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psnet.ahrq.gov/web-mm/missed-pneumonia
June 01, 2005 - No heart or lung abnormalities were noted on exam. … tachycardia at 105 beats per minute, mild tachypnea at 20 breaths per minute, and diminished right-sided lung … On physical examination, more than 90% of patients with CAP have a focal lung exam, while fever (80%) … Appendicitis
June 1, 2003
WebM&M Cases
The Dropped Lung
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psnet.ahrq.gov/node/49677/psn-pdf
February 01, 2013 - This
radiograph showed whiteout of the right lung, and ultimately the clinicians realized that the tip … of the
subclavian line was actually within the lung. … possibilities for harm are numerous and include accidental trauma to non-venous structures (arteries, lung … complications may be more common with this vein because of its anatomic proximity to the
chest cavity and lungs
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psnet.ahrq.gov/issue/when-surgery-goes-wrong-weighing-risks
December 18, 2019 - January 9, 2019
Hamilton father misdiagnosed with lung cancer demands answers.
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psnet.ahrq.gov/issue/medical-error-and-moral-luck
October 02, 2024 - September 1, 2021
A sudden death with lung embolism after inadvertent infusion of zinc
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psnet.ahrq.gov/node/865540/psn-pdf
April 11, 2024 - Chest
radiography showed that the NG tube was in the right lung. … and pulmonary aspirates, with typical gastric
values less than 4.0-5.5.8 The mean pH levels of the lung … more predictive test to confirm gastric placement of NG tubes,9 since the mean bilirubin level in the lung … Heart Lung. 2019;48(3):226-235. [Free full text]
9. Metheny NA, Smith L, Stewart BJ.
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psnet.ahrq.gov/web-mm/all-history
February 28, 2011 - physician on the line started to explain, "I'm sending you a 68-year-old man with a history of interstitial lung … Case & Commentary: Part 2 A stat chest radiograph revealed infiltrates in the left lung. … in the ED) and could only give a brief signout: "He is a 68-year-old man with a possible history of lung … vital piece of information, the team became concerned that a pulmonary embolism (blood clot to the lungs … Confusion
July 1, 2003
WebM&M Cases
The Dropped Lung
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psnet.ahrq.gov/issue/probabilistic-risk-assessment-accidental-abo-incompatible-thoracic-organ-transplantation-and
June 24, 2020 - comparable, but two-fold less likely since system changes were adopted after a widely publicized heart-lung
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psnet.ahrq.gov/issue/error-and-uncertainty-diagnostic-radiology
December 18, 2019 - September 4, 2019
End-to-end lung cancer screening with three-dimensional deep learning
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psnet.ahrq.gov/periodic-issue/periodic-issue-329
February 23, 2022 - X-rays showed a 5 cm lesion in her lung, a small vertebral lesion and multiple lesions in her pelvic … A biopsy led to a diagnosis of lung cancer and magnetic resonance imaging (MRI) showed metastases to … decided against aggressive treatment with curative intent and enrolled in hospice; she died of metastatic lung … ’ symptoms associated with low back pain that should prompt expedited evaluation, the importance of lung
-
psnet.ahrq.gov/periodic-issue/periodic-issue-330
February 23, 2022 - X-rays showed a 5 cm lesion in her lung, a small vertebral lesion and multiple lesions in her pelvic … A biopsy led to a diagnosis of lung cancer and magnetic resonance imaging (MRI) showed metastases to … decided against aggressive treatment with curative intent and enrolled in hospice; she died of metastatic lung … ’ symptoms associated with low back pain that should prompt expedited evaluation, the importance of lung
-
psnet.ahrq.gov/periodic-issue/periodic-issue-332
March 31, 2022 - X-rays showed a 5 cm lesion in her lung, a small vertebral lesion and multiple lesions in her pelvic … A biopsy led to a diagnosis of lung cancer and magnetic resonance imaging (MRI) showed metastases to … decided against aggressive treatment with curative intent and enrolled in hospice; she died of metastatic lung … ’ symptoms associated with low back pain that should prompt expedited evaluation, the importance of lung
-
psnet.ahrq.gov/periodic-issue/periodic-issue-334
March 31, 2022 - X-rays showed a 5 cm lesion in her lung, a small vertebral lesion and multiple lesions in her pelvic … A biopsy led to a diagnosis of lung cancer and magnetic resonance imaging (MRI) showed metastases to … decided against aggressive treatment with curative intent and enrolled in hospice; she died of metastatic lung … ’ symptoms associated with low back pain that should prompt expedited evaluation, the importance of lung
-
psnet.ahrq.gov/periodic-issue/periodic-issue-327
February 23, 2022 - X-rays showed a 5 cm lesion in her lung, a small vertebral lesion and multiple lesions in her pelvic … A biopsy led to a diagnosis of lung cancer and magnetic resonance imaging (MRI) showed metastases to … decided against aggressive treatment with curative intent and enrolled in hospice; she died of metastatic lung … ’ symptoms associated with low back pain that should prompt expedited evaluation, the importance of lung
-
psnet.ahrq.gov/periodic-issue/periodic-issue-333
March 31, 2022 - X-rays showed a 5 cm lesion in her lung, a small vertebral lesion and multiple lesions in her pelvic … A biopsy led to a diagnosis of lung cancer and magnetic resonance imaging (MRI) showed metastases to … decided against aggressive treatment with curative intent and enrolled in hospice; she died of metastatic lung … ’ symptoms associated with low back pain that should prompt expedited evaluation, the importance of lung
-
psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-missed-test-results-stepped-wedge-cluster
May 12, 2021 - quality improvement collaborative to improve follow-up on commonly missed test results related to lung
-
psnet.ahrq.gov/web-mm/transfusion-overload
September 23, 2020 - respiratory failure from acute volume overload in the setting of CHF or from transfusion-related acute lung … of transfusion are transfusion-associated circulatory overload (TACO) and transfusion-related acute lung … Transfusion related acute lung injury: incidence and risk factors. Blood. 2012;119:1757-1767. … Heartache
December 1, 2012
WebM&M Cases
The Lung
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psnet.ahrq.gov/issue/overreaction
November 15, 2023 - The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung
-
psnet.ahrq.gov/issue/death-boy-prompts-new-medical-efforts-nationwide
March 22, 2014 - May 1, 2003
WebM&M Cases
The Dropped Lung
May
-
psnet.ahrq.gov/issue/missing-cancer-diagnosis
November 12, 2014 - December 6, 2016
Hamilton father misdiagnosed with lung cancer demands answers.
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psnet.ahrq.gov/issue/robot-will-see-you-now
June 02, 2010 - October 23, 2018
Hamilton father misdiagnosed with lung cancer demands answers.