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psnet.ahrq.gov/web-mm/glucose-roller-coaster
February 02, 2022 - She did not have a preadmission diagnosis of diabetes. … Patient Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
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psnet.ahrq.gov/web-mm/recurrent-appendicitis
January 15, 2020 - in the elderly can be a challenging problem, with substantially higher rates of missed and delayed diagnoses … The most common medical error encountered in the treatment of appendicitis is a missed or delayed diagnosis … In one study, a preoperative diagnosis of appendicitis was made in fewer than half of elderly patients … and an incorrect admitting diagnosis was associated with an increased risk of perforation.( 3 ) The … Elderly patients are at increased risk of missed and delayed diagnosis of appendicitis, leading to higher
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psnet.ahrq.gov/node/49475/psn-pdf
March 01, 2005 - Equally important is the
apparently casual way in which a critical diagnosis was discarded. … But there was no dispute about the diagnosis implied by the image because there
was no further communication … , but the critical issue is that the neurosurgeon
clearly believed that there had been an error in diagnosis … Was there a history of
receiving transfer patients with wrong diagnoses? … How are disagreements about diagnosis
handled?
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psnet.ahrq.gov/perspective/safety-retail-pharmacy
May 11, 2016 - Unbeknownst to many patients and prescribers, most community pharmacists do not have access to patients' diagnoses
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psnet.ahrq.gov/web-mm/admission-drug-dose-too-low
September 01, 2011 - His admitting diagnoses were COPD exacerbation and pneumonia.
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psnet.ahrq.gov/node/49632/psn-pdf
July 01, 2011 - Missed and delayed diagnoses in the ambulatory setting: a
study of closed malpractice claims.
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psnet.ahrq.gov/node/49574/psn-pdf
November 01, 2008 - Hospital-
acquired hypoglycemia is also on the list of Medicare's new "no pay for errors" diagnoses.
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psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
June 16, 2021 - The cognitive psychology of missed diagnoses. Ann Intern Med. 2005;142:115-120.
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psnet.ahrq.gov/node/49718/psn-pdf
January 01, 2015 - whose eGFR is not likely an accurate representation of renal clearance, perhaps based on existing
diagnoses
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psnet.ahrq.gov/web-mm/fumbled-handoff
September 01, 2006 - Patient Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.76_slideshow.ppt
October 01, 2004 - Spotlight Case [MONTH] 2003
Spotlight Case October 2004
Thin Air
Source and Credits
This presentation is based on the Oct. 2004
AHRQ WebM&M Spotlight Case in Medicine
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: David M. Gaba, MD, Stanford Univer…
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psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - SPOTLIGHT CASE
Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric … Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation. … Strained staffing during a pandemic could have contributed to the delay in diagnosis. … risk of social isolation of patients, feelings of anxiety and depression, medication errors and missed diagnoses … Delirium in the acute care setting: characteristics, diagnosis, and treatment.
-
psnet.ahrq.gov/node/49470/psn-pdf
December 01, 2004 - With respect to patient factors, longer lengths of
stay, a diagnosis of diabetes mellitus, and more … Often, summaries lack important information describing the most responsible diagnosis, the
results of … vulnerable patients—such as those on high-risk or large numbers of medications,
and patients with multiple diagnoses … answer to these questions BEFORE you leave
Do you understand why you were hospitalized, what your diagnosis
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psnet.ahrq.gov/node/846171/psn-pdf
July 26, 2022 - Agitated Delirium Contributes to Missed Testing and
Delayed Diagnosis of Gastric Perforation
March … Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of
Gastric Perforation. … Strained staffing during a pandemic could have contributed to the delay in
diagnosis. … of social isolation of patients, feelings of anxiety and depression,
medication errors and missed diagnoses … Delirium in the acute care setting: characteristics, diagnosis, and treatment.
-
psnet.ahrq.gov/node/49506/psn-pdf
March 01, 2006 - Poor enhancement of right interlobar pulmonary artery (arrow)
causes difficulty in PE diagnosis. … obtained with correct contrast bolus timing shows
excellent pulmonary artery enhancement, allowing diagnosis
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psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
March 19, 2019 - April 12, 2023
Evaluation and accurate diagnoses of pediatric diseases using artificial
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psnet.ahrq.gov/web-mm/dependence-vs-pain
October 30, 2019 - Physical dependence on an opioid is just one of the seven criteria for the diagnosis of opioid dependence … Even when this diagnosis is strongly suspected, a full and complete history and physical examination … In the patient in this case, the overt abdominal pain would lead me to consider other diagnoses. … His nontender abdominal examination also would be consistent with this diagnosis. … December 14, 2022
WebM&M Cases
Delayed Diagnosis
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psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
October 02, 2019 - August 15, 2018
A call to action: next steps to advance diagnosis education in the health … Patient Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
-
psnet.ahrq.gov/node/848110/psn-pdf
April 26, 2023 - Failure to Ensure Patient Safety Leads to Patient Falls in
Nursing Homes.
April 26, 2023
Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
Disclosure of Relevant Financial R…
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psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
September 28, 2022 - cards, which had the patient’s name and their date of birth, and then it was a line with a date, a diagnosis … the top of the card the person’s date of birth and their name, and then each line was a visit with a diagnosis … was allergic to penicillin, we don’t know if the patient got better, we don’t know on what basis the diagnosis … was made, we don’t know if it was the correct diagnosis. … to appointments Issues such as lack of access to transportation may lead to missed care or delayed diagnoses