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psnet.ahrq.gov/node/60744/psn-pdf
July 29, 2020 - She was found to have hypoxemia and her chest X-ray showed patchy consolidations
https://psnet.ahrq.gov … Her hypoxemia improved with resolved infiltrates on
chest radiography. … Over-reliance on the Presence of Chest Pain and ECG Changes for the Diagnosis of MI
Chest pain, elevated … prematurely closing on a fixed diagnosis of CAP) and confirmation
bias (i.e., misinterpreting the absence of chest
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psnet.ahrq.gov/issue/diagnostic-errors-pediatric-radiology
November 16, 2022 - June 21, 2023
Reducing errors resulting from commonly missed chest radiography findings
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psnet.ahrq.gov/issue/underdiagnosis-hypertension-using-electronic-health-records
November 16, 2022 - September 28, 2017
Prognosis of undiagnosed chest pain: linked electronic health record
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psnet.ahrq.gov/issue/surgical-accountability-1880s-death-susan-nixon
November 16, 2022 - 2015
End-to-end lung cancer screening with three-dimensional deep learning on low-dose chest
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psnet.ahrq.gov/issue/fallacious-reasoning-and-complexity-root-causes-clinical-inertia
June 17, 2020 - December 12, 2018
Pediatric chest radiographs: common and less common errors.
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psnet.ahrq.gov/issue/doctor-gave-me-inept-diagnosis-neurological-problem-i-should-know-im-neurologist
April 27, 2022 - Pulse
February 1, 2011
WebM&M Cases
Crushing Chest
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psnet.ahrq.gov/issue/bias-radiology-how-and-why-misses-and-misinterpretations
March 01, 2023 - patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest
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psnet.ahrq.gov/issue/performing-inadvertent-procedure
October 16, 2019 - September 30, 2015
Prognosis of undiagnosed chest pain: linked electronic health record
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psnet.ahrq.gov/issue/zebra-intensive-care-unit-metacognitive-reflection-misdiagnosis
October 19, 2022 - March 6, 2013
WebM&M Cases
Crushing Chest Pain: A Missed
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psnet.ahrq.gov/issue/novel-approach-assessing-bias-during-team-based-clinical-decision-making
April 10, 2024 - Growing Deficit
February 1, 2019
WebM&M Cases
Chest
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psnet.ahrq.gov/node/851389/psn-pdf
July 31, 2023 - quality metric for the lung cancer ASN was the proportion of
patients with a scheduled or completed chest … recommendation for follow-up imaging when an incidental lung nodule is discovered by a radiologist during
chest … to three monthly
reminders) to assess patient history and results to determine whether a follow-up chest … net was able to identify and implement appropriate follow-up, as
defined by scheduled or completed chest
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psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
January 01, 2024 - a history of tobacco use presented to the emergency department (ED) with a chief complaint of acute chest … Chest x-ray revealed mild cardiomegaly and pulmonary vascular congestion.
6
6
Case Details (3)
The … The case also illustrates that when approaching a patient with chest pain, clinicians should pay careful
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psnet.ahrq.gov/issue/toward-more-proactive-approaches-safety-electronic-health-record-era
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/stand-alone-artificial-intelligence-breast-cancer-detection-mammography-comparison-101
November 15, 2023 - 2019
End-to-end lung cancer screening with three-dimensional deep learning on low-dose chest
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psnet.ahrq.gov/issue/electronic-health-records-and-national-patient-safety-goals
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/systematic-error-and-cognitive-bias-obstetric-ultrasound
December 13, 2023 - Diagnoses of Cancer
July 31, 2023
Reducing errors resulting from commonly missed chest
-
psnet.ahrq.gov/issue/measuring-and-improving-patient-safety-through-health-information-technology-health-it-safety
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/advancing-science-measurement-diagnostic-errors-healthcare-safer-dx-framework
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/web-mm/bleeding-risk
November 01, 2003 - Chest. 2001;119:22S-38S.[ go to PubMed ] 5. Poller L, Shiach CR, MacCallum PK, et al. … Chest. 1995;108:987-990.[ go to PubMed ] 12. Crowther MA, Douketis JD, Schnurr T, et al. … Safely
February 1, 2018
WebM&M Cases
Crushing Chest
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.350_slideshow.ppt
June 01, 2015 - trial, physicians were 10% more likely to list coronary heart disease as their initial impression for a chest … 19
System-Based Improvements
Structured diagnostic assessments for common clinical scenarios (e.g., chest … diagnostic accuracy in the assessment of appendicitis, trauma, mental health, geriatric health, or chest