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psnet.ahrq.gov/issue/analysis-ismp-national-vaccine-errors-reporting-program-part-1-and-part-2
July 08, 2015 - April 16, 2014
The absence of a drug–disease interaction alert leads to a child's death
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psnet.ahrq.gov/issue/think-health-care-workers-are-tested-often-coronavirus-think-again
July 29, 2020 - January 13, 2021
The psychological and mental impact of coronavirus disease 2019 (COVID
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psnet.ahrq.gov/issue/coordination-between-emergency-and-primary-care-physicians
August 13, 2014 - May 11, 2022
Refocusing the lens: patient safety in ambulatory chronic disease care.
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psnet.ahrq.gov/issue/adverse-glycemic-events-and-critical-emergencies
December 14, 2022 - 13, 2023
WebM&M Cases
Missed Diagnosis of Addison’s Disease
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/rQBBkz9CrHh4vp7ZnEkF-t
July 18, 2023 - that statin treatment for FH starting in childhood or
adolescence reduces long-term cardiovascular disease … Prevention
and Health Promotion, Centers for Disease Control
and Prevention; National Heart, Lung, and … Excessive TV viewing and
cardiovascular disease risk factors in adolescents:
the AVENA cross-sectional … The effects of lowering LDL cholesterol with statin
therapy in people at low risk of vascular disease … Reducing cardiovascular disease risk among families
with familial hypercholesterolaemia by improving
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/breast-cancer-imaging_technical-brief.pdf
October 01, 2014 - are not identified on CT and these
lead to disease progression. … or
nonprogressive disease according to CT and bone scans. … With a majority of breast cancer patients having estrogen-receptor positive
disease, FES may be able … • PET-CT can help visualize followup of disease in difficult to visualize areas, such as
nodes, … Their research
about their disease tends to focus on treatment.
-
psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
August 14, 2024 - race, older age, hypertension, diabetes, and use of antiplatelet or anticoagulant medications; (2) disease … thyroidectomy, concurrent neck dissection, large gland and/or dominant nodule, substernal goiter, Graves’ disease … medical comorbidities or American Society of Anesthesiologists classification ≥3, and smoking; 16,17 (2) disease-related … American Association of Endocrine Surgeons guidelines for the definitive surgical management of thyroid disease
-
psnet.ahrq.gov/node/72517/psn-pdf
November 25, 2020 - gynecologic surgeries.1,2 Risk
factors include diabetes mellitus, arteriosclerosis, chronic renal disease … diagnostic errors that were identified.5 These included no-fault errors (e.g., atypical presentation of
disease … this review of NF, delays in recognition are common since the symptoms are
easily attributed to other disease … diagnostic category present in the case and estimating the likelihood of such features in a
particular disease
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-presenter-notes.pdf
June 02, 2025 - Marshall,
Nephrologist
Role: Manage end stage
renal disease/dialysis.
Dr. … He had a long
struggle with his end stage renal disease (ESRD). … Marshall, for his end stage renal disease for several years and
was waiting to get on the transplant … He had some history of high blood pressure
and chronic obstructive pulmonary disease (COPD) and he smoked
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-mr-kane.pptx
June 02, 2025 - Marshall, Nephrologist
Role: Manage end stage renal disease/dialysis.
Dr. … He had a long struggle with his end stage renal disease (ESRD). … Marshall, for his end stage renal disease for several years and was waiting to get on the transplant … He had some history of high blood pressure and chronic obstructive pulmonary disease (COPD) and he smoked
-
psnet.ahrq.gov/node/73128/psn-pdf
July 01, 2022 - pneumonia, exacerbation of chronic heart
failure (CHF), exacerbation of chronic obstructive pulmonary disease … (COPD), or cellulitis, and who
meet other general and disease-specific criteria. … resources required
include:
Staffing: One team can manage a daily census of 5 to 8 patients, depending on disease … home" versus inpatient care for
elderly patients with exacerbations of chronic obstructive pulmonary disease
-
psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - Commentary—Part 1
A 78-year-old woman with a history of advanced dementia, chronic obstructive pulmonary disease … Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; Council on Cardiovascular Disease … American Heart Association; Councils on Cardiovascular Nursing, Clinical Cardiology, and Cardiovascular Disease … scientific statement from the Councils on Cardiovascular Nursing, Clinical Cardiology, and Cardiovascular Disease
-
psnet.ahrq.gov/issue/evolution-error-error-management-cognitive-constraints-and-adaptive-decision-making-biases
June 03, 2020 - October 1, 2014
Exposure to media information about a disease can cause doctors to misdiagnose
-
psnet.ahrq.gov/issue/day-joy-died
August 20, 2018 - infections in Veterans Affairs acute-care and long-term healthcare facilities during the coronavirus disease
-
psnet.ahrq.gov/issue/causes-consequences-detection-and-prevention-identification-errors-laboratory-diagnostics
July 05, 2017 - Potential preanalytical and analytical vulnerabilities in the laboratory diagnosis of coronavirus disease
-
psnet.ahrq.gov/issue/help-your-patient-get-what-you-just-said-health-literacy-guide
December 18, 2014 - WebM&M Cases
Culture Clash No More: Integration and Coordination of Disease
-
psnet.ahrq.gov/issue/framing-challenges-artificial-intelligence-medicine
March 13, 2024 - March 13, 2024
Effect of genetic diagnosis on patients with previously undiagnosed disease
-
psnet.ahrq.gov/issue/nursing-home-workers-warned-government-about-safety-violations-covid-19-outbreaks-and-deaths
September 15, 2021 - March 30, 2022
Patient Safety Primers
Coronavirus Disease
-
psnet.ahrq.gov/issue/sent-home-die
April 22, 2020 - June 3, 2020
With Covid-19 delaying routine care, chronic disease startups brace for
-
psnet.ahrq.gov/issue/taking-national-action-prevent-and-eliminate-healthcare-associated-infections
May 06, 2015 - Related Resources
Patient Safety Primers
Coronavirus Disease