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psnet.ahrq.gov/issue/characteristics-associated-requests-pathologists-second-opinions-breast-biopsies
November 03, 2015 - Study
Characteristics associated with requests by pathologists for second opinions on breast biopsies.
Citation Text:
Geller BM, Nelson HD, Weaver DL, et al. Characteristics associated with requests by pathologists for second opinions on breast biopsies. J Clin Pathol. 2017;70(11):947-95…
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psnet.ahrq.gov/node/37257/psn-pdf
April 19, 2011 - Validation of a diagnostic reminder system in emergency
medicine: a multi-centre study.
April 19, 2011
Ramnarayan P, Cronje N, Brown R, et al. Validation of a diagnostic reminder system in emergency
medicine: a multi-centre study. Emerg Med J. 2007;24(9):619-24.
https://psnet.ahrq.gov/issue/validation-diagnostic-r…
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psnet.ahrq.gov/node/60744/psn-pdf
July 29, 2020 - coronary disease.5 Cardiovascular disease among women, compared with men, is under-
prevented, under-diagnosed … Take-Home Points
Heart disease in women is often under-recognized, under-diagnosed, and under-treated
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psnet.ahrq.gov/node/49658/psn-pdf
July 01, 2012 - The ED physician
diagnosed the patient with a musculoskeletal injury and prepared to discharge him.
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psnet.ahrq.gov/issue/patient-safety-anatomic-pathology-measuring-discrepancy-frequencies-and-causes
January 08, 2016 - Study
Patient safety in anatomic pathology: measuring discrepancy frequencies and causes.
Citation Text:
Raab SS, Nakhleh RE, Ruby SG. Patient safety in anatomic pathology: measuring discrepancy frequencies and causes. Arch Pathol Lab Med. 2005;129(4):459-466.
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Forma…
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psnet.ahrq.gov/issue/database-construction-improving-patient-safety-examining-pathology-errors
December 22, 2008 - Commentary
Database construction for improving patient safety by examining pathology errors.
Citation Text:
Grzybicki DM, Turcsany B, Becich MJ, et al. Database Construction for Improving Patient Safety by Examining Pathology Errors. Am J Clin Pathol. 2008;124(4). doi:10.1309/xn25jg7…
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psnet.ahrq.gov/node/42510/psn-pdf
August 21, 2013 - Root cause analysis reports help identify common factors
in delayed diagnosis and treatment of outpatients.
August 21, 2013
Giardina TD, King BJ, Ignaczak AP, et al. Root cause analysis reports help identify common factors in
delayed diagnosis and treatment of outpatients. Health Aff (Millwood). 2013;32(8):1368-75.…
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psnet.ahrq.gov/node/42654/psn-pdf
December 21, 2014 - Primary care closed claims experience of Massachusetts
malpractice insurers.
December 21, 2014
Schiff G, Puopolo AL, Huben-Kearney A, et al. Primary care closed claims experience of Massachusetts
malpractice insurers. JAMA Intern Med. 2013;173(22):2063-8. doi:10.1001/jamainternmed.2013.11070.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/37167/psn-pdf
February 03, 2011 - Mortality among patients in VA hospitals in the first 2
years following ACGME resident duty hour reform.
February 3, 2011
Volpp KG, Rosen AK, Rosenbaum PR, et al. Mortality among patients in VA hospitals in the first 2 years
following ACGME resident duty hour reform. JAMA. 2007;298(9):984-92.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/42498/psn-pdf
December 30, 2014 - Electronic health record-based triggers to detect potential
delays in cancer diagnosis.
December 30, 2014
Murphy DR, Laxmisan A, Reis BA, et al. Electronic health record-based triggers to detect potential delays
in cancer diagnosis. BMJ Qual Saf. 2014;23(1):8-16. doi:10.1136/bmjqs-2013-001874.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/49843/psn-pdf
October 01, 2018 - Commentary by Ifedayo Kuye, MD, MBA, and Chanu Rhee, MD, MPH
The patient in this case was mistakenly diagnosed
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.194_slideshow.ppt
March 01, 2009 - Spotlight Case July 2008
Spotlight Case
All in the History
Source and Credits
This presentation is based on the February/March 2009 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Christopher Fee, MD, University of California, San Francisco
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psnet.ahrq.gov/issue/mislabeling-cases-specimens-blocks-and-slides-college-american-pathologists-study-136
January 08, 2016 - Study
Mislabeling of cases, specimens, blocks, and slides: a College of American Pathologists study of 136 institutions.
Citation Text:
Nakhleh RE, Idowu MO, Souers RJ, et al. Mislabeling of cases, specimens, blocks, and slides: a college of american pathologists study of 136 instituti…
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psnet.ahrq.gov/issue/qualitative-analysis-physician-perspectives-missed-and-delayed-outpatient-diagnosis-focus
October 19, 2012 - Study
A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors.
Citation Text:
Sarkar U, Simchowitz B, Bonacum D, et al. A Qualitative Analysis of Physician Perspectives on Missed and Delayed Outpatient Diagnosis: Th…
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psnet.ahrq.gov/perspective/weekend-effect
April 01, 2008 - Annual Perspective
The Weekend Effect
Sumant Ranji, MD | January 1, 2017
View more articles from the same authors.
Citation Text:
Ranji SR. The Weekend Effect. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Hea…
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psnet.ahrq.gov/issue/ibms-watson-learning-its-way-saving-lives
October 18, 2017 - Newspaper/Magazine Article
IBM's Watson is learning its way to saving lives.
Citation Text:
IBM's Watson is learning its way to saving lives. Gertner J. Fast Company. October 15, 2012.
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psnet.ahrq.gov/node/42858/psn-pdf
January 15, 2014 - Early access to a neurologist reduces the rate of missed
diagnosis in young strokes.
January 15, 2014
Mohamed W, Bhattacharya P, Chaturvedi S. Early access to a neurologist reduces the rate of missed
diagnosis in young strokes. J Stroke Cerebrovasc Dis. 2013;22(8):e332-7.
doi:10.1016/j.jstrokecerebrovasdis.2013.01…
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psnet.ahrq.gov/node/41888/psn-pdf
December 12, 2012 - ACOG Committee Opinion #546: tracking and reminder
systems.
December 12, 2012
Improvement AC of O and GC on PS and Q. Committee Opinion No.546: Tracking and reminder systems.
Obstet Gynecol. 2012;120(6):1535-7. doi:10.1097/01.AOG.0000423820.92906.d0.
https://psnet.ahrq.gov/issue/acog-committee-opinion-546-tracking…
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psnet.ahrq.gov/node/41589/psn-pdf
July 02, 2014 - The relationship between response time and diagnostic
accuracy.
July 2, 2014
Sherbino J, Dore KL, Wood TJ, et al. The relationship between response time and diagnostic accuracy.
Acad Med. 2012;87(6):785-791. doi:10.1097/ACM.0b013e318253acbd.
https://psnet.ahrq.gov/issue/relationship-between-response-time-and-diagn…
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psnet.ahrq.gov/node/45336/psn-pdf
September 21, 2016 - Medical misdiagnoses put pressure on patients to stay
engaged.
September 21, 2016
Innes S. Arizona Daily Star. September 12, 2016.
https://psnet.ahrq.gov/issue/medical-misdiagnoses-put-pressure-patients-stay-engaged
Delayed diagnoses can have serious consequences. This news article reviews several examples of
mis…