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psnet.ahrq.gov/web-mm/patient-allergies-and-electronic-health-records
August 21, 2005 - formulation; description of the reaction; indication for the drug being taken (if there is no clinical diagnosis … Diagnosis of true drug allergy is challenging and patients have often had adverse drug reactions recorded … Drug allergy: diagnosis and management of drug allergy in adults, children and young people. … 2022
WebM&M Cases
Correct Treatment Plan for Incorrect Diagnosis
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psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior
September 15, 2024 - Disruptive and Unprofessional Behavior
Citation Text:
Disruptive and Unprofessional Behavior. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…
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psnet.ahrq.gov/curated-library/diagnostic-safety-improvement
September 14, 2025 - Diagnosis (Berl) . 2024; 11 :353-368 . … to 2002 was performed to determine the rate at which autopsies detect important, clinically missed diagnoses … Diagnosis (Berl) . 2017; 4 :201-210 . … Diagnosis (Berl) . 2017; 4 :225-238 . … Diagnosis (Berl) . 2023; 10 :363-374 .
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psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - a learning health system can lead to increased decision support for clinicians in making accurate diagnoses … Sharing data and knowledge related to patterns in diagnoses both within and across healthcare organizations … can facilitate development of tools to help physicians make a timely and accurate diagnosis, particularly
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psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - a learning health system can lead to increased decision support for clinicians in making accurate diagnoses … Sharing data and knowledge related to patterns in diagnoses both within and across healthcare organizations … can facilitate development of tools to help physicians make a timely and accurate diagnosis, particularly
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psnet.ahrq.gov/node/49534/psn-pdf
May 01, 2007 - This is an
important concept to recall—failure to do so might leave caregivers doubting their diagnosis
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psnet.ahrq.gov/node/49813/psn-pdf
January 01, 2018 - for Americans age 65 and older, and 1 in 3 seniors die with
dementia.(1) The median survival from diagnosis
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psnet.ahrq.gov/perspective/conversation-christine-cassel-md
February 26, 2025 - that your organization does endorse, there's a risk that the world will shift its attention away from diagnoses … of what we do is evaluate internists' ability to synthesize information in order to get to the right diagnosis … 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
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psnet.ahrq.gov/node/612828/psn-pdf
February 23, 2022 - Delayed Diagnosis of Kidney Transplant Complications
February 23, 2022
Kapa N, Morfín JA. … Delayed Diagnosis of Kidney Transplant Complications. PSNet [internet]. 2022. … https://psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
Objectives
Recognition … Earlier diagnosis of this condition would have allowed for more
prompt interventions with lower procedural … critical 3-day delay in obtaining repeat ultrasound imaging and subsequent CT imaging delayed the
diagnosis
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psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
March 27, 2024 - governing the transfer process, disease-specific protocols targeting some of the most common pediatric diagnoses … Clinical practice guideline: the diagnosis, management, and prevention of bronchiolitis. … Profiling pediatric potentially avoidable transfers using procedure and diagnosis codes. … May 29, 2024
WebM&M Cases
Under Pressure: Delayed Diagnosis
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psnet.ahrq.gov/node/49666/psn-pdf
October 01, 2012 - CA-MRSA Skin Infections: An Ounce of Prevention is
Worth a Pound of Cure
October 1, 2012
Liu C. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure. PSNet [internet].
2012.
https://psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
Case Objectives
Identify risk f…
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psnet.ahrq.gov/sites/default/files/2020-12/final_dec_spotlight_code_status_vs_care_status.pdf
January 01, 2020 - treat the patient as though he could
make any decisions
— When care team members see mental health diagnoses … — However, a diagnosis of developmental delay or mental illness alone do
not speak to a patient’s
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psnet.ahrq.gov/node/49627/psn-pdf
June 01, 2011 - wife when she complained of
pain shortly after suffering an apparent miscarriage, coming up with no diagnosis … They may leap to diagnoses, either in their
own field of expertise or far afield.
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psnet.ahrq.gov/node/49645/psn-pdf
February 01, 2012 - systems have a more difficult time
addressing certain safety issues, such as wrong patient or wrong diagnosis … Sharing such
summaries can alert the pharmacist to treatments without appropriate diagnoses, as well
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psnet.ahrq.gov/node/837215/psn-pdf
July 08, 2022 - Due to the delayed diagnosis of left MCA
stroke, it was too late to perform any neurovascular intervention … Emergency care providers should only make other
diagnoses, such as postictal deficits or complex migraines … The therapeutic time window for acute ischemic stroke is relatively narrow, and any
delays in diagnosis … Life Support (ENLS) training for those
interested in improving their approach to the differential diagnosis … If the diagnosis of ischemic stroke had been
established in a timely manner, close monitoring for signs
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psnet.ahrq.gov/node/33771/psn-pdf
August 22, 2014 - support systems were able to detect or prevent 70%
to 80% of these simulated errors.(15) Linking lab, diagnosis … diagnostic errors and their contributing
factors found that although there were a wide variety of diagnoses … examination (47.4%), or ordering diagnostic tests for further work-up (57.4%).(10)
Of note, no differential diagnosis … face-to-face encounter may
be one of the key factors in improving our chances of making a correct diagnosis
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psnet.ahrq.gov/web-mm/confusion-acetaminophen
December 01, 2009 - The patient was discharged with a diagnosis of viral syndrome after receiving one dose of acetaminophen … July 1, 2003
WebM&M Cases
Diagnosing a Missed Diagnosis
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psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
April 01, 2006 - This is an important concept to recall—failure to do so might leave caregivers doubting their diagnosis … Ischemia
January 1, 2019
WebM&M Cases
Delayed Diagnosis
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psnet.ahrq.gov/web-mm/beeline-spine
March 01, 2014 - When told of his diagnosis of metastatic cancer, the patient immediately said that he wished he had never … November 29, 2023
WebM&M Cases
Delay in Malignancy Diagnosis
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psnet.ahrq.gov/node/33613/psn-pdf
May 01, 2005 - Organizational Change in the Face of Highly Public
Errors—II. The Duke Experience
May 1, 2005
Frush K. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience. PSNet
[internet]. 2005.
https://psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
Pe…