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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49565/psn-pdf
    July 01, 2008 - Wrong Route for Nutrients July 1, 2008 Scott-Cawiezell JR. Wrong Route for Nutrients. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/wrong-route-nutrients The Case An 82-year-old man living in a skilled nursing facility (SNF) had not been eating or drinking well for about 6 months. He had lost weight and d…
  2. psnet.ahrq.gov/web-mm/polypharmacy
    March 01, 2007 - Polypharmacy Citation Text: Guglielmo JB. Polypharmacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  3. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.245_slideshow.ppt
    July 01, 2011 - Spotlight Case July 2008 Spotlight Case Watch the Warfarin! 1 2 Source and Credits This presentation is based on the July 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Raman Khanna, MD, and Margaret Fang, MD, MPH; University of California, Sa…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73905/psn-pdf
    October 06, 2021 - Health Equity and Maternal Health October 6, 2021 Tully K, Stuebe AM, Gibson A, et al. Health Equity and Maternal Health. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/health-equity-and-maternal-health Redefining Maternal Safety Maternal safety refers to the safety of a person during pregnancy, childb…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49509/psn-pdf
    April 01, 2006 - Insert Omission April 1, 2006 Darney P. Insert Omission. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/insert-omission The Case A multiparous woman presented to the gynecology clinic requesting intrauterine contraceptive (IUC) placement (Figure). She was appropriately counseled on the risks and benefits o…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49413/psn-pdf
    September 01, 2003 - Retained surgical sponge: diagnosis with CT and sonography.
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49542/psn-pdf
    August 21, 2007 - This preceded her ovarian cancer diagnosis by several years, and she was treated with 6 months of warfarin
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49617/psn-pdf
    January 01, 2011 - urinary biomarkers (e.g., KIM-1) that are more specific and sensitive than Scr may result in earlier diagnosis
  9. psnet.ahrq.gov/web-mm/translating-normal-abnormal
    October 02, 2019 - Miscommunications from poor translation can lead to delayed diagnoses and treatment, causing injury and … October 28, 2016 How timely is diagnosis of lung cancer? … November 1, 2016 WebM&M Cases A "Reflexive" Diagnosis
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866343/psn-pdf
    December 31, 2024 - After these results, the working diagnosis changed to acute heart failure exacerbation and the patient … Syncope is a common ED presentation with a broad differential diagnosis that includes multiple potential … should consider implementing policies and procedures that direct patients with high-risk admitting diagnoses
  11. psnet.ahrq.gov/web-mm/triple-handoff
    March 01, 2004 - In this case, important information was lost due to handoffs, causing diagnosis and treatment delay and … New information includes a brief history and diagnosis, updated medications and problem list, current … Patient Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
  12. psnet.ahrq.gov/web-mm/copy-and-paste
    December 10, 2014 - This preceded her ovarian cancer diagnosis by several years, and she was treated with 6 months of warfarin
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73549/psn-pdf
    July 28, 2021 - It also highlights that the correct diagnosis and treatment of LAST in the operating room is critically … these important discussions did not take place in this case, although the anesthesiologist’s rapid diagnosis
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836840/psn-pdf
    April 22, 2021 - treatment or procedure.2 Among patients who are diagnosed with VTE, the mortality rate one month after diagnosis … part I: epidemiology, risk factors and risk stratification, pathophysiology, clinical presentation, diagnosis
  15. psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
    June 19, 2024 - treatment or procedure. 2 Among patients who are diagnosed with VTE, the mortality rate one month after diagnosis … part I: epidemiology, risk factors and risk stratification, pathophysiology, clinical presentation, diagnosis
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60268/psn-pdf
    April 29, 2020 - Complications of ECMO During Transport April 29, 2020 Broman M. Complications of ECMO During Transport. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/complications-ecmo-during-transport The Case A 54-year-old woman with end-stage chronic obstructive pulmonary disease (COPD) was admitted with acute on chro…
  17. psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
    November 25, 2020 - Had the necessary resources been available when she first presented, diagnosis and treatment would have … November 25, 2020 WebM&M Cases Delay in Appropriate Diagnosis … WebM&M Cases Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis … 14, 2023 WebM&M Cases Under Pressure: Delayed Diagnosis
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49564/psn-pdf
    July 01, 2008 - Physical dependence on an opioid is just one of the seven criteria for the diagnosis of opioid dependence … objective measure was not used in this case, but given the constellation of symptoms, a presumptive diagnosis … 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.
  19. psnet.ahrq.gov/web-mm/e-prescribing-e-error
    February 03, 2021 - 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
  20. psnet.ahrq.gov/web-mm/did-we-forget-something
    April 28, 2021 - Retained surgical sponge: diagnosis with CT and sonography.

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