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psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw-delays
September 09, 2020 - factors resulting in the death of a patient waiting for care who initially presented at the ER with symptoms … patient safety efforts in office practice settings
December 18, 2019
Software for symptoms … January 25, 2023
ER doctors misdiagnose patients with unusual symptoms.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.182_slideshow.ppt
September 01, 2008 - have chronic obstructive pulmonary disease (COPD)
Systemic steroids reportedly promote resolution of symptoms … She sees you, her primary care physician, 3½ weeks after symptoms began. … Steroids in Present Case
Although initiating low-dose therapy may lead to improvement in patient’s symptoms … Appropriate to aspirate as much fluid as possible from patient’s right knee
Aspiration itself alleviates symptoms … Now, almost 5 weeks after symptoms began, the patient is not improved and probably is worse.
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psnet.ahrq.gov/periodic-issue/periodic-issue-398
July 31, 2023 - Initial delays resulted from patients’ non-specific symptoms such as fatigue and symptoms that came and … Initial delays resulted from patients’ non-specific symptoms such as fatigue and symptoms that came and … patient’s Clinical Institute Withdrawal Assessment (CIWA) score was very high, indicating signs and symptoms
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psnet.ahrq.gov/web-mm/dont-push
January 06, 2010 - It would be helpful to know whether she was already experiencing psychotic symptoms prior to admission … A recent onset of psychosis without organic symptoms would be much less worrisome. … Had psychotic symptoms alone been present during the evaluation or right after admission, it would have … The rapid improvement suggests that the psychotic symptoms were not related to underlying schizophrenia … Extrapyramidal symptoms due to dopamine-blocking agents in patients with AIDS encephalopathy.
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psnet.ahrq.gov/web-mm/abdominal-pain-early-pregnancy
July 20, 2011 - Symptoms and signs that may indicate another cause include nausea and vomiting persisting past mid-pregnancy … Given the severity and persistence of her symptoms despite treatment, a complete abdominal ultrasound … In early pregnancy, the symptoms of appendicitis are identical to those seen in the nonpregnant state … However, the nausea and vomiting and persistent symptoms should have led the clinicians to consider the … When the patient returned with worsening symptoms, appropriate imaging was pursued and revealed acute
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.320_slideshow.ppt
January 01, 2020 - Due to these symptoms, he had multiple falls and an inability to grasp simple objects. … Over the next 10 weeks, the patient returned 2 more times to the same clinic with worsening symptoms, … providers who did not order any additional diagnostic testing and treated him supportively, assuming his symptoms … challenging
PCPs should have a low threshold to refer patients to neurology
Should be considered when symptoms
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.335_slideshow.ppt
December 01, 2014 - hospitalization, after spontaneous resolution of his hypertensive emergency and initial neurologic symptoms … difficult diagnostic distinction between hypertensive emergency and acute stroke
The patient then developed symptoms
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psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
November 30, 2023 - DKA due to the normal pH on her venous blood gas (VBG), and her recent hospitalization for similar symptoms … Inadequate education about how to dose insulin on sick days and how to recognize early symptoms of DKA … Specifically, she withheld insulin when she was unable to eat and may have not been able to communicate her symptoms … in 2001), recurrent admissions related to improper education about proper insulin administration and symptoms … Educate patients, nursing staff, and physicians on risk factors for DKA and its symptoms in patients
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psnet.ahrq.gov/web-mm/adolescent-diabetes-routine-visit
November 03, 2021 - years) for T2DM than T1DM.( 12 ) Both T1DM and T2DM in children and adolescents usually present with symptoms … is not approved for use in patients younger than 18 years; and is associated with gastrointestinal symptoms … Reticence, conflicting information, and symptoms without apparent explanation suggest an adolescent who … is unable or unwilling to discuss symptoms, ask questions, or describe events that are frightening, … HEADSS": H ome, E ducation (i.e., school), A ctivities (e.g., peers, work), D epressive or other symptoms
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psnet.ahrq.gov/web-mm/cyp450-drugs-expect-unexpected
April 01, 2006 - The surgeon advised the patient that these symptoms were not related to the epidural injection or the … One week of appropriate H. pylori treatment resulted in no improvement in symptoms; in fact, the patient … The patient experienced 4 weeks of Cushing-like symptoms, including abdominal pain, insomnia, impotence … , anxiety, sweats, and nausea; symptoms improved after adjustment of his HIV medications. … While less subtle, the patient's insomnia and anxiety symptoms may well be due to the ritonavir-associated
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psnet.ahrq.gov/web-mm/what-was-those-platelets
October 20, 2023 - type of severe infection)—those with hematologic/oncologic disorders—it is common to attribute new symptoms … Therefore, patients receiving platelets should be carefully monitored for signs and symptoms of a transfusion … reactions (separate from bacterial contamination) can lead to the development of fever and systemic symptoms … These patients should be instructed to check for signs and symptoms suggestive of bacterial contamination … organisms), a patient receiving platelets as an outpatient should be instructed to check for signs and symptoms
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psnet.ahrq.gov/curated-library/diagnostic-safety
September 07, 2019 - Online symptoms checkers are increasingly used, but formal validation of these tools is lacking. … patients to improve diagnostic safety: (1) a patient note sheet to help patients share their story and symptoms … three themes associated with diagnostic error – reports of return visits for the same or worsening symptoms … Online symptoms checkers are increasingly used, but formal validation of these tools is lacking. … online symptom checker found that patients most commonly used the tool to understand the causes of their symptoms
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psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
March 27, 2024 - Superimposed preeclampsia is defined as chronic hypertension with new onset of proteinuria or onset of symptoms … case, common errors in management include failure to appreciate the clinical significance of signs and symptoms … These included orders for type and frequency of blood tests, fetal monitoring, and surveillance of symptoms … Given her symptoms and need for an increase in dose of antihypertensive medication, superimposed preeclampsia … standardized techniques for measurements of weight, blood pressure, urine, and documentation of required symptoms
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psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
September 25, 2013 - patient was started on steroid and cyclophosphamide therapy and discharged after improvement in his symptoms … Over the next month, the patient continued to feel well without a recurrence of his symptoms; however … Accompanying neurological symptoms, including word-finding difficulties as reported here, are generally … Vasculitis was a parsimonious explanation for all of the patient's recent symptoms, so it was reasonable … of rare symptoms/diseases Streamline triage to diagnostic experts Using Internet search engines
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psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
August 21, 2016 - At this first entry point, many clinicians miss child abuse and incorrectly attribute symptoms to an … In fact, patients often present with non-specific symptoms such as vomiting, abnormal movements, changes … These symptoms are often attributed to more common problems such as viral URI or acute gastroenteritis … Diagnosing AHT poses unique challenges due to non-specific symptoms, delayed presentations, and difficulty … February 1, 2023
ER doctors misdiagnose patients with unusual symptoms.
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psnet.ahrq.gov/issue/breakdowns-initial-patient-provider-encounter-are-frequent-source-diagnostic-error-among
July 21, 2021 - Ischemic stroke, which often presents with non-specific symptoms and requires time-sensitive treatment
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psnet.ahrq.gov/issue/sterile-compounding-tragedy-symptom-broken-system-many-levels
July 25, 2012 - Newspaper/Magazine Article
Sterile compounding tragedy is a symptom of a broken system on many levels.
Citation Text:
ISMP Medication Safety Alert! Acute Care Edition. October 18, 2012;17:1-4.
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psnet.ahrq.gov/web-mm/walking-out-hospital-after-attempted-suicide
March 29, 2023 - The patient had been staying with his wife in a hotel, experiencing nightmares and depressive symptoms … , or “acute on chronic” exacerbated psychiatric symptoms associated with the suicide attempt. … It is important to recall that amnestic symptoms and/or frank delirium due to hypoxia may be “additive … ” with the ongoing psychiatric symptoms that were associated with the suicide attempt and that the patient … February 1, 2023
ER doctors misdiagnose patients with unusual symptoms.
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psnet.ahrq.gov/sites/default/files/2023-07/spotlight_a_complicated_course.pdf
January 01, 2023 - cancer presented to an emergency department
(ED) 36 hours after his last alcoholic drink with signs and symptoms … patient’s Clinical Institute Withdrawal Assessment (CIWA) score was very
high, indicating signs and symptoms … inpatient
setting for their delirium, seizures, and/or hallucinations.
13
The ten alcohol withdrawal symptoms … as an adjunct to benzodiazepine therapy to
control autonomic hyperactivity and anxiety when these symptoms … – They can mask the elevated adrenergic state seen in AWS and cause a false perception that
these symptoms
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psnet.ahrq.gov/issue/fallacy-single-diagnosis
October 05, 2022 - professionals and community members) were provided one of five scenarios describing a hypothetical patient with symptoms … suggestive of COVID-19 in the presence or absence alternative diagnosis (e.g., COVID-19 symptoms and … August 10, 2022
Identifying patients whose symptoms are underrecognized during treatment