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psnet.ahrq.gov/issue/accuracies-diagnostic-methods-acute-appendicitis
September 06, 2017 - Related Resources
WebM&M Cases
Anemia and Delayed Colon … Cancer Diagnosis
August 10, 2019
In-hospital mortality associated with the … April 21, 2011
Colonoscopic withdrawal times and adenoma detection during screening colonoscopy
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psnet.ahrq.gov/issue/delayed-workup-rectal-bleeding-adult-primary-care-examining-process-care-failures
April 24, 2018 - Rectal bleeding is an important issue to recognize promptly, because it may be a symptom of colon cancer … Use of administrative data to find substandard care: validation of the complications screening
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psnet.ahrq.gov/node/851389/psn-pdf
July 31, 2023 - cancer safety net.1 The ASN was constructed for colon cancer by creating a quality metric to track … cancer and lung cancer, and (2) to build a system from the point of test-ordering to the completion … The colon cancer safety net was constructed based on
prior colonoscopy procedures. … Overall, the effectiveness of the colon cancer safety net was 44% and the lung cancer safety net was … collaborative.”1
Innovation Patient Safety Focus
The lack of necessary clinical follow-up after a key cancer screening
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psnet.ahrq.gov/issue/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
May 12, 2021 - is illustrated with three diagnoses: ectopic pregnancy , abdominal aortic aneurysms , and advanced colon … cancer. … May 12, 2021
Multilevel factors associated with time to biopsy after abnormal screening
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psnet.ahrq.gov/node/49798/psn-pdf
July 01, 2017 - to be 2.6/1000, 0.5/1000, and 2.9/100,000, respectively.(8) The risk of complications is lower for
screening … Screening for colorectal cancer: a targeted, updated
systematic review for the U.S.
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psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
April 01, 2015 - to be 2.6/1000, 0.5/1000, and 2.9/100,000, respectively.( 8 ) The risk of complications is lower for screening … Screening for colorectal cancer: a targeted, updated systematic review for the U.S.
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - The community had an understanding that testing to prevent colon cancer was important. … You notice that I changed the language there from “colorectal cancer” to “colon cancer.” … When we actually worked with a group of community members , they said “colon cancer” screening. … So, they changed the language from “colorectal cancer screening” to “testing to prevent colon cancer. … People were coming in saying, “I’m here to get tested to prevent colon cancer.”
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psnet.ahrq.gov/web-mm/inflicting-confusion
August 04, 2021 - This risk mandates screening of all patients for tuberculosis prior to initiation of therapy. … Screening can take place either by purified protein derivative (PPD) or QuantiFERON-TB Gold testing, … Stool culture, CDI testing, and screening for ova and parasites should be considered at admission for … August 31, 2022
WebM&M Cases
Anemia and Delayed Colon … Cancer Diagnosis
August 10, 2019
WebM&M Cases
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psnet.ahrq.gov/node/851555/psn-pdf
July 31, 2023 - Bandemia as a Harbinger of Stercoral Colitis and
Impending Perforation
July 31, 2023
Flynn S, Barnes DK. Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation. PSNet
[internet]. 2023.
https://psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
The Case
A 56-year-…
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psnet.ahrq.gov/web-mm/preventable-rash
October 01, 2012 - At a routine visit, screening laboratories were checked. … Third, in order to make the diagnosis, appropriate screening for STDs must be done on a routine basis … We are not provided with information regarding additional STD screening tests (such as for gonorrhea … Related Resources
WebM&M Cases
Anemia and Delayed Colon … Cancer Diagnosis
August 10, 2019
WebM&M Cases
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psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
June 24, 2010 - Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial
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psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
November 26, 2014 - include a complete blood count, comprehensive metabolic panel, coagulation studies, and blood typing and screening … Related Resources
WebM&M Cases
Anemia and Delayed Colon … Cancer Diagnosis
August 10, 2019
WebM&M Cases
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psnet.ahrq.gov/node/49736/psn-pdf
June 01, 2015 - This risk mandates screening of all patients for tuberculosis prior to initiation of therapy. … Screening can take place either by purified protein derivative (PPD) or QuantiFERON-TB Gold testing, … increased risk of melanoma has been reported with anti-TNF
drugs, mandating frequent dermatologic screening … Stool culture, CDI testing, and screening for
ova and parasites should be considered at admission for … initiating anti-TNF therapy, infection must be excluded, a gastroenterologist should be
consulted, and screening
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psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
April 01, 2008 - Appreciate the value of a high-yield screening neurologic exam in primary care. … This missed diagnosis stemmed from performing an incomplete screening neurologic exam and overlooking … Sample screening neurologic exam for PCPs. … Related Resources
WebM&M Cases
Anemia and Delayed Colon … Cancer Diagnosis
August 10, 2019
WebM&M Cases
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psnet.ahrq.gov/node/49503/psn-pdf
February 01, 2006 - //psnet.ahrq.gov/web-mm/workaround-error
The Case
A retired 81-year-old physician with metastatic colon … cancer was admitted to an acute care hospital with
pneumonia and congestive heart failure (CHF).
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psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
January 01, 2023 - Her bedside nurse acknowledged a Sepsis Alert through the electronic
health record (EHR), prompting screening … – Lactate is often used in conjunction with screening, but it is so non-specific as to be more
useful
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psnet.ahrq.gov/web-mm/workaround-error
October 30, 2024 - The Case A retired 81-year-old physician with metastatic colon cancer was admitted to an acute care
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psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
January 29, 2021 - Her bedside nurse acknowledged a Sepsis Alert through the electronic health record (EHR), prompting screening … Lactate is often used in conjunction with screening, but it is so non-specific as to be more useful for … , 2019
WebM&M Cases
Abdominal Aortic Aneurysm Screening
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psnet.ahrq.gov/node/853902/psn-pdf
September 27, 2023 - Her bedside nurse acknowledged a Sepsis Alert through the electronic health record (EHR),
prompting screening … Lactate is often used in conjunction with screening, but it is so non-specific as to be more
useful
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psnet.ahrq.gov/node/838221/psn-pdf
September 28, 2022 - community health workers develop long-term relationships with individuals, to
provide education, early screening … has diabetes that’s out of control with an elevated hemoglobin
A1c, or when someone never got their colon … cancer screening, the health worker can be pinged for their
panel of patients and reach out to intervene … You need that person out in
the community doing that education, doing the home screening, reinforcing