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3101. Statewide Telehealth Program Enhances Access to Care, Improves Outcomes for High-Risk Pregnancies in Rural Area | PSNet
      psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk
      November 13, 2024 - Fetal diagnosis and management: P rovides prenatal diagnosis and management of fetal anomalies prior

3102. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
      January 01, 2024 - Neurosurg Focus. 2000;9(1):e5 17 Background – Diagnosis: MRI Diagnosis is confirmed via spinal MRI … Neurosurg Focus. 2000;9(1):e5 18 Background – Diagnosis: Beta-2 Transferrin If a CSF leak is present … ineffective communication or diffusion of responsibility among team members, or “anchor” on a single diagnosis

3103. Discharge Fumbles | PSNet
      psnet.ahrq.gov/web-mm/discharge-fumbles
      September 09, 2009 - With respect to patient factors, longer lengths of stay, a diagnosis of diabetes mellitus, and more medications … 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 … to these questions BEFORE you leave Do you understand why you were hospitalized, what your diagnosis

3104. Patient Safety in the Physician Office Setting | PSNet
      psnet.ahrq.gov/perspective/patient-safety-physician-office-setting
      November 04, 2015 - Patient Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses

3105. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33618/psn-pdf
      September 01, 2005 - The cognitive psychology of missed diagnoses.

3106. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49844/psn-pdf
      October 01, 2018 - conclusions to focus on how defective system design prevented his colleagues from making the appropriate diagnoses

3107. Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner | PSNet
      psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
      February 26, 2025 - Patient Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses

3108. A Mid-Summer Fog | PSNet
      psnet.ahrq.gov/web-mm/mid-summer-fog
      September 29, 2017 - Hospital-acquired hypoglycemia is also on the list of Medicare's new "no pay for errors" diagnoses.

3109. The LifePoint National Quality Program Provides Structured Framework for Reducing Inpatient Harm | PSNet
      psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-reducing-inpatient-harm
      February 26, 2025 - Patient Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses

3110. Patient Safety 101 | PSNet
      psnet.ahrq.gov/primer/patient-safety-101
      January 16, 2025 - Patient Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses

3111. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.287_slideshow.ppt
      December 01, 2012 - Assessment, diagnosis, and management. … Non-surgical Biopsy Non-surgical biopsy is less invasive than surgical diagnosis Can be performed via … Endobronchial ultrasound for the diagnosis and staging of lung cancer. … Ann Intern Med. 2011;155:137-144. http://www.ncbi.nlm.nih.gov/pubmed/21810706 Surgical Diagnosis … Surgical diagnosis is often preferred for nodules that are very likely to be cancerous The surgery

3112. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.200_slideshow.ppt
      May 01, 2009 - Confusion Assessment Method Diagnosis of delirium requires features 1 and 2, and either 3 or 4 See … contribute to delirium and expose patients to safety risk Family members and caregivers are crucial to the diagnosis

3113. In Conversation With… Eric J. Topol, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-eric-j-topol-md
      February 26, 2025 - power shifts to patients, my guess is that the same companies that are coming up with algorithms for diagnosis … willing—and the vast majority are—then these resources can be helpful for individuals with that same diagnosis

3114. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836794/psn-pdf
      March 31, 2022 - historian; he was alert and oriented to person and place but could not recall his prostate cancer diagnosis … She knew of his cancer diagnosis but was unsure why he was not receiving treatment. … In this particular case, the patient exhibited knowledge of his cancer diagnosis and expressed interest … his situation and could not offer a rationale for his decisions, likely secondary to his childhood diagnosis … on providing patient with relief from symptoms, pain, and stress of serious illness – no matter the diagnosis

3115. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
      January 01, 2022 - historian; he was alert and oriented to person and place but could not recall his prostate cancer diagnosis … She knew of his cancer diagnosis but was unsure why he was not receiving treatment. … • In this particular case, the patient exhibited knowledge of his cancer diagnosis and expressed … his situation and could not offer a rationale for his decisions, likely secondary to his childhood diagnosis … on providing patient with relief from symptoms, pain, and stress of serious illness – no matter the diagnosis

3116. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49834/psn-pdf
      July 01, 2018 - The ED reported these findings to the hospitalist who admitted the patient with a presumed diagnosis … For cardiac ultrasound, emergency medicine providers can accurately make diagnoses (when compared to … Anchoring bias played a role in the decision to treat the patient for fluid overload—a diagnosis that … Emergency physician focused cardiac ultrasound improves diagnosis of ascending aortic dissection. … Thrombosis of prosthetic heart valves: diagnosis and therapeutic considerations.

3117. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73300/psn-pdf
      July 01, 2022 - of the program found that it significantly increased patients' understanding and knowledge of their diagnoses … Many patients lack understanding of their hospitalization diagnosis and treatment plans,9 resulting … factors for readmission (8Ps) include (1) problems with medications, (2) psychological, (3) principal diagnosis

3118. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49760/psn-pdf
      May 01, 2016 - The patient was released back to the skilled nursing facility on day 9, with a diagnosis of Lewy body … Delirium in elderly adults: diagnosis, prevention and treatment. Nat Rev Neurol. 2009;5:210-220. … within past 2 weeks) changes in mental status with family and staff Recent changes in disorder, new diagnoses

3119. Innovations | PSNet
      psnet.ahrq.gov/innovations
      February 26, 2025 - Instead of addressing individual cases, KP sought to improve the disease diagnosis process and systems … Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer July 31, 2023 … follow-up. 1,2 Missed abnormal tests and the lack of necessary clinical follow-up can lead to a late diagnosis

3120. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_mismanagement_of_acute_decompensated_heart_failure_slides_final.pptx
      January 01, 2024 - After these results, the working diagnosis changed to acute heart failure exacerbation and the patient … hemorrhagic stroke. 10 10 Background (2) Syncope is a common ED presentation with a broad differential diagnosis … should consider implementing policies and procedures that direct patients with high-risk admitting diagnoses