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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - dysregulation) based on the initial presentation (spinal cord injury), thereby overlooking other possible diagnoses … Premature Closure: Anchoring Bias, Occam’s Error, Availability Bias, Search Satisficing, Yin-Yang Error, Diagnosis
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psnet.ahrq.gov/node/49726/psn-pdf
March 01, 2015 - cases, when imaging
does not accompany a patient in transfer, the patient is reimaged to confirm the diagnosis
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psnet.ahrq.gov/node/49494/psn-pdf
January 01, 2006 - When the initial diagnostic studies failed to provide a definitive diagnosis, the team decided to treat
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psnet.ahrq.gov/node/60362/psn-pdf
April 13, 2018 - Fetal diagnosis and management: Provides prenatal diagnosis and management of fetal
anomalies prior
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psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
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/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
August 01, 2012 - issues were (1) the original complication of a malpositioned transhepatic PEG tube, which was a delayed diagnosis … complications may be underreported due to the lack of specific symptoms and the need for imaging for diagnosis … Delayed or missed diagnoses comprise the most common and costly reasons for malpractice claims, 28
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psnet.ahrq.gov/web-mm/failure-reevaluate
February 01, 2014 - urinary biomarkers (e.g., KIM-1) that are more specific and sensitive than Scr may result in earlier diagnosis
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psnet.ahrq.gov/node/841567/psn-pdf
December 14, 2022 - care, measuring ambulatory care safety and safety in pre-hospital settings, including at the
point of diagnosis
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psnet.ahrq.gov/web-mm/nonsustained-ventricular-tachycardia-after-acute-coronary-syndromes-recognizing-high-risk
September 20, 2011 - April 1, 2019
WebM&M Cases
Delay in Malignancy Diagnosis
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psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities
February 15, 2017 - Edema: diagnosis and management. Am Fam Physician. 2013;88:102-110. [go to PubMed]
8.
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psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
December 20, 2023 - Laboratory studies confirmed a new diagnosis of type 1 diabetes mellitus without ketoacidosis, for which
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psnet.ahrq.gov/node/49452/psn-pdf
July 01, 2004 - An experimental study of patients' views of the
impact and function of a diagnosis.
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psnet.ahrq.gov/node/33751/psn-pdf
January 01, 2014 - rewarded hospitals for poor outcomes by
assigning patients who develop a complication to a higher paying diagnosis
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psnet.ahrq.gov/node/33666/psn-pdf
October 01, 2008 - of central venous and urinary catheters, prevention of
pneumonia in ventilated patients, accurate diagnosis
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psnet.ahrq.gov/node/49707/psn-pdf
April 01, 2014 - The diagnosis of Cushing
syndrome was considered, and subsequent testing for this syndrome was positive
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psnet.ahrq.gov/node/72693/psn-pdf
January 29, 2021 - Based on this finding a provisional diagnosis
of inadvertent ketamine overdose was made.
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psnet.ahrq.gov/node/49641/psn-pdf
November 01, 2011 - The patient had no knowledge of her hepatitis B diagnosis.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.323_slideshow.ppt
May 01, 2014 - dementia was admitted with abdominal pain and diagnosed with a bowel obstruction secondary to a new diagnosis
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psnet.ahrq.gov/node/49691/psn-pdf
September 01, 2013 - Dermatology was consulted to evaluate her desquamating rash and, on full chart review, they noted a
previous diagnosis
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psnet.ahrq.gov/web-mm/transition-nowhere
March 21, 2009 - Related Resources
WebM&M Cases
Under Pressure: Delayed Diagnosis