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5801. The Context Is the Intervention | PSNet
      psnet.ahrq.gov/perspective/context-intervention
      August 05, 2020 - assisted inno-volution" for spreading effective safety solutions Social sciences tend to be better on diagnosis

5802. Primary Workaround, Secondary Complication | PSNet
      psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
      January 24, 2018 - March 29, 2023 WebM&M Cases Delayed Diagnosis of

5803. Abnormal Volunteer Results | PSNet
      psnet.ahrq.gov/web-mm/abnormal-volunteer-results
      July 18, 2016 - While her diagnosis was likely hastened through her participation in the research study (as she expressed

5804. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857059/psn-pdf
      November 29, 2023 - 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 with

5805. In Conversation with David W. Bates about Are We Safer Today? | PSNet
      psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
      February 26, 2025 - The first thing you have to figure out is if the diagnosis is wrong, and I think artificial intelligence … interactions that inform diagnostic error, and may lead to systems-based approaches that can improve diagnosis

5806. Are We Safer Today? | PSNet
      psnet.ahrq.gov/perspective/are-we-safer-today
      February 26, 2025 - interactions that inform diagnostic error, and may lead to systems-based approaches that can improve diagnosis … The first thing you have to figure out is if the diagnosis is wrong, and I think artificial intelligence

5807. A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion | PSNet
      psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
      June 14, 2023 - March 29, 2023 WebM&M Cases Delayed Diagnosis and … Related Resources WebM&M Cases Managing Complexity in Diagnosis

5808. Dangerous Shift | PSNet
      psnet.ahrq.gov/web-mm/dangerous-shift
      July 24, 2013 - attentional resources during the update based on patient instability and level of uncertainty around a diagnosis … Patient Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses

5809. Crossing the Line | PSNet
      psnet.ahrq.gov/web-mm/crossing-line
      December 01, 2012 - Patient Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses … WebM&M Cases Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis

5810. The Missing Abscess: Radiology Reads in the Digital Era | PSNet
      psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
      January 01, 2009 - specifically what the study is expected to evaluate; (iii) the relevant surgical procedures and patient diagnoses … Related Resources WebM&M Cases Delay in Malignancy Diagnosis

5811. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49777/psn-pdf
      December 01, 2016 - self-harm behavior, history of suicide attempts, history of psychiatric hospitalizations, and concurrent diagnoses … Suicide and psychiatric diagnosis: a worldwide perspective. World Psychiatry. 2002;1:181-185.

5812. The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission | PSNet
      psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
      October 30, 2024 - 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

5813. In Conversation With… Amy C. Edmondson, PhD, AM | PSNet
      psnet.ahrq.gov/perspective/conversation-amy-c-edmondson-phd-am
      February 01, 2017 - In sum, your first, spontaneous causal diagnosis of the problem's cause is likely to be wrong, and doubling … down on that diagnosis is almost certainly unhelpful, not to mention ineffective.

5814. Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety | PSNet
      psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
      March 01, 2017 - have nothing to do with error but to do with, for example, how we do better prognostication, better diagnosis … The diagnosis agenda is interesting because it may have very little to do with error but instead optimizing

5815. The Media’s Role in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/medias-role-patient-safety
      April 27, 2022 - fast-forward to 2015, the National Academy of Medicine (formerly the IOM) publishes its report Improving Diagnosis … Improving Diagnosis in Health Care. National Academies Press; 2015. 9 .

5816. In Conversation With... Michael L. Millenson | PSNet
      psnet.ahrq.gov/perspective/conversation-michael-l-millenson
      April 27, 2022 - fast-forward to 2015, the National Academy of Medicine (formerly the IOM) publishes its report Improving Diagnosis … Improving Diagnosis in Health Care. National Academies Press; 2015. 9 .

5817. New Insights About Team Training From a Decade of TeamSTEPPS | PSNet
      psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
      February 01, 2017 - In sum, your first, spontaneous causal diagnosis of the problem's cause is likely to be wrong, and doubling … down on that diagnosis is almost certainly unhelpful, not to mention ineffective.

5818. In Conversation With… Andrew Bindman, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-andrew-bindman-md
      June 15, 2024 - from the actual interaction of talking with a patient around emotionally sensitive issues like their diagnosis … Patient Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses

5819. DRESSed for Failure | PSNet
      psnet.ahrq.gov/web-mm/dressed-failure
      September 01, 2011 - Dermatology was consulted to evaluate her desquamating rash and, on full chart review, they noted a previous diagnosis

5820. Where's the Feeding Tube? | PSNet
      psnet.ahrq.gov/web-mm/wheres-feeding-tube
      September 01, 2003 - WebM&M Cases Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis