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3081. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49660/psn-pdf
      August 01, 2012 - results.(1,2) In fact, the fastest growing area of malpractice litigation involves failures or delays in diagnosis … Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. … Missed hypothyroidism diagnosis uncovered by linking laboratory and pharmacy data.

3082. A Seasonal Care Transition Failure | PSNet
      psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
      June 01, 2016 - Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. … View More Related Resources Interventions to improve timely cancer diagnosis … April 26, 2023 WebM&M Cases Delayed Breast Cancer Diagnosis

3083. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72586/psn-pdf
      December 23, 2020 - When providers or other care team members see mental health diagnoses or developmental delay, they question … However, a diagnosis of developmental delay or mental illness alone do not speak to a patient’s ability … morphed from a tool for clinicians to communicate with one another and reason through their differential diagnoses … programs like Medicare and Medicaid pay out a specific amount for a hospital stay based on the admitting diagnosis … and what is the likely length of stay and care needs for that diagnosis.22 The ability of a hospital

3084. In Conversation with...Richard Ricciardi about Office-Based Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
      January 31, 2024 - Diagnostic testing errors and delayed or missed diagnoses also lead to patient safety events in office-based … A delayed or missed diagnosis is more complicated, but it is prevalent in office-based settings. … presentation is often poorly defined with non-specific presentations in the office-based setting, and diagnosis … may require a longer process than diagnosis in the acute care setting. … care and developing tools to improve recognition of cognitive biases that may erroneously dismiss rare diagnoses

3085. Code Status vs. Care Status | PSNet
      psnet.ahrq.gov/web-mm/code-status-vs-care-status
      September 30, 2020 - When providers or other care team members see mental health diagnoses or developmental delay, they question … However, a diagnosis of developmental delay or mental illness alone do not speak to a patient’s ability … morphed from a tool for clinicians to communicate with one another and reason through their differential diagnoses … programs like Medicare and Medicaid pay out a specific amount for a hospital stay based on the admitting diagnosis … and what is the likely length of stay and care needs for that diagnosis. 22  The ability of a hospital

3086. Emergency Error | PSNet
      psnet.ahrq.gov/web-mm/emergency-error
      January 18, 2013 - Little evidence exists regarding diagnosis and decision making for emergency general surgery, but as … CT scanning can also help to identify those patients whose diagnosis, when considered in the context … this case, the localized ileus that may be associated with severe pancreatitis led to the incorrect diagnosis … These two diagnoses would look identical on a plain abdominal radiograph.) … Diagnosis and decision making for these patients can be challenging.

3087. What Do We Know About Emergency Department Safety? | PSNet
      psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
      June 01, 2010 - and care of undifferentiated acute problems. 1  The importance of rapid diagnosis and treatment of serious … These problems can delay diagnosis and treatment or lead to errors due to breaks in procedural routine … The importance of cognitive errors in diagnosis and strategies to minimize them. … When nurses ask me the discharge diagnosis on the patient and I say it's "chest pain not yet diagnosed … But I've left it open so that other people won't come in and possibly inherit the wrong diagnosis.

3088. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49647/psn-pdf
      February 01, 2012 - With a potential diagnosis of preeclampsia (new onset hypertension and proteinuria during pregnancy) … In the absence of proteinuria, this syndrome is considered gestational hypertension, a less serious diagnosis … Assuming a diagnosis of gestational hypertension, the resident initiated discharge planning, including … report confirming the 24-hour protein collection was actually elevated and abnormal, confirming the diagnosis … In this case, the diagnosis in question was preeclampsia.

3089. Hidden Heparins: HIT Happens | PSNet
      psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
      March 27, 2024 - In a hospitalized patient, the diagnosis of HIT may be confounded by the presence of other potential … In light of the high risk of thrombosis that accompanies the diagnosis of HIT, it is possible that the … A diagnosis of HIT does not necessarily obviate any future use of heparin, but several factors must be … Evaluation of pretest clinical score (4 T’s) for the diagnosis of heparin-induced thrombocytopenia in … A Clinical Pretest Approach to the Diagnosis of HIT (Adapted from Lo et al.[ 4 ]).

3090. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33788/psn-pdf
      June 01, 2015 - that your organization does endorse, there's a risk that the world will shift its attention away from diagnoses … We know that many patients do get the wrong diagnosis. … Often when a diagnosis is wrong you don't know about it until much later—the patient may not report it … The good news is that a vibrant new society, the Society to Improve Diagnosis in Medicine, is addressing … https://psnet.ahrq.gov/issue/improvedx https://psnet.ahrq.gov/issue/improving-diagnosis-health-care http

3091. Language Barrier | PSNet
      psnet.ahrq.gov/web-mm/language-barrier
      February 28, 2024 - Language Barrier Citation Text: Flores G. Language Barrier. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

3092. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.281_slideshow.ppt
      October 01, 2012 - Spotlight Case July 2008 Spotlight Case CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure * * Source and Credits This presentation is based on the October 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Catherine L…

3093. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49508/psn-pdf
      January 01, 2007 - Language Barrier April 1, 2006 Flores G. Language Barrier. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/language-barrier The Case A previously healthy 10-month-old girl was taken to a pediatrician's office by her monolingual Spanish- speaking parents when they noted that their daughter had generalized we…

3094. Check Twice, Transport Once | PSNet
      psnet.ahrq.gov/web-mm/check-twice-transport-once
      March 15, 2023 - Check Twice, Transport Once Citation Text: DePew A, Rice J, Chou J. Check Twice, Transport Once. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …

3095. The Dropped "No" | PSNet
      psnet.ahrq.gov/web-mm/dropped-no
      October 30, 2019 - Patient Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses … June 30, 2021 WebM&M Cases Delayed Breast Cancer Diagnosis

3096. Electronic Err | PSNet
      psnet.ahrq.gov/web-mm/electronic-err
      April 01, 2014 - In one study, 40% of encounters had no diagnosis recorded and 30% had no therapeutic agent recorded.( … Secondary to Medication Access Issue April 1, 2014 Evaluation and accurate diagnoses

3097. Discharge Against Medical Advice | PSNet
      psnet.ahrq.gov/web-mm/discharge-against-medical-advice
      July 01, 2017 - care physician, admission through the emergency department, admission with a substance abuse–related diagnosis … Communication Provide the patient with a brief written summary of his or her diagnoses

3098. Diffusion of Responsibility Leads to Danger | PSNet
      psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
      November 08, 2013 - conclusions to focus on how defective system design prevented his colleagues from making the appropriate diagnoses … Thrombosis June 28, 2023 WebM&M Cases Delayed Diagnosis

3099. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities | PSNet
      psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
      November 27, 2019 - dysregulation) based on the initial presentation (spinal cord injury), thereby overlooking other possible diagnoses … Premature Closure: Anchoring Bias, Occam’s Error, Availability Bias, Search Satisficing, Yin-Yang Error, Diagnosis

3100. When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication | PSNet
      psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-indication
      July 02, 2019 - Improving Safety & Patient Safety Target   Medications that are prescribed rarely or for less common diagnoses … JAMA. 1966;198(1):16–20. doi:10.1001/jama.1966.03110140066019  Incidence, Diagnosis, and Management