-
psnet.ahrq.gov/web-mm/mobility-lost-icu
August 01, 2018 - intensive care unit (ICU) stay for respiratory failure from an ischemic cardiac event and aspiration pneumonia
-
psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
March 01, 2018 - 27, 2019
Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015420-shiffman-final-report-2007.pdf
January 01, 2007 - returned “no asthma,” “FH of asthma”; albuterol
therapy was used for patients with brobchiolitis and pneumonia
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/chronic-obstructive-pulmonary-disease-screening-2016
April 05, 2016 - Potential harms of treatment include pneumonia with use of LABAs and inhaled corticosteroids and decreased
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.pdf
May 01, 2017 - The team is also alerted about
an elderly patient with severe pneumonia who
is being admitted from
-
www.ahrq.gov/hai/pfp/hacrate2013.html
January 01, 2018 - Ulcers
$17,000
.072
SurQical Site Infections
$21,000
.028
Ventilator-Associated 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/perspective/conversation-gordon-schiff-md
February 26, 2025 - Missed pneumothorax, cryptogenic pneumonia that was misdiagnosed and mistreated, misdiagnosis of salmonella
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-facguide.docx
January 01, 2017 - until Pasteur was nearing the end of his life, having suffered multiple strokes before contracting pneumonia
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamworknotes.docx
June 02, 2025 - The team is also alerted about an elderly patient with severe pneumonia who is being admitted from the
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
June 01, 2023 - After 3 days in a rehab facility I developed pneumonia which I had never had and then within 30 days
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-David_13.pdf
March 19, 2008 - standardized order sets and intensive clinical case
management on outcomes in community-acquired
pneumonia
-
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/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
August 14, 2024 - Case #2: A 52-year-old woman with a chronic cough attributed to COVID-19 pneumonia one year earlier
-
psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis
March 24, 2021 - December 1, 2012
WebM&M Cases
Missed Pneumonia