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psnet.ahrq.gov/web-mm/crossing-line
December 01, 2012 - A chest radiograph was obtained after the procedure, and a radiologist interpreted the film as showing … Post-procedure chest x-rays are used to confirm correct positioning of the catheter and to identify complications … Chest X-Ray Showing Catheter in Correct Position with Tip at Cavo-Atrial Junction … Chest X-Ray with Catheter in Wrong Position*
*Not the actual radiograph
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psnet.ahrq.gov/node/49822/psn-pdf
March 01, 2018 - for VTE disease: Antithrombotic Therapy
and Prevention of Thrombosis, 9th ed: American College of Chest … Chest. 2012;141(suppl 2):e419S-e494S. [go to PubMed]
3. Kearon C, Akl EA, Ornelas J, et al. … Antithrombotic therapy for VTE disease: CHEST guideline and expert
panel report. … Chest. 2016;149:315-352. [go to PubMed]
4. Palareti G.
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psnet.ahrq.gov/node/49735/psn-pdf
June 01, 2015 - , physicians were 10% more likely to list coronary heart disease as their
initial impression for a chest … First, structured diagnostic
assessments for common clinical scenarios (e.g., chest pain, fever in an … can improve diagnostic
accuracy in the assessment of abdominal pain (20), geriatric health (21), and chest … ischemia time-insensitive
predictive instrument (ACI-TIPI) to assist with triage of patients with chest
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psnet.ahrq.gov/web-mm/emergent-triage-miss
March 06, 2015 - time not a critical factor Examples Severe respiratory distress, anaphylaxis, cardiac chest … Non-urgent, stable Examples Cardiopulmonary arrest, anaphylaxis, active seizures Cardiac chest … • Fever in immunocompromised patient • Suspected cardiac chest pain • Suicidal … WebM&M Cases
Fatal Oversight: Misdiagnosis of Nocturnal Chest
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psnet.ahrq.gov/issue/interception-potential-adverse-drug-events-long-term-psychiatric-care-units
May 31, 2023 - Related Resources From the Same Author(s)
Reducing errors resulting from commonly missed chest
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psnet.ahrq.gov/issue/respectful-trusting-relationships-are-essential-patient-safety-especially-surgeon
December 08, 2024 - patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest
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psnet.ahrq.gov/node/33646/psn-pdf
February 01, 2007 - RW: So I enter "chest pain radiating to the back, shortness of breath, and fever." … searches all the
documents looking to match the terms in the query: chest pain, shortness of breath, … Physicians in the near
future will not have to type in "chest pain, fever, shortness of breath," but
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psnet.ahrq.gov/node/49674/psn-pdf
December 01, 2012 - coagulopathies, respiratory issues, a tracheostomy, on mechanical ventilation, or other conditions of the
chest … Chest. 1998;114:207-213.
[go to PubMed]
7. Maki DG, Kluger DM, Crnich CJ. … Chest. 2011;140:48-53. [Available at]
14. Trerotola SO, Stavropoulos SW, Mondschein JI, et al.
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psnet.ahrq.gov/issue/improving-reliability-root-cause-analysis
January 17, 2017 - patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest
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psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
June 07, 2023 - Chest radiograph is prudent if respiratory distress and asymmetric breath sounds are present. … Chest. 2001;120(suppl 6):477S-481S. [go to PubMed] 4. … Chest. 2011;140:1456-1465. [go to PubMed] 9.
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psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
February 26, 2025 - A very special patient of mine had a lung nodule, the lab called me about the chest x-ray showing an … As she and I looked back over the record, I realized to my horror that I followed up on the abnormal chest … x-ray but not the subsequent chest CT. … The radiologist assumed that since I was notified for the critical abnormal with the chest x-ray, I also
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psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
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. … Radiation risks from exposure to chest computed tomography. Semin Ultrasound CT MR. 2010;31:14-28.
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psnet.ahrq.gov/perspective/safety-radiology
October 01, 2013 - Radiation risks from exposure to chest computed tomography. Semin Ultrasound CT MR. 2010;31:14-28. … 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/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
February 01, 2007 - For example, gastrointestinal causes are not considered for a patient presenting with chest pain. … An example would be the patient with a dissecting aortic aneurysm whose chest pain is attributed to a … RW: So I enter "chest pain radiating to the back, shortness of breath, and fever." … as pattern recognition softwaresearches all the documents looking to match the terms in the query: chest … Physicians in the near future will not have to type in "chest pain, fever, shortness of breath," but
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psnet.ahrq.gov/issue/recommendations-ensure-safety-ai-real-world-clinical-care
December 06, 2023 - April 24, 2018
Computerized triggers of big data to detect delays in follow-up of chest
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psnet.ahrq.gov/issue/eight-rights-safe-electronic-health-record-use
December 06, 2023 - April 24, 2018
Computerized triggers of big data to detect delays in follow-up of chest
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psnet.ahrq.gov/issue/emergency-department-visits-adverse-events-related-dietary-supplements
December 19, 2017 - Other common events included palpitations, chest pain, or tachycardia related to weight loss or energy
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psnet.ahrq.gov/node/60722/psn-pdf
February 06, 2023 - physicians have little experience—was missed as physicians focused on
more common causes of “crushing chest … Sensitivity of chest CT for COVID-19: comparison to RT-PCR.
Radiology. 2020;296(2):e115-e117. … Correlation of chest CT and RT-PCR testing in Coronavirus Disease 2019
(COVID-19) in China: a report … Chest CT findings in coronavirus disease-19 (COVID-19):
relationship to duration of infection. … Chest CT for typical 2019-nCoV pneumonia: relationship to negative
RT-PCR testing.
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psnet.ahrq.gov/issue/improving-patient-safety-avoiding-unread-imaging-exams-national-va-enterprise-electronic
March 12, 2025 - November 1, 2017
Computerized triggers of big data to detect delays in follow-up of chest
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psnet.ahrq.gov/issue/medical-malpractice-peoples-republic-china-2002-regulation-handling-medical-accidents
January 08, 2025 - June 22, 2009
Computerized triggers of big data to detect delays in follow-up of chest