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psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
December 07, 2020 - were prescribed, even for influenza or the common cold, when there were no other infectious disease diagnoses
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psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
December 07, 2020 - were prescribed, even for influenza or the common cold, when there were no other infectious disease diagnoses
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psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
August 01, 2006 - Patient Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
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psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
December 14, 2022 - Patient Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
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psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
May 01, 2016 - April 8, 2011
Antecedent treat-and-release diagnoses prior to sepsis hospitalization
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psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
April 01, 2018 - could not recall details of follow-up appointments, only 60% could accurately describe their admission diagnosis … practicing the teach-back method.( 13-15 ) Simple interventions like a leaflet to explain hospital diagnoses … and new medication details have been shown to increase patient understanding of their diagnosis from … readmitted within 30 days of discharge, but the cause of readmission correlates with the original admission diagnosis
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psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
September 29, 2021 - Compartment syndrome is a clinical diagnosis and patients’ reported symptoms are the earliest indicators … tool to monitor for compartment syndrome. 30 As in adults, compartment syndrome remains a clinical diagnosis … Compartment syndrome is a clinical diagnosis. … Acute compartment syndrome in children: contemporary diagnosis, treatment, and outcome. … 14, 2023
WebM&M Cases
Under Pressure: Delayed Diagnosis
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psnet.ahrq.gov/perspective/workplace-safety-health-care
January 01, 2017 - It's true that every human being is different, every diagnosis needs to be individualized, and treatments … Patient Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
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psnet.ahrq.gov/perspective/risk-management-and-patient-safety
December 01, 2010 - Missed and delayed diagnosis in the ambulatory setting: a study of closed malpractice claims. … Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4
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psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
December 01, 2010 - Missed and delayed diagnosis in the ambulatory setting: a study of closed malpractice claims. … Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4
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psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
January 01, 2017 - It's true that every human being is different, every diagnosis needs to be individualized, and treatments … Patient Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
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psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
August 22, 2014 - Her research has focused on ambulatory patient safety, including missed and delayed diagnosis, adverse … more and more attention, rightfully after many years of neglect, is the area of missed and delayed diagnosis … most common cause of closed successful malpractice claims in outpatient settings is missed and delayed diagnosis … study diagnostic errors and their contributing factors found that although there were a wide variety of diagnoses … that face-to-face encounter may be one of the key factors in improving our chances of making a correct diagnosis
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - support systems were able to detect or prevent 70% to 80% of these simulated errors.( 15 ) Linking lab, diagnosis … study diagnostic errors and their contributing factors found that although there were a wide variety of diagnoses … that face-to-face encounter may be one of the key factors in improving our chances of making a correct diagnosis … Her research has focused on ambulatory patient safety, including missed and delayed diagnosis, adverse … more and more attention, rightfully after many years of neglect, is the area of missed and delayed diagnosis
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psnet.ahrq.gov/node/865413/psn-pdf
March 27, 2024 - In Conversation with...Barbara Pelletreau and John Riggi
about Cybersecurity
March 27, 2024
Pelletreau B, Riggi J. In Conversation with..Barbara Pelletreau and John Riggi about Cybersecurity. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cyberse…
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psnet.ahrq.gov/node/49721/psn-pdf
December 01, 2014 - Ebola: Are We Ready?
December 1, 2014
Barsuk JH, Barnard C. Ebola: Are We Ready? PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/ebola-are-we-ready
The Case
A 28-year-old man, well-appearing but pale, walked into the emergency department (ED) on a Wednesday
afternoon at 3 PM complaining of nausea, vomiting,…
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psnet.ahrq.gov/node/49753/psn-pdf
February 01, 2016 - Robotic Surgery: Risks vs. Rewards
February 1, 2016
Kirkpatrick T, LaGrange C. Robotic Surgery: Risks vs. Rewards. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
Case Objectives
Discuss the background and current trends in robotic surgery.
Identify the benefits of robotic s…
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psnet.ahrq.gov/node/866826/psn-pdf
September 25, 2024 - Hypoxic Gas Supply from Cross-Connected Pipelines
September 25, 2024
Bohringer C, Guemidjian A, Utter G. Hypoxic Gas Supply from Cross-Connected Pipelines. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
The Case
An 8-year-old boy with no significant past medical…
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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - SPOTLIGHT CASE
The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy
Citation Text:
Reider J. The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy. PSNet [internet]. Rockville (MD): Agency for Healthcar…
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psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
November 16, 2022 - Technology now has a prominent role in many aspects of healthcare delivery including admissions, discharge, diagnosis … used HFE methods and principles to create a clinical decision support (CDS) for pulmonary embolism diagnosis … Patient Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
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psnet.ahrq.gov/node/33858/psn-pdf
May 01, 2018 - augment human capabilities so that the EHR becomes a
valuable tool that helps you get to the right diagnosis