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psnet.ahrq.gov/web-mm/falling-between-cracks-software
March 09, 2011 - Related Resources
WebM&M Cases
Delay in Malignancy Diagnosis
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psnet.ahrq.gov/web-mm/situational-unawareness
August 01, 2009 - Despite the fact that the patient was admitted with a clear and potentially life-threatening diagnosis
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psnet.ahrq.gov/web-mm/overriding-considerations
March 09, 2009 - If he also was positive, the couple could then consider prenatal diagnosis.
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psnet.ahrq.gov/web-mm/making-do
September 05, 2018 - Radiographic imaging techniques for the diagnosis of abnormal uterine bleeding.
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psnet.ahrq.gov/web-mm/getting-right-doctor-right-away
July 01, 2011 - States more than $12 billion per year.( 4 ) In this case, the delayed communication surrounded the diagnosis
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.161_slideshow.ppt
October 01, 2007 - that disrupt team function and lead to unsafe outcomes
Physicians have ultimate responsibility for diagnosis
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psnet.ahrq.gov/node/33719/psn-pdf
October 01, 2011 - assisted inno-volution" for spreading effective safety
solutions
Social sciences tend to be better on diagnosis
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psnet.ahrq.gov/node/49465/psn-pdf
December 22, 2021 - In
one study, 40% of encounters had no diagnosis recorded and 30% had no therapeutic agent recorded.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.212_slideshow.ppt
February 01, 2010 - Treating T2DM in Adolescents
Education (about diet, exercise, etc.) should begin at diagnosis for all
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psnet.ahrq.gov/node/49427/psn-pdf
January 01, 2004 - The patient underwent surgery with a preoperative diagnosis of direct left inguinal hernia versus left
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psnet.ahrq.gov/node/49756/psn-pdf
April 01, 2016 - issues Presence of catheters, dates of insertion
Resuscitation status Medication changes
Primary diagnosis
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psnet.ahrq.gov/node/49394/psn-pdf
April 01, 2003 - determination of the time of conception is pivotal in calculating gestational age and thus in
making the diagnosis
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psnet.ahrq.gov/node/853772/psn-pdf
September 27, 2023 - Laboratory studies confirmed a new diagnosis of type 1 diabetes
mellitus without ketoacidosis, for which
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psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
September 23, 2024 - focus on the systems that contribute to the error or near miss, with specific attention paid to early diagnosis
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psnet.ahrq.gov/web-mm/did-we-forget-something
April 28, 2021 - Retained surgical sponge: diagnosis with CT and sonography.
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psnet.ahrq.gov/node/49724/psn-pdf
January 01, 2015 - Delayed diagnosis is associated with a higher risk of septicemia (as seen in this case), the need for
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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/primer/individual-clinician-performance-issues
March 15, 2025 - April 21, 2021
View More
Related WebM&M
A Loss of Trust and a Missed Diagnosis
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psnet.ahrq.gov/node/849598/psn-pdf
May 31, 2023 - Epidemiology and costs of sepsis in the
United States-an analysis based on timing of diagnosis and severity
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psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-indication
July 02, 2019 - Improving Safety & Patient Safety Target
Medications that are prescribed rarely or for less common diagnoses … JAMA. 1966;198(1):16–20. doi:10.1001/jama.1966.03110140066019
Incidence, Diagnosis, and Management