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psnet.ahrq.gov/issue/beyond-negligence-avoidability-and-medical-injury-compensation
February 17, 2011 - April 21, 2015
Missed and delayed diagnoses in the ambulatory setting: a study of closed … March 2, 2011
Missed and delayed diagnoses in the emergency department: a study of closed
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psnet.ahrq.gov/issue/understanding-medication-safety-healthcare-settings-critical-review-conceptual-models
September 27, 2016 - 2011
Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses … May 6, 2020
Evaluation and accurate diagnoses of pediatric diseases using artificial
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psnet.ahrq.gov/issue/covid-19-delaying-routine-care-chronic-disease-startups-brace-slew-complications
May 02, 2018 - December 4, 2019
Using telehealth to revolutionize the speed of making rare disease diagnoses … September 16, 2020
Missed and delayed diagnoses of non-COVID conditions--collateral harm
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psnet.ahrq.gov/issue/pathology-and-patient-safety-critical-role-pathology-informatics-error-reduction-and-quality
July 20, 2009 - March 28, 2012
Clinical impact and frequency of anatomic pathology errors in cancer diagnoses … October 27, 2010
The "Big Dog" effect: variability assessing the causes of error in diagnoses
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psnet.ahrq.gov/issue/using-medical-malpractice-closed-claims-data-reduce-surgical-risk-and-improve-patient-safety
December 01, 2010 - July 3, 2014
Missed and delayed diagnoses in the emergency department: a study of closed … October 26, 2010
Critical diagnoses (critical values) in anatomic pathology.
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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/x-ray-flip
August 10, 2019 - reluctance to ask for help due to an expectation of competency in what appeared to be a straightforward diagnosis … The importance of cognitive errors in diagnosis and strategies to minimize them. … Patient Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses … 31, 2023
WebM&M Cases
Coming up for Err: Missed Diagnosis
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psnet.ahrq.gov/node/33873/psn-pdf
February 01, 2019 - Trying to make sure that students get maybe the top 10 diagnoses of what you might pick
from for that … number of
publicly available datasets that you can query and examine in terms of what are the top diagnoses
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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/errors-sepsis-management
November 03, 2015 - SPOTLIGHT CASE
Errors in Sepsis Management
Citation Text:
Shimabukuro D. Errors in Sepsis Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/issue/children-admitted-hospital-what-interventions-improve-medication-safety-ward-rounds
July 29, 2020 - Review
For children admitted to hospital, what interventions improve medication safety on ward rounds?
Citation Text:
King C, Dudley J, Mee A, et al. For children admitted to hospital, what interventions improve medication safety on ward rounds? A systematic review. Arch Dis Child. 2023;…
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psnet.ahrq.gov/issue/elimination-central-venous-catheter-related-bloodstream-infections-intensive-care-unit
January 11, 2017 - Study
Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit.
Citation Text:
Longmate AG, Ellis KS, Boyle L, et al. Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. BMJ Qual Saf. 2011;20(2):1…
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psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va-medical-center-tomah
October 12, 2022 - Government Resource
Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin.
Citation Text:
Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. Washington, DC: VA …
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psnet.ahrq.gov/issue/relationship-between-safety-culture-and-voluntary-event-reporting-large-regional-ambulatory
November 26, 2014 - Study
The relationship between safety culture and voluntary event reporting in a large regional ambulatory care group.
Citation Text:
Miller N, Bhowmik S, Ezinwa M, et al. The Relationship Between Safety Culture and Voluntary Event Reporting in a Large Regional Ambulatory Care Group. J P…
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psnet.ahrq.gov/issue/racial-differences-antibiotic-prescribing-primary-care-pediatricians
April 22, 2020 - Study
Racial differences in antibiotic prescribing by primary care pediatricians.
Citation Text:
Gerber JS, Prasad PA, Localio AR, et al. Racial differences in antibiotic prescribing by primary care pediatricians. Pediatrics. 2013;131(4):677-684. doi:10.1542/peds.2012-2500.
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psnet.ahrq.gov/issue/qualitative-study-systems-level-factors-affect-rural-obstetric-nurses-work-during-clinical
April 20, 2022 - Study
A qualitative study of systems-level factors that affect rural obstetric nurses' work during clinical emergencies.
Citation Text:
Bernstein SL, Picciolo M, Grills E, et al. A qualitative study of systems-level factors that affect rural obstetric nurses' work during clinical emergen…
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psnet.ahrq.gov/issue/nurses-perceptions-causes-medication-errors-and-barriers-reporting
March 21, 2018 - Study
Nurses' perceptions of causes of medication errors and barriers to reporting.
Citation Text:
Ulanimo VM, O'Leary-Kelley C, Connolly PM. Nurses' perceptions of causes of medication errors and barriers to reporting. J Nurs Care Qual. 2007;22(1):28-33.
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psnet.ahrq.gov/issue/deficiencies-emergent-and-outpatient-care-patient-alcohol-use-disorder-richard-l-roudebush-va
July 13, 2022 - Book/Report
Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana.
Citation Text:
Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Rou…
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psnet.ahrq.gov/issue/deficiencies-community-care-network-credentialing-process-former-va-surgeon-and-veterans
November 29, 2023 - Book/Report
Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures.
Citation Text:
Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administra…
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psnet.ahrq.gov/issue/inadequate-outpatient-mental-health-triage-and-care-patient-chico-community-based-outpatient
November 29, 2023 - Book/Report
Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California.
Citation Text:
Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California. Washing…