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psnet.ahrq.gov/node/49761/psn-pdf
May 01, 2016 - The Case
A 64-year-old man with heavy tobacco use presented to the emergency department (ED) with chest … The treating physician, concerned about a possible aortic dissection, ordered a CT angiogram of
the chest … He brought his printed after-visit summary (AVS) from the
ED visit, which noted that a chest CT had … Incidental Pulmonary Nodules
Pulmonary nodules are a common incidental finding in up to 31% of chest … Pulmonary nodules are common incidental findings on up to 31% of chest CTs.
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psnet.ahrq.gov/node/40702/psn-pdf
October 16, 2012 - Chest. 2011;140(2):519-526. doi:10.1378/chest.10-2533.
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psnet.ahrq.gov/issue/ai-radiographic-covid-19-detection-selects-shortcuts-over-signal
May 13, 2020 - This study evaluates diagnostic “shortcuts” learned by AI systems in detecting COVID-19 in chest radiographs … April 8, 2020
ACR Recommendations for the use of Chest Radiography and Computed Tomography
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psnet.ahrq.gov/issue/missed-acute-coronary-syndrome-during-telephone-triage-out-hours-primary-care-lessons-case
March 11, 2020 - This case-control study compared missed acute coronary syndrome (ACS) cases to other cases with chest … Predictors of missed ACS included the use of cardiovascular medication, non-retrosternal chest pain,
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psnet.ahrq.gov/issue/effect-race-and-sex-physicians-recommendations-cardiac-catheterization
July 15, 2020 - the impact of race and sex on physicians’ decision-making about use of cardiac catheterization for chest … Analyses indicate that women and Black patients with chest pain were less likely to be referred for cardiac
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psnet.ahrq.gov/node/49423/psn-pdf
November 01, 2003 - The
anesthesiologist suggested an x-ray be obtained before closing the chest. … However, the surgeon felt that
the risk of the tip being in the chest was low and decided to defer the … x-ray until after the chest was closed. … Case & Commentary: Part 3
A post-operative x-ray confirmed the tip was somewhere inside the patient’s chest … Perhaps the surgeon doubted the nurse’s suggestion that the tip
was in the chest cavity, and thus at
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psnet.ahrq.gov/node/41686/psn-pdf
September 19, 2012 - Chest. 2012;142(3):606-613. doi:10.1378/chest.11-2556.
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psnet.ahrq.gov/node/36455/psn-pdf
December 22, 2010 - Chest. 2006;130(5):1571-8. … immediate past presidents of the American Association of Critical Care
Nursing and the American College of Chest
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psnet.ahrq.gov/node/37942/psn-pdf
May 04, 2014 - Chest. 2008;134(1):158-
62. doi:10.1378/chest.08-0914.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-respiratory-infections.pdf
June 01, 2021 - leukocytosis (high white blood cell count suggests bacterial pneumonia)18
− Pulse oximetry19,20
− Chest … x ray21,22
o Viruses can involve the lower respiratory tract and lead to changes on chest x ray
… Infections
• Supportive care: cough suppressants, fluids, supplemental oxygen, nebulizer treatments, chest … Thorax. 2019 Sep;74(9):898-905. PMID:
31273049.
9. Rowe TA, Jump RLP, Andersen BM, et al.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T6-Sample_Vignettes_Phase_3_final.doc
June 02, 2025 - His chest x-ray shows a right middle-lobe infiltrate. His chem-7 and lactate are normal.
3. Ms. … A chest x-ray shows no acute process. You ordered cultures (blood and urine).
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psnet.ahrq.gov/web-mm/departure-central-line-ritual
October 13, 2018 - A chest radiograph was not obtained until later, after the patient went into ventricular fibrillation … When the chest radiograph was finally completed, a retained wire was noted in the pulmonary artery. … The retained wire likely caused a cardiac arrest, which required shocks, chest compressions, and cooling … assessment and two-person procedural teams could help identify the error early and/or make certain a chest … patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest
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psnet.ahrq.gov/node/865376/psn-pdf
March 27, 2024 - Just before chest radiography, the patient’s condition progressed to cardiac arrest. … Cardiopulmonary
resuscitation (CPR) was initiated, and bilateral chest tubes were placed. … The left chest tube had neither air
nor blood return; however, the right chest tube had some blood with … After packing the abdomen, the bleeding was noted to
be coming from lacerations in the lateral chest … wall, near where the right chest tube had been placed, and
in the right lateral aspect of the liver
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psnet.ahrq.gov/web-mm/getting-right-doctor-right-away
July 01, 2011 - As part of the evaluation for the patient's shortness of breath, providers ordered a chest radiograph … But the radiologist, who knew that such a finding might require emergent treatment (usually a chest tube … eventually communicated to the first call provider, needle thoracostomy was performed immediately and a chest … A follow-up chest radiograph showed resolution of the pneumothorax. … This led to a delay in needle thoracostomy and chest tube placement—procedures necessary to stabilize
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psnet.ahrq.gov/issue/pearls-pitfalls-and-errors-musculoskeletal-diagnosis
February 26, 2025 - February 26, 2025
Reducing errors resulting from commonly missed chest radiography findings … August 5, 2020
ACR Recommendations for the use of Chest Radiography and Computed Tomography
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psnet.ahrq.gov/node/39691/psn-pdf
January 22, 2014 - Chest. 2010;138(1):171-8. doi:10.1378/chest.09-2051.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/037-ss-bed-bathing-chg-cloths-protocol.docx
April 01, 2025 - Cloth 1: Face,* neck, and chest. Avoid eyes and ear canals. … clean tubing from Foley catheters, drains, gastrostomy-tubes, jejunostomy tubes, rectal tubes, and chest
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psnet.ahrq.gov/issue/implementation-electronic-triggers-identify-diagnostic-errors-emergency-departments
September 25, 2024 - hospital return, concerning symptom-disease dyads (e.g., heart attack within 7 days of ED visit for chest … April 24, 2018
Computerized triggers of big data to detect delays in follow-up of chest
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digital.ahrq.gov/ahrq-funded-projects/natural-language-processing-identify-and-rank-clinically-relevant-information
January 01, 2023 - The relevant information elements for “chest pain” or “back pain” were informed by a literature review … For a chief complaint of chest pain, 12 risk factors, 40 diagnoses, 20 diagnostic tests, 14 procedures … records of 9,347 patients presenting at the EDs at two academic medical centers with a complaint of chest
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hcup-us.ahrq.gov/reports/factsandfigures/2008/exhibit5_8.jsp
January 01, 2008 - Pneumonia: 207,100; chronic obstructive pulmonary disease and bronchiectasis: 196,200; non-specific chest … included pneumonia (207,100 stays), chronic obstructive lung disease (196,200 stays), and non-specific chest … Pancreatic disorders (not diabetes): 85,300; poisoning by other medications and drugs: 62,800; non-specific chest … Non-specific chest pain (49,700 stays), skin and subcutaneous tissue infections (45,700 stays), pneumonia