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psnet.ahrq.gov/node/49736/psn-pdf
June 01, 2015 - suggests a typical presentation of Crohn disease, it also reinforces the need to carefully
consider other diagnoses
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psnet.ahrq.gov/web-mm/outbreak
January 29, 2015 - October 28, 2020
Characteristics and unexpected COVID-19 diagnoses in resuscitation room
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psnet.ahrq.gov/web-mm/dangerous-dapsone
January 10, 2011 - August 7, 2024
Missed diagnoses of acute cardiac ischemia in the emergency department
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psnet.ahrq.gov/node/49482/psn-pdf
May 01, 2005 - decades.(1)
Given its rarity and this atypical presentation, it is not entirely surprising that the diagnosis … Gestational Age at Presentation Some diagnoses are limited to certain timeframes in pregnancy
and must … Careful attention to the differential diagnosis, appropriate consultation and the judicious use of diagnostic … Obstetric and Gynecologic Emergencies: Diagnosis and Management.
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psnet.ahrq.gov/node/44161/psn-pdf
December 19, 2018 - issue/among-elderly-many-mental-illnesses-go-undiagnosed
This commentary spotlights missed and delayed diagnosis … physician-patient-communication-failure-facilitates-medication-errors-older-polymedicated
https://psnet.ahrq.gov/issue/confirmation-bias-why-psychiatrists-stick-wrong-preliminary-diagnoses
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psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
March 24, 2019 - References
Related Resources From the Same Author(s)
Evaluation and accurate diagnoses
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psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
April 26, 2023 - Patient Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
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psnet.ahrq.gov/node/49467/psn-pdf
December 01, 2004 - A "Weak" Response
December 1, 2004
Reisman AB. A "Weak" Response. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/weak-response
The Case
A primary care physician on call for his group received a call at 9:00PM from a 68-year-old man. He said,
"They started me on a new pill for my blood pressure and now I fe…
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psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
July 01, 2012 - Diagnosing diagnosis errors: lesson from a multi-institutional collaborative project. … 29, 2020
WebM&M Cases
Missing ECG and Missed Diagnosis
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psnet.ahrq.gov/web-mm/when-psychiatric-symptoms-are-not
September 20, 2011 - epidemiological risk factors.( 10 ) This case illustrates a number of mistakes that led to delayed diagnosis … case pain, ambulation problems) without automatically clustering them as part of a primary psychiatric diagnosis
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psnet.ahrq.gov/node/49804/psn-pdf
September 01, 2017 - Acute upper gastrointestinal
bleeding in the UK: patient characteristics, diagnoses and outcomes in … Proton pump inhibitor treatment initiated prior to
endoscopic diagnosis in upper gastrointestinal bleeding
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psnet.ahrq.gov/node/841469/psn-pdf
December 14, 2022 - Strongyloides: A Hidden Traveler and Potentially Lethal
Missed Diagnosis. … Strongyloides: A Hidden Traveler and Potentially Lethal Missed
Diagnosis. PSNet [internet]. 2022. … https://psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis … Summarize approaches to diagnosis and treatment of Strongyloides infection. … Manifestations, Diagnosis, and Treatment of Strongyloides stercoralis
Infection.
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psnet.ahrq.gov/node/45018/psn-pdf
November 18, 2016 - identifying-risk-use-tumor-markers-improve-patient-safety
Inappropriate use of laboratory tests can contribute to missed and delayed diagnosis … identifying-risk-use-tumor-markers-improve-patient-safety
https://psnet.ahrq.gov/primer/diagnostic-errors
https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims
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psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
November 26, 2014 - Acute upper gastrointestinal bleeding in the UK: patient characteristics, diagnoses and outcomes in the … Proton pump inhibitor treatment initiated prior to endoscopic diagnosis in upper gastrointestinal bleeding … Resources
WebM&M Cases
Anemia and Delayed Colon Cancer Diagnosis
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psnet.ahrq.gov/node/49584/psn-pdf
April 01, 2009 - He noted the PCP diagnosis, a low CD4 count,
and biopsy evidence of three separate cancers. … Given the patient's end-stage AIDS and these new
diagnoses, the primary care doctor met with the patient … diagnostic code to order a lab test may have tragic consequences when the "made-up" (but erroneous)
diagnosis
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psnet.ahrq.gov/node/846770/psn-pdf
March 29, 2023 - There is no consensus on optimal management of iatrogenic esophageal
perforation; however, timely diagnosis … underscore the importance of maintaining high
clinical suspicion for perforation to aid in timely diagnosis … Timely diagnosis and management improve outcomes. … Epidemiology, diagnosis, and management of esophageal
perforations: systematic review. … Early diagnosis is associated with improved clinical
outcomes in benign esophageal perforation: an individual
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psnet.ahrq.gov/issue/neonatal-near-miss-audits-systematic-review-and-call-action
August 04, 2021 - Review
Neonatal near-miss audits: a systematic review and a call to action.
Citation Text:
Medeiros PB, Bailey C, Pollock D, et al. Neonatal near-miss audits: a systematic review and a call to action. BMC Pediatr. 2023;23(1):573. doi:10.1186/s12887-023-04383-6.
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psnet.ahrq.gov/issue/deficiencies-after-new-electronic-health-record-go-live-mann-grandstaff-va-medical-center
March 16, 2022 - Book/Report
Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA.
Citation Text:
Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. Washington, DC: VA Office o…
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psnet.ahrq.gov/issue/their-own-words-safety-and-quality-perspectives-families-hospitalized-children-medical
September 18, 2024 - Study
In their own words: safety and quality perspectives from families of hospitalized children with medical complexity.
Citation Text:
Mauskar S, Ngo T, Haskell H, et al. In their own words: safety and quality perspectives from families of hospitalized children with medical complexity.…
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psnet.ahrq.gov/issue/leadership-effective-human-factor-during-covid-19
March 31, 2021 - Commentary
Leadership: an effective human factor during COVID-19.
Citation Text:
Dhahri AA, Refson J. Leadership: an effective human factor during COVID-19. BMJ Leader. 2021;5:203-205. doi:10.1136/leader-2020-000384.
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