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psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks
September 01, 2017 - disease persists over many years. 17 In this case, premature closure on the diagnosis of “panic attack” led
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psnet.ahrq.gov/node/49648/psn-pdf
March 01, 2012 - large telephone follow-up program at a tertiary care medical center with
medical–surgical patients led
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psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
February 26, 2025 - Feedback following use of the instrument in several settings led to revisions to the tool.
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psnet.ahrq.gov/node/49624/psn-pdf
May 01, 2011 - revealed a diagnosis
of venous sinus thromboses (blood clots in the veins of the brain), which had led
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psnet.ahrq.gov/web-mm/failure-report
July 01, 2008 - How many other patients must be harmed by similar mistakes before the factors that led to the mistakes
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psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
April 12, 2023 - stability of the patient was not adequately communicated to the receiving hospital prior to transfer, which led
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psnet.ahrq.gov/web-mm/delayed-sepsis-management-due-ambiguous-allergy
January 13, 2021 - Moreover, the lack of familiarity with the limited efficacy of aztreonam in anaerobic coverage led to
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psnet.ahrq.gov/web-mm/near-miss-bedside-medications
February 01, 2006 - At the drug manufacturer's level, a packaging design decision led the atropine and LMWH syringes to look
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psnet.ahrq.gov/web-mm/transfusion-overload
September 23, 2020 - modern guidelines ( 6,9 ), the clinicians might have avoided giving the second unit, which seems to have led
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psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
January 29, 2021 - The increasing linguistic and cultural diversity of our country has led to the potential for communication
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psnet.ahrq.gov/web-mm/inpatient-stroke-management-adolescent-type-1-diabetes-and-home-insulin-pump
February 01, 2023 - Further workup led to a diagnosis of antiphospholipid syndrome, and she was treated with aspirin, mycophenolate
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - 90% of readmissions. 11 A pre-post study of 11 hospitals found that participation in Project BOOST led
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psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
October 02, 2019 - case may very well have had the best of intentions, his decision to provide care outside his scope led
-
psnet.ahrq.gov/node/846564/psn-pdf
March 29, 2023 - alerts were overridden, only 9.3% of those were
inappropriately overridden, and very few overrides led
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psnet.ahrq.gov/node/49431/psn-pdf
January 01, 2004 - What led to the fatal diagnostic error in this case?
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psnet.ahrq.gov/node/74121/psn-pdf
November 30, 2021 - Although death was averted, it
seems quite evident that earlier investigation and intervention might have led
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psnet.ahrq.gov/web-mm/translating-normal-abnormal
October 02, 2019 - The miscommunication led to patient distress, frustration, and unnecessary visits to the urgent care
-
psnet.ahrq.gov/node/33833/psn-pdf
May 01, 2017 - David Juurlink: What got me interested was a 2009 study led by a colleague of mine, Dr.
-
psnet.ahrq.gov/node/861738/psn-pdf
January 31, 2024 - failure to perform a complete hand examination and appropriately manage and refer a
high-risk laceration led
-
psnet.ahrq.gov/sites/default/files/2024-01/spotlight_case_laceration_needed_exam_not_x-ray_final.pdf
January 01, 2024 - failure to perform a complete hand examination and appropriately
manage and refer a high-risk laceration led