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psnet.ahrq.gov/issue/ahrq-report-diagnostic-errors-emergency-department-wrong-answer-wrong-question
September 23, 2020 - Commentary
The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question.
Citation Text:
Kelen GD, Kaji AH, Schreyer KE, et al. The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question. Ann Emerg M…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
February 01, 2014 - information such as his specific opioid-use history
Solution:
Institutions should ensure information about diagnoses
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psnet.ahrq.gov/node/33681/psn-pdf
March 01, 2009 - health literacy
has been repeatedly linked to problems with the use of preventive services, delayed diagnoses
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psnet.ahrq.gov/node/50612/psn-pdf
October 30, 2019 - supervision trend toward positive impact on procedure-related outcomes for patients, whereas missed
diagnoses
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psnet.ahrq.gov/node/60330/psn-pdf
May 05, 2020 - With a robust telehealth infrastructure in place, patients may receive more timely diagnoses and treatment
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psnet.ahrq.gov/web-mm/baffled-botulinum-toxin
July 17, 2024 - Patient Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
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psnet.ahrq.gov/node/49581/psn-pdf
March 21, 2009 - Create an environment that provides the time practitioners need to think through their patients'
diagnoses … and treatments and match the appropriateness of drug therapy with the patient (i.e., right
drug for diagnosis
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psnet.ahrq.gov/perspective/emergence-application-based-healthcare
August 05, 2022 - treatment perspective (e.g., clinical drug information). 6 Clinician-facing apps might assist with diagnosis … Google: the evidence on consumer-facing digital tools for diagnosis. … Diagnosis. 2018;5(3):95-105.
3. Grundy QH, Wang Z, Bero LA. … Google: the evidence on consumer-facing digital tools for diagnosis. … Diagnosis. 2018;5(3):95-105.
12. Grundy QH, Wang Z, Bero LA.
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psnet.ahrq.gov/perspective/conversation-francoise-marvel-md
August 05, 2022 - treatment perspective (e.g., clinical drug information). 6 Clinician-facing apps might assist with diagnosis … Google: the evidence on consumer-facing digital tools for diagnosis. … Diagnosis. 2018;5(3):95-105.
3. Grundy QH, Wang Z, Bero LA. … Google: the evidence on consumer-facing digital tools for diagnosis. … Diagnosis. 2018;5(3):95-105.
12. Grundy QH, Wang Z, Bero LA.
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psnet.ahrq.gov/node/49795/psn-pdf
June 01, 2017 - anticoagulation), the clinical presentation of the patient and laboratory investigations strongly favor the
diagnosis … AKI and some increased risk
for CIAKI, a contrast-enhanced CT was essential to confirm the clinical diagnosis … intravenous fluid bolus, and educating patients about oral hydration.(16
)
In this case, the delay in diagnosis … It remains widely accepted among surgical specialists that
making a prompt diagnosis of a potential
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psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
February 21, 2024 - supervision trend toward positive impact on procedure-related outcomes for patients, whereas missed diagnoses … Related Resources
WebM&M Cases
Under Pressure: Delayed Diagnosis
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psnet.ahrq.gov/node/836841/psn-pdf
June 01, 2020 - hospital readmissions were higher than those from initial admissions for about two-thirds of common
diagnoses … ; the average readmission cost for any diagnosis in 2016 was $14,400.5 Readmissions also
exacerbate
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psnet.ahrq.gov/web-mm/chemotherapy-administration-safety-standards
March 30, 2016 - treatment plan should be readily available.( 6 ) At minimum, such documentation should include the patient diagnosis … administration, transparent chart documentation should be available, which includes, at minimum, the patient diagnosis … Patient Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
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psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
May 01, 2011 - Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention
Citation Text: … Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet]. … Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet]. … community pharmacists with a medication profile (and refill history), vital signs, laboratory test results, diagnoses … Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet].
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psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
July 31, 2023 - There is no consensus on optimal management of iatrogenic esophageal perforation; however, 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 … September 28, 2022
WebM&M Cases
Delayed Diagnosis
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psnet.ahrq.gov/node/49485/psn-pdf
August 29, 2024 - Specific
ophthalmologic findings determine the diagnosis.(5) AION occurs at the optic nerve head as … Worsening or delayed visual loss postoperatively
implicates AION as the probable diagnosis. … The actual funduscopic findings, which we are not provided, are
essential to making a diagnosis of the … VEPs
are useful in the diagnosis of ION before optic nerve pallor has emerged if visual acuity cannot … 11)
Treatment
In the case presented here, an earlier exam and follow-up might have been helpful in diagnosis
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psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
October 01, 2013 - large number of CTs, but also the way we were doing them was leading to higher doses than needed for diagnosis … the doses used, there is no value to anyone in using doses that are higher than needed for medical diagnosis … In fact, multidetector row CT technology and advanced protocols have revolutionized the diagnosis and … imaging is to adhere to the ALARA principle while ensuring that information is sufficient for accurate diagnoses … Patient Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
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psnet.ahrq.gov/issue/investigating-racial-and-ethnic-disparities-maternal-care-system-level-using-patient-safety
March 29, 2023 - Study
Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports.
Citation Text:
Alfred MC, Wilson D, DeForest E, et al. Investigating racial and ethnic disparities in maternal care at the system level using patient safety incid…
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psnet.ahrq.gov/issue/incidence-and-outcomes-non-ventilator-associated-hospital-acquired-pneumonia-284-us-hospitals
October 09, 2024 - Study
Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US hospitals using electronic surveillance criteria.
Citation Text:
Jones BE, Sarvet AL, Ying J, et al. Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US h…
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psnet.ahrq.gov/issue/varying-rates-patient-identity-verification-when-using-computerized-provider-order-entry
July 07, 2021 - Study
Varying rates of patient identity verification when using computerized provider order entry.
Citation Text:
Fortman E, Hettinger AZ, Howe JL, et al. Varying rates of patient identity verification when using computerized provider order entry. J Am Med Info Assoc. 2020;27(6):924-928…