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psnet.ahrq.gov/node/49615/psn-pdf
December 01, 2010 - ulcer).(10) Skin changes identified on or after admission may mimic other conditions,
making accurate diagnosis
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psnet.ahrq.gov/perspective/conversation-jane-brice-md-mph
May 01, 2019 - JB : There are a couple of scenarios in which it's really important to make the diagnosis. … It's important for paramedics to make a STEMI [ST-segment elevation myocardial infarction] diagnosis, … Making the diagnosis for STEMI and stroke is critical. … RW : When you said they needed to make the diagnosis of STEMI on the EKG, are they making the diagnosis … Patient Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
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psnet.ahrq.gov/web-mm/thin-air
March 01, 2006 - SPOTLIGHT CASE
Thin Air
Citation Text:
Gaba DM. Thin Air. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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psnet.ahrq.gov/sites/default/files/2021-04/final_psnet_spotlight_retained_vaginal_packing_04.08.2021.pdf
January 01, 2021 - Spotlight
Spotlight
Two Cases of Retained Vaginal Packing:
When Writing an Order is Not Enough
Source and Credits
• This presentation is based on the April 2021 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Verna Gibbs, MD
o AHRQ W…
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psnet.ahrq.gov/node/49402/psn-pdf
June 01, 2003 - Inappropriate Antibiotic Use
June 1, 2003
Babcock HM, Fraser VJ. Inappropriate Antibiotic Use. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
The Case
A 41-year-old woman presented to the hospital with acute renal failure, which came to be diagnosed as a
first presentation of s…
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psnet.ahrq.gov/node/848109/psn-pdf
April 26, 2023 - The Danger of 10% Intravenous Calcium Chloride
Extravasation.
April 26, 2023
The Danger of 10% Intravenous Calcium Chloride Extravasation. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation
The Case
A 52-year-old man with a history of lymphoplasmacytic lymph…
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psnet.ahrq.gov/node/843151/psn-pdf
February 01, 2023 - Patient Safety Concerns and the LGBTQ+ Population
February 1, 2023
Wesley C, Van CM, Mossburg S. Patient Safety Concerns and the LGBTQ+ Population. PSNet [internet].
2023.
https://psnet.ahrq.gov/perspective/patient-safety-concerns-and-lgbtq-population
Challenges to Obtaining Needed Patient-Centered and Safe Health…
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psnet.ahrq.gov/node/49678/psn-pdf
March 01, 2013 - A Weighty Mistake
March 1, 2013
Bokser SJ. A Weighty Mistake. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/weighty-mistake
Case Objectives
Understand factors associated with weight-based dosing medication errors in pediatric populations.
Describe how adoption of computerized provider order entry (CPOE) s…
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psnet.ahrq.gov/node/49698/psn-pdf
December 01, 2013 - SNFs: Opening the Black Box
December 1, 2013
Ouslander JG, Bonner A. SNFs: Opening the Black Box. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/snfs-opening-black-box
The Case
An 88-year-old woman was admitted to a skilled nursing facility (SNF) after a lengthy hospitalization for a
small bowel obstructio…
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psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - January 8, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports…
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psnet.ahrq.gov/primer/failure-rescue
September 15, 2024 - Failure to Rescue
Citation Text:
Tokareva I, Romano P. Failure to Rescue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…
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psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation
April 24, 2024 - The Danger of 10% Intravenous Calcium Chloride Extravasation.
Citation Text:
The Danger of 10% Intravenous Calcium Chloride Extravasation.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
Copy Citation
Format:
Goog…
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psnet.ahrq.gov/web-mm/nothing-called-small-surgery
February 01, 2023 - Raynaud’s phenomenon and digital ischemia: a practical approach to risk stratification, diagnosis and … October 27, 2022
WebM&M Cases
Delayed Diagnosis
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psnet.ahrq.gov/web-mm/see-patient-first
September 27, 2023 - 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
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psnet.ahrq.gov/node/838222/psn-pdf
September 28, 2022 - cards, which had the patient’s name and their date of birth,
and then it was a line with a date, a diagnosis … the top of the card the person’s date of birth and their name, and then each line was a visit
with a diagnosis … was allergic to penicillin, we don’t know if the patient got better, we don’t know on
what basis the diagnosis … was made, we don’t know if it was the correct diagnosis. … week and they came back in
because they weren’t better, I would know a little bit more about what the diagnosis
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psnet.ahrq.gov/perspective/conversation-connor-wesley-rn-bsn-patient-safety-concerns-and-lgbtq-population
February 01, 2023 - In Conversation with... Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ+ Population
February 1, 2023
Also Read the Essay
Citation Text:
In Conversation with.. Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ+ Population. PSNet [inte…
-
psnet.ahrq.gov/perspective/patient-safety-concerns-and-lgbtq-population
February 01, 2023 - Patient Safety Concerns and the LGBTQ+ Population
Connor Wesley, RN, BSN,Cindy Manaoat Van, MHSA,Sarah E. Mossburg, RN, PhD
| February 1, 2023
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Wesley C, Van CM, Mossburg S. Pa…
-
psnet.ahrq.gov/node/73202/psn-pdf
April 28, 2021 - Periodically, the Primary-Care Research in Diagnosis Errors (PRIDE) Learning Network, a collaborative … Laboratory diagnosis of COVID-19: Current issues
and challenges. … Antigen-detection in the diagnosis of SARS-CoV-2 infection using rapid
immunoassays: Interim guidance … Should RT-PCR be considered a gold standard in the
diagnosis of COVID-19? … The Infectious Diseases Society of America Guidelines on
the Diagnosis of COVID-19: Molecular Diagnostic
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psnet.ahrq.gov/web-mm/comanagement-whos-charge
July 01, 2011 - It was believed that the delay in diagnosis of pneumonia and initiation of antibiotics may have contributed
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psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
March 01, 2014 - United Kingdom: Evolution and Progress
May 1, 2007
Evaluation and accurate diagnoses