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psnet.ahrq.gov/node/841469/psn-pdf
December 14, 2022 - strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
A man in his 70s with a history of multiple myeloma (a cancer
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psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
September 01, 2012 - 2023
Factors impacting on patient setup analysis and error management during breast cancer
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psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
February 23, 2011 - February 23, 2011
Evaluating shared decision making for lung cancer screening.
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psnet.ahrq.gov/web-mm/liposuction-gone-awry
July 01, 2003 - July 31, 2023
WebM&M Cases
Delayed Breast Cancer
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psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd
February 26, 2025 - Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer
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psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
February 12, 2020 - Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer
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psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
January 05, 2017 - June 12, 2009
Implementation of medication reconciliation in outpatient cancer care.
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psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other
October 01, 2018 - September 23, 2020
Hospitalization due to adverse drug events in older adults with cancer
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psnet.ahrq.gov/web-mm/chemotherapy-extravasation
September 24, 2010 - The Case A 73-year-old woman with no past medical history was diagnosed with stage IIIA breast cancer
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psnet.ahrq.gov/node/49594/psn-pdf
December 01, 2009 - In a case from Massachusetts involving a homeless man with alcoholism and advanced
cancer, a priest
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psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
December 01, 2017 - The Case A 70-year-old man with stage 4 prostate cancer presented to the emergency department with severe
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psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
January 19, 2016 - with the growing application of laparoscopic surgery to complex operations (e.g., gastrointestinal cancer
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psnet.ahrq.gov/node/33656/psn-pdf
September 01, 2007 - He is an active clinician at Brigham and Women's Hospital and the Dana
Farber Cancer Institute.
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psnet.ahrq.gov/web-mm/other-hand
December 12, 2012 - Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer
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psnet.ahrq.gov/node/73953/psn-pdf
October 27, 2021 - Pharmacist-led medication assessment and deprescribing
intervention for older adults with cancer and
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psnet.ahrq.gov/web-mm/sick-and-pregnant
August 25, 2021 - replacement product used for vasomotor symptoms during menopause) for Femara (letrozole, used to prevent cancer
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psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
March 25, 2020 - The Case
A 50-year-old man with a history of cancer and previous airway operations was admitted for
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psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
February 26, 2025 - Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer
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psnet.ahrq.gov/web-mm/wrongful-resuscitation
October 12, 2012 - Association of current opioid use with serious adverse events among older adult survivors of breast cancer
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psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
August 01, 2010 - we picked four medicine units: the medical intensive care unit and three oncology units, with liquid tumor … patients, solid tumor patients, and bone marrow transplant patients. … The Dana-Farber Cancer Institute experience. [Perspective]. AHRQ WebM&M [serial online]. May 2005.