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psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
December 02, 2020 - Dyspnea is the most common symptom, followed by chest pain, cough, low grade fever, and syncope.( 5 ) … Anderson FA II, Zayaruzny M, Heit JA, Fidan D, Cohen AT. … Fanikos J, Rao A, Seger AC, Carter D, Piazza G, Goldhaber SZ. … Pollack CV, Schreiber D, Goldhaber SZ, et al. … Elbadawi A, Wright C, Patel D, et al.
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psnet.ahrq.gov/node/49554/psn-pdf
January 01, 2008 - chemotherapy-extravasation
The Case
A 73-year-old woman with no past medical history was diagnosed with stage IIIA breast cancer … The only medical grade DMSO
product available in the United States is a 50% solution, which may not … Langstein HN, Duman H, Seelig D, Butler CE, Evans GR. … Schulmeister L, Camp-Sorrell D. Chemotherapy extravasation from implanted ports.
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psnet.ahrq.gov/node/73104/psn-pdf
January 04, 2021 - Aufderheide D. … Gardner W, States D, Bagley N. J. The coronavirus and the risks to the elderly in long-term care. … Effect of delays in the 2-week-wait cancer referral pathway during
the COVID-19 pandemic on cancer survival … Greenberg N, Weston D, Hall C, et al. … Stark N, Kerrissey M, Grade M, et al.
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psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
August 31, 2020 - homelessness_programs_resources/hrc-factsheet-current-statistics-prevalence-characteristics-homelessness.pdf Aufderheide D. … ://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/LTCF-residents.html Gardner W, States D, … Effect of delays in the 2-week-wait cancer referral pathway during the COVID-19 pandemic on cancer survival … Network Open . 2020;3:e203976. doi: 10.1001/jamanetworkopen.2020.3976 [ PSNet ] Greenberg N, Weston D, … Ann Intern Med . 2020;172(9):621-622. doi: 10.7326/M20-0907 [ PSNet ] Stark N, Kerrissey M, Grade M,
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psnet.ahrq.gov/node/49861/psn-pdf
May 01, 2019 - The factors most commonly implicated are a history of recent surgery, active cancer,
https://psnet.ahrq.gov … Dyspnea is the most common symptom, followed by chest pain, cough, low grade fever, and syncope.(5) … Anderson FA II, Zayaruzny M, Heit JA, Fidan D, Cohen AT. … Pollack CV, Schreiber D, Goldhaber SZ, et al. … Elbadawi A, Wright C, Patel D, et al.
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psnet.ahrq.gov/web-mm/chemotherapy-extravasation
September 24, 2010 - The Case A 73-year-old woman with no past medical history was diagnosed with stage IIIA breast cancer … The only medical grade DMSO product available in the United States is a 50% solution, which may not be … Langstein HN, Duman H, Seelig D, Butler CE, Evans GR. … Schulmeister L, Camp-Sorrell D. Chemotherapy extravasation from implanted ports.
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psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
March 27, 2024 - headaches can be the presenting sign of elevated intracranial pressure from a mass lesion, such as a brain tumor … lesson to be learned in this case is in follow-up care, which as noted above, is not guided by high-grade … Injury . 2021;52(9):2571-2575. [ Available at ] Gaonkar VB, Garg K, Agrawal D, et al. … World Neurosurg . 2021;146:332-341. [ Available at ] Robinson D, Pyle L, Foreman B, et al. … Patients' and doctors' views and experiences of the patient safety trajectory of breast cancer
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psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
September 28, 2022 - You notice that I changed the language there from “colorectal cancer” to “colon cancer.” … So, they changed the language from “colorectal cancer screening” to “testing to prevent colon cancer. … and context of where they’re coming from or why have we’ve seen three similar cases from the third-grade … Meyers D, Miller T, Genevro J, et al. … Coster JE, Turner JK, Bradbury D, Cantrell A.
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psnet.ahrq.gov/node/49681/psn-pdf
April 01, 2013 - safely manage patients requiring PN is analogous to the expertise
expected in the drug-use process for cancer … PN admixture varies considerably between
institutions; mixed methods (mg/L for some contents, mg/kg/d … Mirtallo J, Canada T, Johnson D, et al; Task Force for the Revision of Safe Practices for Parenteral … Seres D, Sacks GS, Pedersen CA, et al.
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psnet.ahrq.gov/node/49624/psn-pdf
May 01, 2011 - He was found to have a low-grade fever and was a little sleepy with some redness in his throat. … A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of
medical error. … Gallagher TH, Studdert D, Levinson W. Disclosing harmful medical errors to patients. … Carrier ER, Reschovsky JD, Mello MM, Mayrell RC, Katz D.
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psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
January 23, 2017 - safely manage patients requiring PN is analogous to the expertise expected in the drug-use process for cancer … PN admixture varies considerably between institutions; mixed methods (mg/L for some contents, mg/kg/d … Mirtallo J, Canada T, Johnson D, et al; Task Force for the Revision of Safe Practices for Parenteral … Seres D, Sacks GS, Pedersen CA, et al.
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psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
February 01, 2019 - revealed that more people die each year as a result of medical errors than from traffic accidents, breast cancer … Jed D. … Gonzalo JD, Wolpaw T, Wolpaw D. … Hafferty FW, Levinson D. … that students needed it—if some of them were going to grow up to be physician–investigators who cure cancer
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psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
June 01, 2004 - He was found to have a low-grade fever and was a little sleepy with some redness in his throat. … A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error. … Gallagher TH, Studdert D, Levinson W. Disclosing harmful medical errors to patients. … Carrier ER, Reschovsky JD, Mello MM, Mayrell RC, Katz D.
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - history of morbid obesity (body mass index [BMI] 49); chronic pelvic pain; urinary incontinence; breast cancer … indication for the left oophorectomy was a mixed echogenic ovarian mass concerning for possible ovarian cancer … J Minim Invasive Gynecol . 2021;28(3):467-474. [ Available at ]
Lamvu G, Zolnoun D, Boggess J, et al
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psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
August 02, 2015 - Improving outcomes with lung cancer surgery: selective referral or quality improvement? … Aiken LH, Clarke SP, Silber JH, Sloane D. … Variation in mortality after high-risk cancer surgery: failure to rescue.
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psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
January 01, 2016 - For example, diagnosis of lung cancer cases that should have been made in 3 or 4 months but stretched … element of these reports is a handful of high impact recommendations—if the system just did a, b, c, d, … There is some data; for example, optometrists looking at diabetic eyes don't all agree on what grade … For example, diagnoses can be completely missed (cancer missed despite alarming symptoms), wrong (patients … Electronic trigger-based intervention to reduce delays in diagnostic evaluation for cancer: a cluster
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psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
February 01, 2019 - that students needed it—if some of them were going to grow up to be physician–investigators who cure cancer … revealed that more people die each year as a result of medical errors than from traffic accidents, breast cancer … Jed D. … Gonzalo JD, Wolpaw T, Wolpaw D. … Hafferty FW, Levinson D.
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psnet.ahrq.gov/perspective/medical-scribes-and-patient-safety
August 01, 2019 - Citation Text:
Woodcock D, Bergstrom R. Medical Scribes and Patient Safety. PSNet [internet]. … Taylor KA, McQuilkin D, Hughes RG. Medical scribe impact on patient and provider experience. … Campbell LL, Case D, Crocker JE, et al. Using medical scribes in a physician practice. … Younger physicians who have grown up typing everything since they were in grade school are probably more … Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer
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psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - For example, diagnoses can be completely missed (cancer missed despite alarming symptoms), wrong (patients … Electronic trigger-based intervention to reduce delays in diagnostic evaluation for cancer: a cluster … For example, diagnosis of lung cancer cases that should have been made in 3 or 4 months but stretched … element of these reports is a handful of high impact recommendations—if the system just did a, b, c, d, … There is some data; for example, optometrists looking at diabetic eyes don't all agree on what grade
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - Meyers D, Miller T, Genevro J, et al. … Coster JE, Turner JK, Bradbury D, Cantrell A. … You notice that I changed the language there from “colorectal cancer” to “colon cancer.” … So, they changed the language from “colorectal cancer screening” to “testing to prevent colon cancer. … and context of where they’re coming from or why have we’ve seen three similar cases from the third-grade