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psnet.ahrq.gov/node/866168/psn-pdf
January 02, 2000 - missed-diagnosis-new-onset-systolic-heart-failure-first-presentation-children-no-known-heart
https://psnet.ahrq.gov/web-mm/crushing-chest-pain-missed-opportunity
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psnet.ahrq.gov/web-mm/admission-drug-dose-too-low
September 01, 2011 - patient developed atrial flutter with a rapid ventricular response (heart rate in the range of 140 bpm), chest … Chest. 1987;91:10-14. [go to PubMed] 6. Theophylline (May 2009). … Mottur-Pilson, C; Joint Expert Panel on Chronic Obstructive Pulmonary Disease of the American College of Chest
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psnet.ahrq.gov/node/60212/psn-pdf
January 29, 2021 - 19-epidemic-outbreak-lessons-italian-experience
https://psnet.ahrq.gov/issue/acr-recommendations-use-chest-radiography-and-computed-tomography-ct-suspected-covid
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psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
April 01, 2008 - The American College of Chest Physicians (ACCP) Consensus Guidelines provide a more detailed breakdown … Douketis JD, Berger PB, Dunn AS, Jaffer AK, Spyropoulos AC, Becker RC, Ansell J; American College of Chest … The perioperative management of antithrombotic therapy: American College of Chest Physicians Evidence-Based … Chest. 2008;133:299S-339S. [go to PubMed] 8. Dunn AS, Spyropoulos AC, Turpie AGG. … Chest. 1999;116:1240-1246. [go to PubMed] 16. Douketis JD, Crowther MA, Cherian SS.
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psnet.ahrq.gov/node/33756/psn-pdf
October 01, 2013 - The CT scan of a chest might have 500 times the dose of a
chest x-ray. … It used
to take a while to get images through the chest, whereas, now you could image the entire body … Instead of just getting a picture of the chest during one phase of the cardiac cycle, we might go
through … Essentially we're imaging the chest three or four times, when we used to just image it once.
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psnet.ahrq.gov/node/44166/psn-pdf
October 13, 2015 - developed and validated an electronic trigger to identify potential delays in follow-up of
abnormal chest
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psnet.ahrq.gov/node/46237/psn-pdf
June 21, 2017 - https://psnet.ahrq.gov/primer/diagnostic-errors
https://psnet.ahrq.gov/issue/prognosis-undiagnosed-chest-pain-linked-electronic-health-record-cohort-study
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.329_slideshow.ppt
August 01, 2014 - He presented to this new ED with persistent and worsening left arm, chest, abdomen, and thigh pain. … He had diffuse, tender ecchymoses involving his left shoulder, upper chest, lateral abdomen, and thigh … sq (an area roughly 2 feet by 4 feet) of skin and soft tissue from his left arm and axilla, anterior chest … Chest. 1996;110:219-229. http://www.ncbi.nlm.nih.gov/pubmed/8681631
Patiño JF, Castro D.
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psnet.ahrq.gov/node/49457/psn-pdf
September 01, 2004 - He stated that he had no chest pain whatsoever and
repeatedly emphasized that he had been completely … A chest x-ray was obtained and read by the patient himself, who
declared it to show bilateral infiltrates … several radiologists
https://psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
reviewed the initial chest … the judgment of his patient-
expert or questioning an experienced radiologist's reading of a simple chest
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psnet.ahrq.gov/node/49665/psn-pdf
September 01, 2012 - chills and confusion and found to have an empyema (i.e., collection of
pus) on the left side of his chest … He also had seven chest
radiographs postoperatively in which the device was not detected. … Operations involving the
chest or abdomen are more commonly associated with RSIs, but RSIs can occur … It was detected
in the immediate postoperative period after a chest radiograph for intraoperative line
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psnet.ahrq.gov/web-mm/critical-opportunity-lost
February 17, 2017 - The Case A 55-year-old woman presented to the emergency department (ED) with new onset chest pain. … She initially attributed her chest pain to acid reflux, but when the pain persisted, she arrived at the … When the patient arrived for her stress test, she reported feeling well with no further chest pain.
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psnet.ahrq.gov/curated-library/rapid-response-systems
September 15, 2024 - history of persistent asthma presented to the emergency department (ED) with shortness of breath and chest … mobility limitations and continued clinical decompensation, a computed tomography (CT) angiogram of the chest
-
psnet.ahrq.gov/node/49824/psn-pdf
March 01, 2018 - missing-ecg-and-missed-diagnosis-lead-dangerous-delay
The Case
A 35-year-old woman with no prior cardiac history called 911 after developing severe chest … The patient's chest pain also
seemed to be improving. … Chest pain has a wide array of causes, ranging from ones that are benign and self-limited to others that
-
psnet.ahrq.gov/node/49590/psn-pdf
January 01, 2010 - patient
developed atrial flutter with a rapid ventricular response (heart rate in the range of 140 bpm), chest … Chest.
1987;91:10-14. [go to PubMed]
6. Theophylline (May 2009). … Mottur-Pilson, C; Joint Expert Panel on Chronic Obstructive Pulmonary Disease of
the American College of Chest
-
psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
March 01, 2015 - The Case A 35-year-old woman with no prior cardiac history called 911 after developing severe chest … The patient's chest pain also seemed to be improving. … Chest pain has a wide array of causes, ranging from ones that are benign and self-limited to others that
-
psnet.ahrq.gov/node/72516/psn-pdf
November 25, 2020 - performed annually in the United States.8 Physicians most frequently obtain an ECG for patients with chest … ST-segment abnormalities in a patient with a recent history of head trauma and no
chest pain should … that in the right setting could have been
concerning for myocardial ischemia, there was no history of chest … Chest.
2010;138(5):1093-1100. doi:10.1378/chest.10-0134.
15.
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psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis
March 24, 2021 - He presented to this new ED with persistent and worsening left arm, chest, abdomen, and thigh pain. … He had diffuse, tender ecchymoses involving his left shoulder, upper chest, lateral abdomen, and thigh … cm/sq (an area roughly 2 ft by 4 ft) of skin and soft tissue from his left arm and axilla, anterior chest … Chest. 1996;110:219-229. [go to PubMed] 31. Patiño JF, Castro D. … Headache
July 1, 2004
WebM&M Cases
Crushing Chest
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psnet.ahrq.gov/issue/paralyzed-errors-xbox-designer-taking-hospital-safety
June 09, 2010 - engaged in working to redesign processes to improve patient safety after he became paralyzed from the chest
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psnet.ahrq.gov/web-mm/wheres-feeding-tube
September 01, 2003 - A routine chest radiograph performed to check for resolution of a pneumothorax (punctured lung) revealed … A portable chest radiograph revealed evidence of pneumonia. … In addition, the chest radiograph showed the nasogastric tube had moved again, and the tip was now in … For practical and radiation exposure reasons, chest radiography cannot be used several times a day to
-
psnet.ahrq.gov/node/49630/psn-pdf
July 01, 2011 - Based on his examination, laboratory tests, and chest x-ray, he was
diagnosed with community-acquired … Ansell J, Hirsh J, Hylek E, Jacobson A, Crowther M, Palareti G; American College of Chest Physicians. … Pharmacology and management of the vitamin K antagonists: American College of Chest Physicians
Evidence-Based … Chest. 2008;133(6 suppl):160S-198S. [go to
PubMed]
4. Fang MC, Chang Y, Hylek EM, et al.