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psnet.ahrq.gov/web-mm/walking-patient-missing-drain
April 01, 2006 - The Case A 43-year-old woman with a history of metastatic breast cancer was admitted to the hospital
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psnet.ahrq.gov/web-mm/transition-nowhere
March 21, 2009 - The Case A 75-year-old man with a history of prostate cancer, poorly controlled myotonic dystrophy, hypertension
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psnet.ahrq.gov/node/49517/psn-pdf
August 01, 2006 - Principles of Analgesic Use in the Treatment of Acute Pain and
Cancer Pain. 5th ed.
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psnet.ahrq.gov/node/49518/psn-pdf
August 01, 2006 - , PhD Vice President for Patient Safety and Director of the Center for Patient Safety,
Dana-Farber Cancer
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psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
January 01, 2020 - terms of their likelihood of survival rather than
mortality
— Example: a patient presented with a cancer
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psnet.ahrq.gov/node/72693/psn-pdf
January 29, 2021 - unintentional-ketamine-overdose-operating-room-mixing-ampules
The Case
A 50-year-old man with a history of cancer
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.323_slideshow.ppt
May 01, 2014 - admitted with abdominal pain and diagnosed with a bowel obstruction secondary to a new diagnosis of colon cancer
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psnet.ahrq.gov/node/50391/psn-pdf
September 25, 2019 - Epidemiology of gallbladder disease: cholelithiasis and cancer. Gut Liver.
2012;6:172-187.
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psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
September 01, 2016 - physician and to truly understand what it's like to look someone in the eye and tell them that they have cancer … top-selling mobile application that promised personal assistance with management and diagnosis of skin cancer
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psnet.ahrq.gov/node/841566/psn-pdf
December 14, 2022 - Value-Based Purchasing program, the dialysis programs, the inpatient psychiatric
facility programs, the cancer … a
nodule that is incidentally found on a chest x-ray yet not followed up and is now advanced lung cancer
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psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
September 01, 2016 - top-selling mobile application that promised personal assistance with management and diagnosis of skin cancer … physician and to truly understand what it's like to look someone in the eye and tell them that they have cancer
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psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
September 01, 2007 - Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test … More
Related Resources
WebM&M Cases
Delay in Malignancy
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psnet.ahrq.gov/periodic-issue/periodic-issue-295
June 30, 2021 - HFMEA-CS to analyze medication processes during admission and discharge for patients with a rare adrenal tumor … Several months later, the patient’s primary care provider ordered further evaluation and lung cancer
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
June 14, 2023 - I gathered families together who were caring for children with a variety of conditions, such as cancer … I’ve heard patients say they don’t want to know all the information at a particular phase in their cancer … In ambulatory care, we could share a new cancer diagnosis with the patient and family, while the family
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psnet.ahrq.gov/perspective/patient-and-family-roles-safety
June 14, 2023 - I gathered families together who were caring for children with a variety of conditions, such as cancer … I’ve heard patients say they don’t want to know all the information at a particular phase in their cancer … In ambulatory care, we could share a new cancer diagnosis with the patient and family, while the family
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psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
August 06, 2014 - Patients' and doctors' views and experiences of the patient safety trajectory of breast cancer
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psnet.ahrq.gov/primer/patient-safety-101
January 16, 2025 - Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer
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psnet.ahrq.gov/perspective/patient-safety-physician-office-setting
November 04, 2015 - Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer
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psnet.ahrq.gov/web-mm/cultural-dimensions-depression
September 01, 2018 - Extensive workup showed no evidence of cancer, but revealed reflux disease and Zenker diverticulum (an
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psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure
February 26, 2025 - Emergency Department Population: ED-SAFE
April 24, 2024
Early diagnosis of cancer