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psnet.ahrq.gov/node/50769/psn-pdf
February 15, 2017 - While the term cultural competence
has predominantly referred to the culture and language of racial
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psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
August 06, 2014 - before the medication is dispensed (e.g., laboratory test reporting).( 4 ) These examples are commonly referred
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psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
August 21, 2016 - An earlier study described the development and adoption of a rapid approach to RCAs, referred to as "
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psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
May 01, 2011 - The patient received her first IM dose of penicillin G benzathine and was referred to receive her two
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psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
April 01, 2015 - ( 6 ) Criteria for PIM in the elderly were first developed by Mark Beers in 1997 and are commonly referred
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psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations
September 27, 2023 - No x-ray was taken, and the patient was sent home on oral clindamycin and referred to his primary care … These patients should be referred for a follow up examination and possible outpatient imaging or specialist
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psnet.ahrq.gov/node/840175/psn-pdf
November 16, 2022 - She was referred to the emergency department (ED) for urgent computed
tomography (CT) imaging of the
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psnet.ahrq.gov/node/49871/psn-pdf
August 10, 2019 - psnet.ahrq.gov/web-mm/renal-failure-due-benign-prostatic-hyperplasia
The Case
A 65-year-old man was referred
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psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
February 12, 2020 - for individuals with comorbid behavioral health conditions, especially those who are controversially referred
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psnet.ahrq.gov/web-mm/one-dose-fifty-pills
January 13, 2021 - is no question that autonomy within those areas that require clinical experience and judgment (often referred
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psnet.ahrq.gov/web-mm/round-trip-service
April 26, 2023 - He was referred by his primary care provider to an orthopedic surgeon who recommended a total knee replacement
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psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia
March 31, 2021 - She was referred to a gastroenterologist who ordered an upper gastrointestinal (GI) series of x-rays
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psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
February 26, 2025 - Surgical options were discussed at this colorectal surgery visit; the patient was “urgently” referred
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psnet.ahrq.gov/primer/failure-rescue
September 15, 2024 - This measure, sometimes referred to as "failure-to-rescue—nursing," was shown to be associated with nurse
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psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
October 01, 2008 - We found higher rates of hospital-acquired conditions among hospital transfers and among physician-referred … versus self-referred or primary care patients.( 6 ) Current risk adjustment methods for PSIs may not
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psnet.ahrq.gov/sites/default/files/2024-03/delayed_diagnosis_and_treatment_of_sle.pdf
January 01, 2024 - • The patient was never referred for further evaluation of these findings.
6
Case Details (3)
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psnet.ahrq.gov/node/857259/psn-pdf
November 30, 2023 - The ICU physician referred the patient to a gastroenterology colleague to
undergo diagnostic colonoscopy
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psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
August 15, 2018 - This patient should have been managed in consultation with or referred to a physician with expertise
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psnet.ahrq.gov/web-mm/dropping-ball-despite-integrated-emr
January 07, 2015 - The patient was seen by a physicians assistant (PA), treated with a sling and analgesics, and referred
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psnet.ahrq.gov/web-mm/liposuction-gone-awry
July 01, 2003 - The Case A 54-year-old man with HIV was referred to a plastic surgeon for cosmetic surgery.