic-errors-primary-care-settings
      January 19, 2012 - January 19, 2012 Electronic health record-based triggers to detect potential delays in cancer … Electronic trigger-based intervention to reduce delays in diagnostic evaluation for cancer … errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers

4018. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.14_slideshow.ppt
      May 01, 2003 - Risk Factors for DVT in Children Central venous catheters Sepsis DIC Immobility Cancer Nephrotic

4019. New Insights on Safety and Health IT | PSNet
      psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
      August 01, 2015 - I spent a day in the living room of a patient dying of cancer in Rockville, Maryland, talking about the … His wife told me that the mother of a small child with cancer encouraged him to keep a happy face on … Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

4020. 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