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psnet.ahrq.gov/periodic-issue/periodic-issue-471
December 31, 2024 - Study
Application of a digital quality measure for cancer diagnosis in Epic Cosmos … Missed and delayed diagnosis of cancer delays essential, time-sensitive treatment and can lead to negative … Getting an accurate dementia diagnosis can be a long and challenging road for patients and their families … This systematic review identified 20 studies focused on missed and delayed diagnosis of dementia and … Misdiagnosis was associated with increased costs until the time of correct diagnosis.
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psnet.ahrq.gov/node/60044/psn-pdf
March 16, 2020 - focused on
establishing an understanding of body
systems and the technical processes
associated with diagnosis … Colleges and
Nursing Quality and Safety Education for
Nurses, World Health Organization (WHO),
and diagnosis … q=/issue/competencies-improving-diagnosis-interprofessional-framework-education-and-training-health
https … ://psnet.ahrq.gov/issue/competencies-improving-diagnosis-interprofessional-framework-education-and-training-health … q=/issue/competencies-improving-diagnosis-interprofessional-framework-education-and-training-health
https
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psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
August 01, 2012 - issues were (1) the original complication of a malpositioned transhepatic PEG tube, which was a delayed diagnosis … complications may be underreported due to the lack of specific symptoms and the need for imaging for diagnosis … Delayed or missed diagnoses comprise the most common and costly reasons for malpractice claims, 28
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psnet.ahrq.gov/node/49568/psn-pdf
September 01, 2008 - insistence that the infant's breastfeeding difficulties be addressed ultimately led to the correct
diagnosis … neurological, etc.).(9)
Ultimately, the in-person assessment was crucial to coming to the correct diagnosis … Lactation specialists
recognize tongue-tie as a cause of breastfeeding difficulties.(11) The diagnosis … ankyloglossia ranges from 1 in 20 to 1 in 500, and a fair amount of suspicion is required in
making the diagnosis … knowledge of the benefits of breastfeeding and her persistence ultimately allowed for the correct
diagnosis
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psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
September 16, 2015 - If the use, diagnosis, and patient type align with what the CDS has been programmed to identify as appropriate … Patient Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
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psnet.ahrq.gov/node/49611/psn-pdf
October 01, 2010 - reporting suicidality after controlling for confounding factors (demographics, depressive symptoms, and
diagnoses … Hopelessness, depression, suicidal ideation, and clinical
diagnosis of depression.
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psnet.ahrq.gov/web-mm/failure-reevaluate
February 01, 2014 - urinary biomarkers (e.g., KIM-1) that are more specific and sensitive than Scr may result in earlier diagnosis
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psnet.ahrq.gov/node/49641/psn-pdf
November 01, 2011 - The patient had no knowledge of her hepatitis B diagnosis.
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psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment
June 01, 2018 - November 8, 2023
Does a suggested diagnosis in a general practitioners' referral question
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psnet.ahrq.gov/perspective/patient-safety-medical-nursing-and-other-clinical-education
January 31, 2020 - focused on establishing an understanding of body systems and the technical processes associated with diagnosis … Colleges and Nursing Quality and Safety Education for Nurses , World Health Organization (WHO) , and diagnosis
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psnet.ahrq.gov/node/49417/psn-pdf
October 01, 2003 - of unprotected intercourse during the 6
months during which she was seropositive but unaware of her diagnosis … If the former, the lab treats the
result as it would any new diagnosis of HIV and contacts the responsible
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psnet.ahrq.gov/web-mm/lost-black-hole
December 01, 2005 - of unprotected intercourse during the 6 months during which she was seropositive but unaware of her diagnosis … If the former, the lab treats the result as it would any new diagnosis of HIV and contacts the responsible
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psnet.ahrq.gov/web-mm/its-all-syringe
February 01, 2013 - May 1, 2005
WebM&M Cases
Delayed Breast Cancer Diagnosis … January 6, 2017
Process of care failures in breast cancer diagnosis.
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psnet.ahrq.gov/node/49538/psn-pdf
June 01, 2007 - While her diagnosis was likely hastened through her participation in
the research study (as she expressed
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psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling
February 01, 2019 - WebM&M Cases
Correct Treatment Plan for Incorrect Diagnosis
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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
July 20, 2010 - Organizational Change in the Face of Highly Public Errors—II. The Duke Experience
Karen Frush, MD | May 1, 2005
View more articles from the same authors.
Citation Text:
Frush K. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience. PSN…
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psnet.ahrq.gov/node/33834/psn-pdf
May 22, 2017 - Opioid Overdose as a Patient Safety Problem
May 22, 2017
Murimi IB, Alexander CG. Opioid Overdose as a Patient Safety Problem. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
Perspective
Opioids serve a valuable role in the treatment of acute pain and pain associat…
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psnet.ahrq.gov/web-mm/mark-my-tooth
June 01, 2014 - Mark My Tooth
Citation Text:
Smith RA. Mark My Tooth. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
D…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.359_slideshow.ppt
October 01, 2015 - PowerPoint Presentation
Spotlight
The Risks of Absent Interoperability:
Medication-Induced Hemolysis in a Patient With a Known Allergy
1
This presentation is based on the October 2015
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/
CME credit is available
Commentary by: Jacob Reider,…
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psnet.ahrq.gov/node/49745/psn-pdf
October 01, 2015 - Amphotericin Toxicity
October 1, 2015
Nagel J, Nguyen E. Amphotericin Toxicity. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/amphotericin-toxicity
The Case
A 42-year-old woman status-post left pneumonectomy for aspergilloma was being treated with oral
posaconazole for residual fungal disease. She present…