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  1. Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical Examination | PSNet

    psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
    April 29, 2020 - February 3, 2021 WebM&M Cases Delayed Breast Cancer Diagnosis

  2. Unintended Consequences of CPOE | PSNet

    psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
    September 01, 2004 - The Case A 60-year-old woman with a history of metastatic colon cancer and known malignant ascites

  3. When Patients and Providers Speak Different Languages | PSNet

    psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
    December 08, 2021 - Language barriers and patient-centered breast cancer care. Patient Educ Couns. 2011;84:223-228.

  4. Duty to Disclose Someone Else's Error? | PSNet

    psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
    June 01, 2004 - A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error.

  5. Patient Safety: A Perspective from Office Practice | PSNet

    psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
    May 01, 2009 - in primary care specialties is delay or error in diagnosis, most commonly involving breast and lung cancers

  6. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis | PSNet

    psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
    March 09, 2022 - When accessing intradural tumors, the dura is opened intentionally, and reapproximating via suturing … May 3, 2017 Comorbid conditions delay diagnosis of colorectal cancer: a cohort study

  7. In Conversation with...Brent C. James, MD, MStat | PSNet

    psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
    February 26, 2025 - James : I arrived in Utah in 1986, after completing my surgical training and advanced training in cancer

  8. Total Parenteral Nutrition, Multifarious Errors | PSNet

    psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
    January 23, 2017 - safely manage patients requiring PN is analogous to the expertise expected in the drug-use process for cancer

  9. In Conversation With… Vineet Arora, MD, MAPP | PSNet

    psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp
    May 31, 2023 - Our pediatric cancer patients are blogging about their experience while the residents are taking care

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49483/psn-pdf
    June 01, 2005 - the steps to conduct root cause analysis The Case A 65-year-old man with atrial fibrillation, lung cancer

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49561/psn-pdf
    May 01, 2008 - Patients with clinical presentations consistent with an HIV-related infection or cancer should be tested

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838221/psn-pdf
    September 28, 2022 - diabetes that’s out of control with an elevated hemoglobin A1c, or when someone never got their colon cancer

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73128/psn-pdf
    July 01, 2022 - in the United States and Canada, including Brigham and Women’s Hospital (Massachusetts), Huntsman Cancer

  14. Microsoft PowerPoint - Spotlight Case_A Missed Bowel Perforation - SLIDES_FINAL.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
    January 01, 2023 - history or physical examination contributed to 42% of all missed diagnoses, and to almost 70% of missed cancer

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33791/psn-pdf
    September 01, 2015 - Our pediatric cancer patients are blogging about their experience while the residents are taking care

  16. Equity in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/equity-patient-safety
    September 24, 2024 - Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

  17. Ensuring Patient and Workforce Safety Culture in Healthcare | PSNet

    psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
    March 27, 2024 - Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

  18. Annual Perspective: Topics in Medication Safety | PSNet

    psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
    April 27, 2022 - 6,7   Although the CDC guideline focused on chronic pain, it did not apply to patients diagnosed with cancer

  19. Getting to the Root of the Matter | PSNet

    psnet.ahrq.gov/web-mm/getting-root-matter
    September 01, 2005 - steps to conduct root cause analysis The Case A 65-year-old man with atrial fibrillation, lung cancer

  20. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk | PSNet

    psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
    January 31, 2024 - August 28, 2019 Impact of the COVID-19 pandemic on cancer care: a global collaborative
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