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  1. Interrogating and uprooting systemic racism in the emergency department. | PSNet

    psnet.ahrq.gov/issue/interrogating-and-uprooting-systemic-racism-emergency-department
    March 05, 2025 - June 19, 2018 View More Related Resources WebM&M Cases … May 22, 2024 WebM&M Cases Under Pressure: Delayed Diagnosis … April 24, 2024 WebM&M Cases Hindsight is 20/20: … Thrombolytics for Alcohol Intoxication April 10, 2024 WebM&M Cases … October 28, 2020 WebM&M Cases The NSTEMI Curbside Consultation

  2. Checklists to reduce diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/checklists-reduce-diagnostic-errors
    September 18, 2024 - Citation Related Resources From the Same Author(s) Root cause analysis of cases … March 1, 2023 WebM&M Cases Premature Closure: Was It … September 18, 2013 WebM&M Cases Eptifibatide Epilogue … July 2, 2008 WebM&M Cases Inappropriate Antibiotic Use … June 1, 2003 WebM&M Cases Ectopic or Not?

  3. Developing and evaluating large language model-generated emergency medicine handoff notes. | PSNet

    psnet.ahrq.gov/issue/developing-and-evaluating-large-language-model-generated-emergency-medicine-handoff-notes
    March 12, 2025 - July 29, 2020 WebM&M Cases Missing the Point—Eye Injury … Settings Help Improve Management of Sepsis May 31, 2023 WebM&M Cases … November 20, 2015 WebM&M Cases Delay in Initiating Antibiotics … Results in Fatal Error February 1, 2004 WebM&M Cases … Lost in the Black Hole October 1, 2003 WebM&M Cases

  4. But See the Patient First | PSNet

    psnet.ahrq.gov/web-mm/see-patient-first
    September 27, 2023 - While appropriate in some cases, the content of such handoffs is often inappropriate.     … The Deadly Duo October 1, 2010 WebM&M Cases … Nosy Business April 1, 2010 WebM&M Cases … October 1, 2009 WebM&M Cases Antibiotics for URI … September 28, 2022 WebM&M Cases Mitigating the

  5. The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation | PSNet

    psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
    April 01, 2005 - healthcare system. 1 Many methods of reducing diagnostic error focus on individual factors and single cases … Instead of addressing individual cases, KP sought to improve the disease diagnosis process and systems … In 2010, KP developed the e-Autopsy/e-Biopsy (eA/eB) methodology, an innovation designed to compile cases … These methods usually evaluate single cases rather than the systems that allowed the error. … December 20, 2023 WebM&M Cases On O.R. Off?

  6. Did We Forget Something? | PSNet

    psnet.ahrq.gov/web-mm/did-we-forget-something
    April 28, 2021 - Another claims study revealed that in 10% of cases where retained sponges were found, no sponge counts … had been performed.( 11 ) It is sobering that so many cases of retained sponges seem to reflect the … September 25, 2011 WebM&M Cases Listen to the Family … Making Do September 1, 2003 WebM&M Cases … Inappropriate Antibiotic Use June 1, 2003 WebM&M Cases

  7. Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes | PSNet

    psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
    April 10, 2024 - of weekly cases and deaths to date in the pandemic, rising to 5,333 confirmed cases and 565 deaths in … There was an even greater increase in staff cases, from 495 confirmed cases and 5 deaths at the lowest … State Reporting of Cases and Deaths Due to COVID-19 in Long-Term Care Facilities. … Is there a link between nursing home reported quality and COVID-19 cases? … Staffing levels and COVID‐19 cases and outbreaks in US nursing homes.

  8. MAINTAIN AND EXPAND (pdf file)

    hcup-us.ahrq.gov/reports/methods/EvaloftheSASD2001(HCUP_CD)v3Final.pdf
    March 19, 2004 - Number of cases 8,412 22,313 3,864 Percent of total 2% 6% 1% New York Number of cases 26,689 66,583 … Number of cases 11,273 2,383 75,764 Percent of total 3% 1% 22% New York Number of cases 59,004 7,710 … Number of cases 16,698 7,779 44,051 Percent of total 5% 18% 13% New York Number of cases 61,338 26,942 … Number of cases 356 59,211 36,083 Percent of total 0% 17% 10% New York Number of cases 801 179,953 … Number of cases 9,820 2,054 348,064 Percent of total 3% 1% New York Number of cases 39,432 1,265

  9. An Incomplete Anesthesia History Leads to Adverse Outcomes | PSNet

    psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
    January 29, 2021 - The Cases Case 1: A 64-year-old man came in for a routine bronchoscopy with possible biopsies after … March 29, 2023 WebM&M Cases Distraction of the … March 15, 2023 WebM&M Cases Open wider: Failure … to Arterial Thrombosis June 28, 2023 WebM&M Cases … December 14, 2022 WebM&M Cases False Assumptions

  10. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety-incident-report
    January 12, 2022 - Conversation with…Pat Croskerry, MD, PhD June 1, 2010 WebM&M Cases … Undiagnosed Vaginal Bleeding February 1, 2004 WebM&M Cases … Not a Miscarriage June 1, 2003 WebM&M Cases … Missed Appendicitis June 1, 2003 WebM&M Cases … May 1, 2003 WebM&M Cases The Dropped Lung May

  11. Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. | PSNet

    psnet.ahrq.gov/issue/risk-assessment-acute-stroke-diagnostic-process-using-failure-modes-effects-and-criticality
    July 21, 2021 - initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases … August 4, 2015 WebM&M Cases Misleading Complaint … July 1, 2012 WebM&M Cases Duty to Disclose Someone … May 1, 2011 WebM&M Cases Charcoal Lavage of the … Lungs October 1, 2003 WebM&M Cases Ectopic

  12. Electrocardiogram Results: ***READ ME*** | PSNet

    psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
    May 01, 2019 - May 1, 2019 WebM&M Cases Staggered Sensitivity Results … May 1, 2013 WebM&M Cases Total Parenteral … Nutrition, Multifarious Errors April 1, 2013 WebM&M Cases … Lethal Vertigo June 1, 2004 WebM&M Cases … Lead to Dangerous Delay March 1, 2018 WebM&M Cases

  13. An Obstructed View | PSNet

    psnet.ahrq.gov/web-mm/obstructed-view
    August 07, 2019 - Signs are abdominal distension, tenderness, oliguria, tachycardia, dry mucous membranes, and in some cases … August 7, 2019 WebM&M Cases The Worst Headache July … 1, 2004 WebM&M Cases Secured But Not Always Safe … April 3, 2013 WebM&M Cases Wrong Turn through Colon: … Pain July 1, 2008 WebM&M Cases Which End Is

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857449/psn-pdf
    December 06, 2023 - to lay rescuers by ChatGPT in prehospital basic life support and paediatric advanced life support cases … to lay rescuers by ChatGPT in prehospital basic life support and paediatric advanced life support cases … ChatGPT correctly recommended contacting medical professionals in all cases but only advised calling … The correct diagnosis was made in 94% of cases, consistent with other research into ChatGPT.

  15. How does robotic-assisted surgery change OR safety culture? | PSNet

    psnet.ahrq.gov/issue/how-does-robotic-assisted-surgery-change-or-safety-culture
    April 24, 2024 - RIS Download Citation Related Resources WebM&M Cases … Inadequate ECG Oversight in Cardiac Surgery April 24, 2024 WebM&M Cases … October 26, 2022 WebM&M Cases Sudden Collapse During … Gastrointestinal Endoscopy: Expect the Unexpected August 25, 2021 WebM&M Cases

  16. Record Linkage to Enhance STD/HIV Surveillance Data for OR AI/AN Population (pdf file)

    hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or22.pdf
    November 01, 2009 - (race correctly or incorrectly classified) plus unmatched AI/AN cases  National Center for Health … (%) Prevalence (95% CI) No. cases (%) Prevalence (95% CI) AI/AN 81 (65.9) 24.5 (19.9, 31.0) 42 (34.1 … Results 0 50 100 150 200 250 300 350 400 Number of STD cases by year, Oregon AI/AN AIAN … of the linkage, from 2,007 to 2,966 • HIV cases identified as AI/AN increased by over 70%, from 72 … a high number of cases that were of unknown or missing race • Unmatched AI/AN cases were more likely

  17. RFID tags reduce restocking errors of anesthesia medications. | PSNet

    psnet.ahrq.gov/issue/rfid-tags-reduce-restocking-errors-anesthesia-medications
    August 07, 2019 - June 28, 2023 WebM&M Cases Saline Flush Leads to Acute … Medication Labeling in an Operating Room April 27, 2022 WebM&M Cases … and Consequences in the Operating Room October 27, 2021 WebM&M Cases … August 31, 2011 WebM&M Cases Vial Mistakes Involving … Heparin May 1, 2009 WebM&M Cases Unexplained

  18. Masks-Appendix-Table-B-2-Version-2 (xls file)

    effectivehealthcare.ahrq.gov/sites/default/files/masks-appendix-table-b-2-version-2.xlsx
    January 01, 2007 - April 2003 Vietnam Community Household and close community contacts of laboratory-confirmed SARS-1 cases … 212 (contacts of 45 cases) Median age 33 years 52% SARS-1 4.2% (9/212) ELISA-positive for SARS-CoV-1 … identified as of May 2003 Hong Kong Community Cases: SARS cases reported to Department of Health with … secondary infection of household member Controls: SARS cases with no secondary infection of household … member 131 cases and 2,139 controls Mean not reported; 47% age 18-30 years 53% SARS-1 Not applicable

  19. Appendix Table B-2. Observational Studies of Masks in the Community (xls file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/masks-appendix-table-b-2-version-1.xlsx
    January 01, 2007 - April 2003 Vietnam Community Household and close community contacts of laboratory-confirmed SARS-1 cases … 212 (contacts of 45 cases) Median age 33 years 52% SARS-1 4.2% (9/212) ELISA-positive for SARS-CoV-1 … identified as of May 2003 Hong Kong Community Cases: SARS cases reported to Department of Health with … secondary infection of household member Controls: SARS cases with no secondary infection of household … member 131 cases and 2,139 controls Mean not reported; 47% age 18-30 years 53% SARS-1 Not applicable

  20. A novel approach for assessing bias during team-based clinical decision-making. | PSNet

    psnet.ahrq.gov/issue/novel-approach-assessing-bias-during-team-based-clinical-decision-making
    April 10, 2024 - October 18, 2023 View More Related Resources WebM&M Cases … November 16, 2022 WebM&M Cases Management of Cardiac … June 16, 2019 WebM&M Cases Diagnostic Failure: The Growing … Deficit February 1, 2019 WebM&M Cases Chest … August 9, 2017 WebM&M Cases Difficult Encounters: A CMO
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