-
psnet.ahrq.gov/node/36702/psn-pdf
June 30, 2011 - The safety of hospital stroke care.
June 30, 2011
Holloway RG, Tuttle D, Baird T, et al. The safety of hospital stroke care. Neurology. 2007;68(8):550-555.
https://psnet.ahrq.gov/issue/safety-hospital-stroke-care
The researchers studied adverse events in stroke patients at one academic medical center and found that…
-
psnet.ahrq.gov/issue/leveraging-artificial-intelligence-reduce-diagnostic-errors-emergency-medicine-challenges
May 29, 2019 - Commentary
Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: challenges, opportunities, and future directions.
Citation Text:
Taylor RA, Sangal RB, Smith ME, et al. Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: c…
-
psnet.ahrq.gov/issue/identifying-errors-and-safety-considerations-patients-undergoing-thrombolysis-acute-ischemic
February 09, 2022 - Study
Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke.
Citation Text:
Dancsecs KA, Nestor M, Bailey A, et al. Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke. Am J Emerg …
-
psnet.ahrq.gov/node/49776/psn-pdf
November 01, 2016 - Continuity Errors in Resident Clinic
November 1, 2016
Warm EJ. Continuity Errors in Resident Clinic. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
The Case
A 32-year-old woman presented to internal medicine clinic for evaluation of headaches and difficulty
concentrating. …
-
psnet.ahrq.gov/node/49781/psn-pdf
January 01, 2017 - Hazards of Loading Doses
January 1, 2017
Mucksavage JJ, Tesoro EP. Hazards of Loading Doses. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hazards-loading-doses
The Case
A 40-year-old woman was recently discharged after a prolonged hospitalization for seizures and a cardiac
arrest. Two days after discharg…
-
psnet.ahrq.gov/node/41840/psn-pdf
November 14, 2012 - Risk Prevention and Surgical Checklists.
November 14, 2012
Neurosurg Focus. 2012;33(5):E1-E16.
https://psnet.ahrq.gov/issue/risk-prevention-and-surgical-checklists
This special issue includes articles discussing tactics to improve safety in neurosurgery, including tools,
time-outs, and incident reporting.
…
-
psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
June 01, 2005 - Diagnostic Failure: The Growing Deficit
Citation Text:
Chang R, Flanders S. Diagnostic Failure: The Growing Deficit. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNo…
-
psnet.ahrq.gov/node/49740/psn-pdf
August 21, 2015 - the child in this case, patients receiving botulinum neurotoxin for spasticity often have long-term
neurological
-
psnet.ahrq.gov/issue/stroke-hospitalization-after-misdiagnosis-benign-dizziness-lower-specialty-care-general
May 12, 2021 - Study
Stroke hospitalization after misdiagnosis of "benign dizziness" is lower in specialty care than general practice: a population-based cohort analysis of missed stroke using SPADE methods.
Citation Text:
Chang T-P, Bery AK, Wang Z, et al. Stroke hospitalization after misdiagnosis of …
-
psnet.ahrq.gov/node/36938/psn-pdf
June 30, 2011 - The cost of pneumonia after acute stroke.
June 30, 2011
Katzan IL, Dawson NV, Thomas CL, et al. The cost of pneumonia after acute stroke. Neurology.
2007;68(22). doi:10.1212/01.wnl.0000263187.08969.45.
https://psnet.ahrq.gov/issue/cost-pneumonia-after-acute-stroke
Neglecting measures to prevent pneumonia after str…
-
psnet.ahrq.gov/node/49587/psn-pdf
May 01, 2009 - The fourth step in the initial assessment is a brief neurological examination (D = disability) to determine
-
psnet.ahrq.gov/issue/incidence-multiple-sclerosis-misdiagnosis-referrals-two-academic-centers
April 24, 2018 - Study
Emerging Classic
Incidence of multiple sclerosis misdiagnosis in referrals to two academic centers.
Citation Text:
Kaisey M, Solomon AJ, Luu M, et al. Incidence of multiple sclerosis misdiagnosis in referrals to two academic centers. Mult Scler Relat Disor…
-
psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
March 09, 2022 - Jose A Castillo Jr, MD Department of Neurological Surgery UC Davis Health jcastillo@ucdavis.edu Richard … Price, MD, PhD Assistant Professor Department of Neurological Surgery UC Davis Health riprice@ucdavis.edu … Progressive neurological dysfunction secondary to postoperative cervical pseudomeningocele in a C-4 quadriplegic … View More
Related Resources
A doctor gave me an inept diagnosis for a neurological
-
psnet.ahrq.gov/node/42858/psn-pdf
January 15, 2014 - Early access to a neurologist reduces the rate of missed
diagnosis in young strokes.
January 15, 2014
Mohamed W, Bhattacharya P, Chaturvedi S. Early access to a neurologist reduces the rate of missed
diagnosis in young strokes. J Stroke Cerebrovasc Dis. 2013;22(8):e332-7.
doi:10.1016/j.jstrokecerebrovasdis.2013.01…
-
psnet.ahrq.gov/node/45677/psn-pdf
March 08, 2017 - The War on Error: Common Diagnostic Errors.
March 8, 2017
Medscape. 2016–2017.
https://psnet.ahrq.gov/issue/war-error-common-diagnostic-errors
Improving diagnosis has recently been recognized as a primary focus for patient safety. This collection
highlights particular clinical areas of concern such as neurology an…
-
psnet.ahrq.gov/node/48055/psn-pdf
June 26, 2019 - Prevention of opioid overdose.
June 26, 2019
Babu KM, Brent J, Juurlink DN. Prevention of opioid overdose. N Engl J Med. 2019;380(23):2246-2255.
doi:10.1056/NEJMra1807054.
https://psnet.ahrq.gov/issue/prevention-opioid-overdose
Reducing patient harm associated with the use of opioids to manage pain is a patient s…
-
psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
April 29, 2020 - In addition, because patients with multiple sclerosis can experience neurological deficits due to loss … loss, ataxia, adverse brainstem signs, psychiatric disorders, and dementia, 3 any sensory loss or neurological … Expanded Disability Status Score (EDSS) of 7.5 or higher, supporting consideration of the possibility that neurological
-
psnet.ahrq.gov/node/49836/psn-pdf
July 01, 2018 - psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
The Case
A young adult with a progressive neurological … Surgical consultation was
obtained, but nonsurgical intervention was recommended due to the patient's neurological
-
psnet.ahrq.gov/node/73176/psn-pdf
April 28, 2021 - Diagnostic errors in pediatric critical care: a systematic
review.
April 28, 2021
Cifra CL, Custer J, Singh H, et al. Diagnostic errors in pediatric critical care: a systematic review. Pediatr
Crit Care Med. 2021;22(8):701-712. doi:10.1097/pcc.0000000000002735.
https://psnet.ahrq.gov/issue/diagnostic-errors-pediat…
-
psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_a_cognitive_and_communication_blind_spot_slides.pptx
January 01, 2024 - However, the trauma surgery team’s progress notes described the neurological exam as “moves all extremities