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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49462/psn-pdf
    October 01, 2004 - Thin Air October 1, 2004 Gaba DM. Thin Air. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/thin-air Case Objectives Identify the gas-specific non-interchangeable connectors used for bulk gas supply outlets in hospitals. Define forcing function, both in engineered safety devices and in human procedures. R…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49763/psn-pdf
    June 01, 2016 - July Syndrome June 1, 2016 Young JQ. July Syndrome. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/july-syndrome The Case A 64-year-old man was seen in the thoracic surgery clinic in June after being diagnosed with a right lower lobe lung cancer. The attending surgeon saw the patient along with his fellow,…
  3. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.383_slideshow.ppt
    September 01, 2016 - PowerPoint Presentation Spotlight A Pill Organizing Plight * Source and Credits This presentation is based on the September 2016 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Brittany McGalliard, PharmD; Rita Shane, PharmD; and Sonja Ro…
  4. psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
    November 21, 2021 - Lapse in Antibiotics Leads to Sepsis Citation Text: Levy MM. Lapse in Antibiotics Leads to Sepsis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote …
  5. psnet.ahrq.gov/web-mm/amphotericin-toxicity
    April 01, 2014 - Amphotericin Toxicity Citation Text: Nagel J, Nguyen E. Amphotericin Toxicity. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…
  6. psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
    May 14, 2020 - With a robust telehealth infrastructure in place, patients may receive more timely diagnoses and treatment
  7. psnet.ahrq.gov/perspective/evolution-root-cause-analysis
    February 26, 2025 - Patient Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
  8. psnet.ahrq.gov/web-mm/aspergillus-mediastinitis-endocarditis-pediatric-patient-complicating-cardiac-surgery-and
    November 16, 2022 - Diagnosis and treatment of Aspergillus flavus sternal wound infections after cardiac surgery. … October 19, 2022 WebM&M Cases Diagnosing a Missed Diagnosis
  9. psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
    May 14, 2020 - With a robust telehealth infrastructure in place, patients may receive more timely diagnoses and treatment
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72689/psn-pdf
    January 29, 2021 - with careful dental care, including salt and sodium bicarbonate mouthwash and pain control.4 A timely diagnosis … A guide to utilization of the microbiology laboratory for diagnosis of infectious diseases: 2013 recommendations
  11. psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
    September 27, 2023 - laboratory and other assessments; and to allow further clinical observation to make a more precise diagnosis … March 29, 2023 WebM&M Cases Delayed Diagnosis and
  12. psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
    September 01, 2005 - The cognitive psychology of missed diagnoses.
  13. psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
    March 27, 2024 - July 13, 2009 Missed diagnoses of acute cardiac ischemia in the emergency department.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73153/psn-pdf
    April 28, 2021 - examinations are not well understood, but it is a disservice to female patients and may contribute to missed diagnoses
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33789/psn-pdf
    August 01, 2015 - to the patient about the things that the physician uniquely can do—complicated decisions, complex diagnoses
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60363/psn-pdf
    March 01, 2021 - Program adopters report more than 20 different approaches; these range from picking three diagnoses
  17. psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
    March 27, 2024 - Program adopters report more than 20 different approaches; these range from picking three diagnoses currently
  18. psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
    March 27, 2024 - Patient Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
  19. psnet.ahrq.gov/web-mm/communication-consultants
    October 01, 2018 - The following day, the hematologist confirmed the diagnosis of leukostasis as the result of acute myeloid … A consultation is a formal request made from one provider to another to give their opinion on the diagnosis … The requesting clinician may seek consultation for any number of reasons ranging from advice on diagnosis … Quality April 26, 2023 WebM&M Cases Delayed Diagnosis … 23, 2022 WebM&M Cases Missing ECG and Missed Diagnosis
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867428/psn-pdf
    December 18, 2024 - When it came to decision support for osteoporosis, we looked in the system for a diagnosis of osteoporosis … If the patient had either of those diagnoses and did not have a prescription for a bone- strengthening

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