-
psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_hindsight_is_2020_slides_final_revised_05.03.2024.pdf
January 01, 2024 - • Whether the administration of thrombolytic therapy to a “stroke mimic” equates to
a medical error … guidelines recommend thrombolysis to avoid missing the
therapeutic window even when a “stroke mimic … Heart Association for Comprehensive Stroke Center certification is
administration of thrombolytic therapy … window is narrow, if withholding treatment would cause
harm, if the risk of treatment is acceptably … .2,21
32
Heuristics and Biases (2)
• Biases can infiltrate multiple phases of the diagnostic and therapeutic
-
psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
September 27, 2023 - Successful completion of this exercise can be therapeutic for patients and provides very useful information … means, lethal pain medications, and hot-spots for suicide by jumping. 11 With respective to specific therapeutic … interventions, modest benefits have been documented for cognitive behavioral therapy (CBT) and dialectical … behavioral therapy (DBT), and some medications have been shown to reduce suicide rates as compared to … Evidence-based medication treatments for “maintenance treatment” of alcohol use disorders are underutilized
-
psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
December 23, 2020 - , also known as disease-directed therapies. … Many hospices at the outset specify which costly palliative treatments they will or will not “approve … culture of hospice and palliative care has become estranged from clinicians who deliver diagnostic and therapeutic … . 7 Examples include chemotherapy, radiation, hemodialysis, and therapeutic paracentesis. … Whole brain radiation therapy was administered.
-
psnet.ahrq.gov/node/49500/psn-pdf
January 01, 2006 - with suicidal intent, in which a nomogram (6) helps to predict outcome and
need for N-acetylcysteine treatment … taken.(7) Once a patient is identified with hepatotoxicity after chronic overdosage, only supportive
therapy … Remind parents that acetaminophen is a safe and effective therapy but
administering it in greater-than-recommended … Therapeutic misadventures with acetaminophen: hepatoxicity
after multiple doses in children.
-
psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
October 31, 2023 - Describe evidence-based first line treatments for low back pain and assess the appropriate role of opioid … chronic, slowly progressive condition for which the risk of opioid therapy may exceed the modest therapeutic … The labeling of a patient as ‘drug-seeking’ can shatter trust and rupture therapeutic relationships. … Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline … Nonpharmacologic therapies for low back pain: a systematic review for an American College of Physicians
-
psnet.ahrq.gov/node/853774/psn-pdf
September 27, 2023 - By 2100H, she was placed in a hallway treatment space and triage orders
were initiated by protocol. … Catastrophic bowel necrosis was eventually identified, yet she was not
moved to a standard ED treatment … after triage, EDs can create parallel
processes of care by shifting diagnostic studies, and even some therapeutic … Doing so could have expedited her transfer from the waiting room to
a treatment bed and may have led … Therapeutic interventions,
such as intravenous fluids, analgesics, and antibiotics are also initiated
-
psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
February 10, 2021 - alternative to admission, the physician discussed the case with a cardiologist who recommended full-dose, therapeutic … survival rate of 95% is more likely to choose the treatment than a patient presented with a treatment … transfusion of at least two units of blood, or intracranial bleeding, within the first year of starting therapy … function or alert could prevent providers from inappropriately ordering antiplatelet or anticoagulation therapy … On the elicitation of preferences for alternative therapies.
-
psnet.ahrq.gov/node/49867/psn-pdf
July 02, 2019 - The hyponatremia that is occasionally observed under treatment with loop diuretics is usually due
to … However, the patient should be monitored closely, and
diuretic treatment should be stopped if weight … references
https://psnet.ahrq.gov//#references
Nevertheless, thiazide diuretics remain a valuable therapeutic … risk factors (female gender, heart failure, diabetes, and
prior history of hyponatremia), starting treatment … For the treatment of hypertension, 12.5 mg to 25 mg doses are recommended.
-
psnet.ahrq.gov/node/72516/psn-pdf
November 25, 2020 - survival rate of 95% is
more likely to choose the treatment than a patient presented with a treatment … transfusion of at least two units of blood, or intracranial bleeding, within the first year of starting therapy … initially gathered from the patient may have warranted re-examination of the plan to
discharge on therapeutic … function or alert could prevent providers from inappropriately ordering
antiplatelet or anticoagulation therapy … On the elicitation of preferences for alternative therapies.
-
psnet.ahrq.gov/node/33757/psn-pdf
October 01, 2013 - Perspective
The use of medical imaging to depict and to help diagnose illness and injury as well as to guide therapeutic … fact, multidetector row CT technology and advanced protocols have
revolutionized the diagnosis and treatment
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.29_slideshow.ppt
September 01, 2003 - intubation that patient is anticoagulated
Delayed transmission
Laboratory test results relevant to therapeutic
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.398_slideshow.ppt
February 01, 2017 - Ensuring that all relevant tests and interventions are ordered and that every step in a diagnostic or treatment … stay
Given that it is difficult for any provider to remember every step involved in diagnosis and treatment … have become commonplace in electronic health record systems, covering a range of diagnostic tests and therapeutic
-
psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
January 29, 2021 - gynecologist made a presumptive diagnosis of deep vein thrombosis and put her on subcutaneous dalteparin at therapeutic … Full therapeutic anticoagulation so soon after a hysterectomy presented a significant risk of postoperative … Well leg compartment syndrome: pathophysiology, prevention, and treatment. … Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment … October 27, 2022
WebM&M Cases
Delayed Diagnosis and Treatment
-
psnet.ahrq.gov/web-mm/near-miss-bedside-medications
February 01, 2006 - At the provider level, there was the failure to maintain the patient's INR in therapeutic range, failure … First, the pharmacy and therapeutics committee was charged with modifying the ordering template for bedside
-
psnet.ahrq.gov/node/49425/psn-pdf
November 01, 2003 - A post-mortem digoxin level was 17 ng/ml (therapeutic range 0.8
to 2 ng/ml). … Patients’ and doctors’ attitudes to amount of information given after
unintended injuries during treatment
-
psnet.ahrq.gov/web-mm/double-dose-transfer
November 01, 2012 - Sight
August 1, 2009
WebM&M Cases
Not-So-Therapeutic … June 1, 2012
WebM&M Cases
Treatment Challenges
-
psnet.ahrq.gov/node/49412/psn-pdf
September 01, 2003 - Daily
serum drug levels consistently fell below the therapeutic range, which led the physicians to gradually … In addition, 6% of
doses are not administered; if a patient is not responding to therapy, an omission
-
psnet.ahrq.gov/node/33747/psn-pdf
March 01, 2013 - roles of health care providers to obtain a history, conduct a physical exam, and make
diagnostic and therapeutic
-
psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
January 23, 2017 - facilitate amnesia or decreased awareness and/or patient comfort and safety during a diagnostic or therapeutic … Guidelines for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic … Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic … WebM&M Cases
Delay in Appropriate Diagnosis and Treatment
-
psnet.ahrq.gov/web-mm/misread-label
August 28, 2024 - A post-mortem digoxin level was 17 ng/ml (therapeutic range 0.8 to 2 ng/ml). … Patients’ and doctors’ attitudes to amount of information given after unintended injuries during treatment