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psnet.ahrq.gov/web-mm/dangerous-detour
November 28, 2018 - July 24, 2024
Documenting Diagnosis: Exploring the Impact of Electronic Health Records
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psnet.ahrq.gov/web-mm/dont-bite-your-tongue
September 18, 2024 - 1, 2010
WebM&M Cases
Under Pressure: Delayed Diagnosis
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psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment
June 01, 2018 - November 8, 2023
Does a suggested diagnosis in a general practitioners' referral question
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psnet.ahrq.gov/node/841566/psn-pdf
December 14, 2022 - We know that there are errors made in the
accuracy of a diagnosis, and the follow-through with the diagnosis
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psnet.ahrq.gov/perspective/conversation-georgia-galanou-luchen-pharm-d
October 24, 2021 - duplications, omissions, allergy screenings that could interfere with the prescribed therapy, a new diagnosis … adhere to the therapy and then we're back to non-optimized use, not because anything went wrong with the diagnosis
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psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
January 01, 2018 - someone and didn't glean anything significant from it in terms of changing our plan or changing our diagnosis … In a vivid example of copy and paste, once the diagnosis of pulmonary embolism was mistakenly given to
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psnet.ahrq.gov/node/845472/psn-pdf
March 15, 2023 - Telemedicine is remote diagnosis and treatment using some kind of information
https://psnet.ahrq.gov … relay or extend the eyes, ears, and
hands of the treating clinician to gather more information to make diagnosis
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psnet.ahrq.gov/perspective/conversation-cindy-brach
December 27, 2019 - patients and clinicians have difficulty communicating, it can impact the clinician’s ability to make a diagnosis … and/or the patient’s ability to understand that diagnosis.
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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/sites/default/files/2020-12/final_dec_spotlight_code_status_vs_care_status.pdf
January 01, 2020 - treat the patient as though he could
make any decisions
— When care team members see mental health diagnoses … — However, a diagnosis of developmental delay or mental illness alone do
not speak to a patient’s
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psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
February 21, 2024 - supervision trend toward positive impact on procedure-related outcomes for patients, whereas missed diagnoses … Related Resources
WebM&M Cases
Under Pressure: Delayed Diagnosis
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psnet.ahrq.gov/node/836841/psn-pdf
June 01, 2020 - hospital readmissions were higher than those from initial admissions for about two-thirds of common
diagnoses … ; the average readmission cost for any diagnosis in 2016 was $14,400.5 Readmissions also
exacerbate
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psnet.ahrq.gov/node/49645/psn-pdf
February 01, 2012 - systems have a more difficult time
addressing certain safety issues, such as wrong patient or wrong diagnosis … Sharing such
summaries can alert the pharmacist to treatments without appropriate diagnoses, as well
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psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
April 18, 2018 - addition to increased financial costs to the healthcare system, the costs from missed, delayed, or wrong diagnoses … resulted in the wrong patient receiving a pulmonary resection, and the other having delayed disease diagnosis … loss or mislabeling events can lead to catastrophic outcomes such as consequential delays in cancer diagnoses
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psnet.ahrq.gov/web-mm/ecg-not-normal
November 10, 2015 - wife when she complained of pain shortly after suffering an apparent miscarriage, coming up with no diagnosis … They may leap to diagnoses, either in their own field of expertise or far afield.
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psnet.ahrq.gov/web-mm/carpe-diem-seize-day
September 01, 2012 - April 26, 2023
WebM&M Cases
A "Reflexive" Diagnosis
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psnet.ahrq.gov/node/49769/psn-pdf
September 01, 2016 - Her laboratory studies showed
elevated amylase and lipase, and a CT scan confirmed the diagnosis of
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psnet.ahrq.gov/innovation/project-nurture-engages-pregnant-people-substance-use-disorder-improves-maternal-and
September 23, 2024 - innovation is to address poor maternal and infant outcomes specifically among patients with an SUD diagnosis
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psnet.ahrq.gov/node/49523/psn-pdf
November 01, 2006 - Voiding dysfunction: diagnosis, classification and management.
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psnet.ahrq.gov/node/49576/psn-pdf
January 01, 2009 - Transfers can result in a "fresh set of eyes," which will sometimes result in a previously overlooked
diagnosis