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Missed TB.
FitzGerald JM, Menzies D. AHRQ WebM&M [serial online]. May 2004.
A woman hospitalized for 3 weeks with a respiratory infection was not responding to broad-spectrum antibiotics. Tragically, she died a few days before test results revealed that she actually had tuberculosis.
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Resource Type
Commentary
Setting of Care
Hospitals
Target Audience
Physicians
Clinical Area
General Internal Medicine
Pulmonology
Hospital Medicine
Infectious Diseases
Safety Target
Diagnostic Errors
Missed or Critical Lab Results
Error Types
Cognitive Errors ("Mistakes")
Approach to Improving Safety
Practice Guidelines
Education and Training
Origin/Sponsor
Agency for Healthcare Research and Quality (AHRQ)