-
psnet.ahrq.gov/node/33861/psn-pdf
July 01, 2018 - Missed pneumothorax,
cryptogenic pneumonia that was misdiagnosed and mistreated, misdiagnosis of salmonella
-
psnet.ahrq.gov/node/33728/psn-pdf
May 01, 2012 - rates in the past
decade and we have reduced certain types of events such as ventilator-associated pneumonia
-
psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis
March 24, 2021 - December 1, 2012
WebM&M Cases
Missed Pneumonia
-
psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
March 01, 2015 - In a chart review of 378 patients who died from stroke, myocardial infarction, or pneumonia in 11 outlier
-
psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
January 01, 2025 - Intra-abdominal pathology can also be mimicked by many conditions unrelated to the abdomen such as pneumonia
-
psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
January 29, 2021 - A hypotensive patient in septic shock, presumably due to bacterial pneumonia superimposed on COPD, had
-
psnet.ahrq.gov/web-mm/getting-root-matter
September 01, 2005 - Deficit
February 1, 2019
WebM&M Cases
Missed Pneumonia
-
psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
September 27, 2023 - include thyroid storm, pneumothorax, pneumomediastinum, pneumopericardium, pulmonary edema and delayed pneumonia
-
psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
March 01, 2015 - In a chart review of 378 patients who died from stroke, myocardial infarction, or pneumonia in 11 outlier
-
psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
September 01, 2005 - successes that have resulted from our investments in research, such as reducing ventilator-associated pneumonia
-
psnet.ahrq.gov/node/867672/psn-pdf
February 26, 2025 - Intra-
abdominal pathology can also be mimicked by many conditions unrelated to the abdomen such as
pneumonia
-
psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - Carole Stockmeier: One example likely familiar to everyone is ventilator-associated pneumonia or VAP
-
psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
January 01, 2025 - organization principles
• Handoff protocols
• Post-event communication
• Non-ventilator associated pneumonia
-
psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
February 28, 2024 - Adherence to simple and effective measures reduces the incidence of ventilator-associated pneumonia
-
psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
September 01, 2005 - successes that have resulted from our investments in research, such as reducing ventilator-associated pneumonia
-
psnet.ahrq.gov/perspective/what-makes-good-checklist
October 01, 2010 - I had an interaction with a surgeon about concern that a patient had preoperative pneumonia.
-
psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
October 01, 2010 - I had an interaction with a surgeon about concern that a patient had preoperative pneumonia.
-
psnet.ahrq.gov/node/845472/psn-pdf
March 15, 2023 - For example, instead of admitting a patient with pneumonia to the hospital, you could monitor
that acute
-
psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
December 01, 2007 - RW: So in this model, if I'm about to be discharged after a hospitalization for heart failure or pneumonia
-
psnet.ahrq.gov/perspective/care-transitions
December 01, 2007 - RW: So in this model, if I'm about to be discharged after a hospitalization for heart failure or pneumonia