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  1. Diagnostic stewardship—leveraging the laboratory to improve antimicrobial use. | PSNet

    psnet.ahrq.gov/issue/diagnostic-stewardship-leveraging-laboratory-improve-antimicrobial-use
    March 15, 2023 - April 22, 2020 WebM&M Cases Consequences of Medical Overuse … September 29, 2017 WebM&M Cases Failed Interpretation … of Screening Tool: Delayed Treatment September 1, 2017 WebM&M Cases … October 27, 2016 WebM&M Cases Critical Opportunity Lost … December 30, 2014 WebM&M Cases Amended Lab Results: Communication

  2. A doctor gave me an inept diagnosis for a neurological problem. I should know: I’m a neurologist. | PSNet

    psnet.ahrq.gov/issue/doctor-gave-me-inept-diagnosis-neurological-problem-i-should-know-im-neurologist
    April 27, 2022 - October 28, 2020 View More Related Resources WebM&M Cases … June 16, 2021 WebM&M Cases Misdiagnosis of a Pelvic Mass … May 3, 2017 WebM&M Cases Duty to Disclose Someone Else's … May 1, 2011 WebM&M Cases Paradoxical Pulse … February 1, 2011 WebM&M Cases Crushing Chest Pain

  3. Treatment of Depression in Children and Adolescents: A Systematic Review - Evidence Summary (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/Evidence%20Summary_0_0.pdf
    April 01, 2020 - ; 95% CI; 131 more cases to 385 more cases 1 RCT (n=221)23 Imprecision (small sample size), … to 71 more cases, I2=0% Risk difference without high risk- of-bias study, 9 more cases; 95% CI, … cases to 131 more cases, N=20345 3 RCTs (n=658)45, 49, 50 Imprecision (wide CIs), high risk … ; 95% CI; 131 more cases to 385 more cases 1 RCT (n=221)23 Imprecision (small sample size), … to 101 more cases]; I2=0%).

  4. Central, not Epidural | PSNet

    psnet.ahrq.gov/web-mm/central-not-epidural
    August 28, 2024 - Not-So-Therapeutic Tap July 1, 2012 WebM&M Cases … October 1, 2011 WebM&M Cases Pocket Syringe … Swap May 1, 2011 WebM&M Cases Chemotherapy … Extravasation January 1, 2008 WebM&M Cases … Impatient Inpatient Dosing August 21, 2005 WebM&M Cases

  5. Danger in Disruption | PSNet

    psnet.ahrq.gov/web-mm/danger-disruption
    July 29, 2020 - Medication Disorder May 1, 2007 WebM&M Cases … Moved Too Soon October 1, 2004 WebM&M Cases … May 7, 2018 WebM&M Cases Situational (Un)Awareness … and CNO Respond October 1, 2009 WebM&M Cases … October 1, 2007 WebM&M Cases Right? Left?

  6. One Dose, Fifty Pills | PSNet

    psnet.ahrq.gov/web-mm/one-dose-fifty-pills
    January 13, 2021 - October 1, 2011 WebM&M Cases Mark My Tooth … August 21, 2007 WebM&M Cases Wandering Off … May 29, 2024 WebM&M Cases An Inadvertent Bolus … to Home Parenteral Nutrition Error May 26, 2021 WebM&M Cases … 28, 2021 WebM&M Cases A Postpartum Woman with

  7. Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation | PSNet

    psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
    November 25, 2020 - September 27, 2023 WebM&M Cases The One That Got … June 14, 2023 WebM&M Cases Under Pressure: Delayed … November 16, 2022 WebM&M Cases Delayed Diagnosis … February 13, 2019 WebM&M Cases Missing ECG and Missed … Diagnosis Lead to Dangerous Delay March 1, 2018 WebM&M Cases

  8. The impact of clinically undiagnosed injuries on survival estimates. | PSNet

    psnet.ahrq.gov/issue/impact-clinically-undiagnosed-injuries-survival-estimates
    April 03, 2024 - Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases … May 17, 2023 WebM&M Cases Misdiagnosis of a Pelvic Mass … November 11, 2009 WebM&M Cases Autopsy Revelation … March 1, 2004 WebM&M Cases Crushing Chest Pain … : A Missed Opportunity January 1, 2004 WebM&M Cases

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866589/psn-pdf
    August 28, 2024 - Among 566 cases identified via medical record review and direct observation of medication administration … , the multidisciplinary panel identified actual harm in 89 cases, with three-quarters of actual harm … occurring in medication administration cases.

  10. Patient-clinician diagnostic concordance upon hospital admission. | PSNet

    psnet.ahrq.gov/issue/patient-clinician-diagnostic-concordance-upon-hospital-admission
    October 16, 2024 - June 5, 2024 WebM&M Cases Delayed Diagnosis and Treatment … Erythematosus with a Psychiatric Presentation March 27, 2024 WebM&M Cases … initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases … October 23, 2019 WebM&M Cases Autopsy Revelation … March 1, 2004 WebM&M Cases Missed Appendicitis

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47301/psn-pdf
    September 02, 2018 - How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality … How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality … https://psnet.ahrq.gov/issue/how-common-are-cognitive-errors-cases-presented-emergency-medicine- resident-morbidity-and … This retrospective review of cases presented at one hospital's emergency medicine morbidity and mortality … https://psnet.ahrq.gov/issue/how-common-are-cognitive-errors-cases-presented-emergency-medicine-resident-morbidity-and

  12. Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure. | PSNet

    psnet.ahrq.gov/web-mm/aspergillus-mediastinitis-endocarditis-pediatric-patient-complicating-cardiac-surgery-and
    November 16, 2022 - A retrospective review of Aspergillus cultures from the same OR and PICU did not find any other cases … Aspergillosis after cardiac surgery has a reported mortality rate of 93%. 1 Only a few pediatric cases … contaminated equipment, and environmental air associated with construction. 1,6,7 Although in many cases … Although they did not find any other cases of postoperative Aspergillus, this review could have been … April 22, 2013 WebM&M Cases Informed or Misled?

  13. Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax | PSNet

    psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
    December 14, 2022 - and commentaries from their monthly discussions of diagnosis error cases to PSNet.  … December 23, 2020 WebM&M Cases Multiple Missed … December 23, 2020 WebM&M Cases Misdiagnosis of … February 9, 2011 WebM&M Cases All in the History … February 1, 2004 WebM&M Cases The Dropped

  14. Wrong Catheter in the Right Patient | PSNet

    psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
    May 16, 2022 - May 16, 2022 WebM&M Cases Challenges of Diabetes … Preventable Rash March 1, 2005 WebM&M Cases … June 16, 2019 WebM&M Cases E-cigarette Explosion in a … Handoff March 1, 2004 WebM&M Cases The 2-Week … Itch April 1, 2003 WebM&M Cases Flying Object

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844773/psn-pdf
    September 11, 2019 - How Veterans Affairs failed to stop a pathologist who misdiagnosed 3,000 cases. … https://psnet.ahrq.gov/issue/how-veterans-affairs-failed-stop-pathologist-who-misdiagnosed-3000-cases … https://psnet.ahrq.gov/issue/how-veterans-affairs-failed-stop-pathologist-who-misdiagnosed-3000-cases

  16. Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. | PSNet

    psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
    November 30, 2021 - Type II cases may develop in young, healthy patients with no predisposing factors. 2 Type III includes … Graber et al. analyzed 100 cases from an Internal Medicine service to classify and quantify the types … Sepsis was the leading cause among the infectious cases. … Analysis of these cases identified clinical judgment problems as a contributing factor (85% of cases) … February 9, 2022 WebM&M Cases Hidden Danger!

  17. Premature Closure: Was It Just Syncope? | PSNet

    psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
    February 10, 2021 - Emergency physicians should be mindful in cases where history-taking is challenging and take appropriate … The heuristics typically applied to cases of head trauma should have caused the clinician to consider … A subsequent analysis showed that the alert was triggered at “clinical time zero” in 41% of cases and … 1, 2006 WebM&M Cases Hold the tPA April 1, … 2005 WebM&M Cases Around the Block March 1

  18. The Unhappy Patient Leaves Against Medical Advice. | PSNet

    psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
    January 31, 2024 - for Drug Administration Blur June 24, 2020 WebM&M Cases … July 1, 2008 WebM&M Cases Physical Diagnosis … August 1, 2006 WebM&M Cases Poor Prognosis … Cap March 1, 2004 WebM&M Cases Feeling No … Pain July 1, 2003 WebM&M Cases Another Fall

  19. Nosy Business | PSNet

    psnet.ahrq.gov/web-mm/nosy-business
    March 01, 2007 - In these cases, packing is a reasonable solution. … While many cases of epistaxis are minor, some can be life-threatening emergencies. … Back to Basics March 1, 2007 WebM&M Cases … Mark My Tooth August 21, 2007 WebM&M Cases … Techno Trip March 1, 2005 WebM&M Cases

  20. Evidence for anchoring bias during physician decision-making. | PSNet

    psnet.ahrq.gov/issue/evidence-anchoring-bias-during-physician-decision-making
    November 17, 2021 - September 20, 2011 Key use cases for artificial intelligence to reduce the frequency … September 25, 2024 WebM&M Cases Under Pressure: Delayed … April 24, 2024 WebM&M Cases Hindsight is 20/20: … Thrombolytics for Alcohol Intoxication April 10, 2024 WebM&M Cases … April 27, 2022 WebM&M Cases The NSTEMI Curbside Consultation
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