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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4j_pdi12-crbsi-bestpractices.pdf
May 17, 2016 - care, and inpatient units, including operating room; and
representatives from quality improvement, radiology
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psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
January 01, 2023 - could have been avoided if
any of the team members had communicated a verbal order directly to a
radiology
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digital.ahrq.gov/electronic-medical-record-systems
January 01, 2023 - Benefits accrue primarily from savings in drug expenditures, improved utilization of radiology tests,
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-tests-search_methods.pdf
July 01, 2012 - Radiology. 2008. 247(2):365-73.
9. Bachmann LM et al.
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psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
November 16, 2022 - December 27, 2014
Medical errors arising from outsourcing laboratory and radiology services
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4x_combo_pdi12-crbsi-bestpractices.pdf
May 17, 2016 - care, and inpatient units, including operating room; and
representatives from quality improvement, radiology
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psnet.ahrq.gov/web-mm/isolated-clot-real-error
December 01, 2013 - The senior resident reviewed all of the radiology records and read the original ultrasound report, which
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psnet.ahrq.gov/node/867357/psn-pdf
December 18, 2024 - When patients are transported to radiology, the intensive care unit or the operating room, the ETT may
-
www.ahrq.gov/sites/default/files/publications/files/crctoolkit.pdf
December 01, 2010 - Multi-Society Task Force on Colorectal Cancer, and
American College of Radiology (ACR), and the U.S. … Multi-Society Task Force on Colorectal Cancer,
7
and American College of Radiology (Leven, et … Multi-Society
Task Force on Colorectal Cancer, and American College of Radiology and (2) U.S. … Multi-Society Task Force on
Colorectal Cancer, and the American College of Radiology. … Multi-Society Task Force on Colorectal Cancer, and the American
College of Radiology.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/crctoolkit/crctoolkit.pdf
December 01, 2010 - Multi-Society Task Force on Colorectal Cancer, and
American College of Radiology (ACR), and the U.S. … Multi-Society Task Force on Colorectal Cancer,
7
and American College of Radiology (Leven, et … Multi-Society
Task Force on Colorectal Cancer, and American College of Radiology and (2) U.S. … Multi-Society Task Force on
Colorectal Cancer, and the American College of Radiology. … Multi-Society Task Force on Colorectal Cancer, and the American
College of Radiology.
-
effectivehealthcare.ahrq.gov/products/benefits-harms-modeling/research
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/ZcuLSXJZXLz9Y2LECTWqVJ
November 01, 2009 - result was defined according to standard-
ized terminology and assessments of the American College
of Radiology … Reston, VA:
American Coll of Radiology; 2003:229-51.
25. … Radiology. 2005;234:363-73. [PMID:
15670994]
43. Drossaert CH, Boer H, Seydel ER.
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psnet.ahrq.gov/node/74251/psn-pdf
January 26, 2022 - Delayed Diagnosis and Treatment of an Occult
Hemothorax Following Complicated Central Line Insertion
Leads to Cardiac Arrest
January 26, 2022
Raff G, Goudy B. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated
Central Line Insertion Leads to Cardiac Arrest. PSNet [internet]. 2022.
https…
-
psnet.ahrq.gov/node/72811/psn-pdf
September 01, 2022 - Algorithm-Based Decision Support System Guides
Trauma Staff During Initial Treatment, Leading to Fewer
Medical Errors
Originally published on March 3, 2021
Last updated on March 16, 2021
https://psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-
initial-treatment
Summar…
-
psnet.ahrq.gov/node/854848/psn-pdf
October 31, 2023 - Delay in Malignancy Diagnosis Reflects Systemic Failures
October 31, 2023
Mieu H, Olson KA. Delay in Malignancy Diagnosis Reflects Systemic Failures. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
The Case
A 32-year-old man presented to the hospital with…
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psnet.ahrq.gov/node/49798/psn-pdf
July 01, 2017 - Pseudo-obstruction But a Real Perforation
July 1, 2017
Paski SC, Dominitz JA. Pseudo-obstruction But a Real Perforation. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
Case Objectives
Recognize acute colonic pseudo-obstruction and implement a medical management plan.
Ide…
-
psnet.ahrq.gov/node/49480/psn-pdf
May 01, 2005 - Diagnosing Diagnostic Mistakes
May 1, 2005
McNutt RA, Abrams RI, Hasler S. Diagnosing Diagnostic Mistakes. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
Learning Objectives
Understand the biases that may contribute to overcalling medical errors
Describe the impact of conside…
-
psnet.ahrq.gov/node/33702/psn-pdf
November 01, 2010 - In Conversation with...Patrick S. Romano, MD, MPH
November 1, 2010
In Conversation with..Patrick S. Romano, MD, MPH. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/conversation-withpatrick-s-romano-md-mph
Editor's note: Patrick S. Romano, MD, MPH, is Professor of Medicine and Pediatrics at the Universit…
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psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
November 25, 2020 - Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation
Citation Text:
Flynn S, Barnes DK. Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
…
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psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_a_cognitive_and_communication_blind_spot_slides.pptx
January 01, 2024 - Spotlight
Spotlight
A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis
1
Source and Credits
This presentation is based on the October 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Garth Utter, MD, MSc, FACS…