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psnet.ahrq.gov/issue/impact-clinically-undiagnosed-injuries-survival-estimates
April 03, 2024 - Revelation
March 1, 2004
WebM&M Cases
Crushing Chest
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psnet.ahrq.gov/issue/biased-test-kept-thousands-black-people-getting-kidney-transplant
September 02, 2016 - July 1, 2020
ACR Recommendations for the use of Chest Radiography and Computed Tomography
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psnet.ahrq.gov/issue/patient-safety-and-diagnostic-error-tips-your-next-shift
January 15, 2009 - patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest
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psnet.ahrq.gov/issue/excusable-neglect-malpractice-suits-against-radiologists-proposed-jury-instruction-recognize
April 11, 2011 - patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest
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psnet.ahrq.gov/issue/defining-health-information-technology-related-errors-new-developments-err-human
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/60-year-old-man-delayed-care-renal-mass
January 31, 2024 - 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/preventing-picc-complications-whose-line-it
October 01, 2017 - 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/node/49547/psn-pdf
October 01, 2007 - had placed an oxygen mask on the patient, but the patient was not receiving ventilatory
support or chest … The resident and intern began basic life support (CPR with chest
compressions) with the bag-valve-mask … Chest compressions continued.
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psnet.ahrq.gov/node/49806/psn-pdf
September 01, 2017 - A chest radiograph showed hilar
fullness and mild bilateral infiltrates, consistent with pulmonary edema … A repeat chest radiograph demonstrated worsened bilateral infiltrates. … initial laboratory blood work, vital signs, crackles on lung
exam, and mention of pulmonary edema on the chest
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psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
July 01, 2017 - American College of Obstetricians and Gynecologists (ACOG) and American College of Radiology on safety of chest … radiograph and CT head/chest in pregnancy, and the high risks of a missed stroke or pulmonary embolism … Error
February 1, 2004
WebM&M Cases
Crushing Chest
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psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - Computed tomography (CT) of the chest and abdomen revealed findings consistent with viral pneumonia and … Chest X-ray revealed air under the diaphragm suggesting enteric visceral perforation. … Emergent CT of the chest and abdomen revealed a gastric perforation. … to facilitate appropriate placement. 3,4 Current guidelines recommend radiographic examination by chest
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psnet.ahrq.gov/issue/application-human-factors-methods-understand-missed-follow-abnormal-test-results
December 16, 2020 - July 13, 2022
Computerized triggers of big data to detect delays in follow-up of chest
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psnet.ahrq.gov/issue/graphical-display-diagnostic-test-results-electronic-health-records-comparison-8-systems
November 11, 2020 - April 24, 2018
Computerized triggers of big data to detect delays in follow-up of chest
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psnet.ahrq.gov/issue/patient-perspectives-how-physicians-communicate-diagnostic-uncertainty-experimental-vignette
August 07, 2019 - August 7, 2019
Computerized triggers of big data to detect delays in follow-up of chest
-
psnet.ahrq.gov/issue/postdischarge-adverse-events-among-neonates-admitted-neonatal-intensive-care-unit
October 05, 2022 - Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest
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psnet.ahrq.gov/issue/visual-illusions-radiology-untrue-perceptions-medical-images-and-their-implications
July 06, 2022 - June 21, 2023
Reducing errors resulting from commonly missed chest radiography findings
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psnet.ahrq.gov/issue/mandating-limits-workload-duty-and-speed-radiology
August 11, 2021 - June 21, 2023
Reducing errors resulting from commonly missed chest radiography findings
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psnet.ahrq.gov/issue/rural-emergency-medical-services-clinicians-perceptions-and-preferences-receiving-clinical
June 02, 2021 - June 2, 2021
WebM&M Cases
Chest Pain in a Rural Hospital
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psnet.ahrq.gov/issue/neuroradiology-diagnostic-errors-tertiary-academic-centre-effect-participation-tumour-boards
September 15, 2021 - September 20, 2023
Reducing errors resulting from commonly missed chest radiography findings
-
psnet.ahrq.gov/issue/evolution-reporting-identifying-missing-link
August 17, 2022 - June 21, 2023
Reducing errors resulting from commonly missed chest radiography findings