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  1. 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…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49554/psn-pdf
    January 01, 2008 - Chemotherapy Extravasation January 1, 2008 Schulmeister L. Chemotherapy Extravasation. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/chemotherapy-extravasation The Case A 73-year-old woman with no past medical history was diagnosed with stage IIIA breast cancer. She and her oncologist decided to begin sys…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49426/psn-pdf
    November 01, 2003 - Don't Push November 1, 2003 Meltzer HY. Don't Push. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/dont-push The Case A 37-year-old HIV-positive woman was brought to the emergency room by her family because she had exhibited altered mentation for 3 days. The patient had been diagnosed with HIV infection 3 …
  4. 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…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836978/psn-pdf
    May 16, 2022 - Check Twice, Transport Once May 16, 2022 DePew A, Rice J, Chou J. Check Twice, Transport Once. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/check-twice-transport-once The Case Case #1: A 26-year-old woman (Patient A) presented to the Emergency Department (ED) with abdominal pain and was diagnosed with “s…
  6. 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,…
  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/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
  9. 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
  10. 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
  11. psnet.ahrq.gov/web-mm/forgotten-radiographic-read
    June 07, 2016 - The reviews concluded that the delay in diagnosis of internal mesenteric artery dissection and bowel … dedicated radiologist read all images the following workday ultimately led to this patient's correct diagnosis
  12. 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
  13. 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
  14. 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
  15. psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
    September 01, 2005 - The cognitive psychology of missed diagnoses.
  16. 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
  17. 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.
  18. 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
  19. 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
  20. 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

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