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3121. 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

3122. 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

3123. 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

3124. Disruptive and Unprofessional Behavior | PSNet
      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. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…

3125. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety | PSNet
      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

3126. Learning Health Systems for Patient Safety | PSNet
      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

3127. Psn-Pdf (pdf file)
      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

3128. Psn-Pdf (pdf file)
      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

3129. Diagnostic Safety Improvement | PSNet
      psnet.ahrq.gov/curated-library/diagnostic-safety-improvement
      July 21, 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 .

3130. Psn-Pdf (pdf file)
      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

3131. Miscommunication During the Interhospital Transport of a Critically Ill Child | PSNet
      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

3132. Psn-Pdf (pdf file)
      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…

3133. In Conversation With… Christine Cassel, MD | PSNet
      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

3134. Confusion With Acetaminophen | PSNet
      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

3135. Beeline to Spine | PSNet
      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

3136. Antiseizure Medication Disorder | PSNet
      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

3137. Psn-Pdf (pdf file)
      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…

3138. A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care. | PSNet
      psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
      July 08, 2022 - poor 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

3139. Microsoft PowerPoint - FINAL Dec Spotlight_Code Status vs Care Status.pptx (pdf file)
      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

3140. Psn-Pdf (pdf file)
      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.