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psnet.ahrq.gov/issue/tolerance-uncertainty-and-practice-emergency-medicine
May 25, 2022 - Conversation with…Pat Croskerry, MD, PhD
June 1, 2010
WebM&M Cases … Lethal Vertigo
June 1, 2004
WebM&M Cases … No Blood, Please
May 1, 2004
WebM&M Cases … Undiagnosed Vaginal Bleeding
February 1, 2004
WebM&M Cases … Ruptured Heterotopic Pregnancy
January 1, 2004
WebM&M Cases
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psnet.ahrq.gov/web-mm/not-all-headaches-are-due-migraine-red-flags-dont-miss-diagnoses-and-diagnostic-pitfalls
February 17, 2021 - The Cases Case #1: A 22-year-old physically active man went to his family physician complaining of severe … However, as these two cases demonstrate, there are serious causes of headache that must be considered … In most cases, there are no definitive tests to determine a specific etiology for a patient’s headache … of headache presented, and considerations for application in other cases will be discussed. … How can students’ diagnostic competence benefit most from practice with clinical cases?
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psnet.ahrq.gov/node/850176/psn-pdf
June 07, 2023 - Care Post-Roe: Documenting Cases of Poor-quality Care
Since the Dobbs Decision. … https://psnet.ahrq.gov/issue/care-post-roe-documenting-cases-poor-quality-care-dobbs-decision
Overarching … This
document reports the preliminary findings of a study examining 50 cases submitted where clinicians … https://psnet.ahrq.gov/issue/care-post-roe-documenting-cases-poor-quality-care-dobbs-decision
https:/
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psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
November 25, 2020 - Close follow-up with a hand surgeon should be arranged for all cases of definite or suspected tendon … Splint all cases of confirmed and suspected tendon injuries. … A Multicenter prospective study of 3,110 consecutive cases of elective epinephrine use in the fingers … April 24, 2024
WebM&M Cases
Hindsight is 20/20: … July 29, 2020
WebM&M Cases
Spinal Epidural
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psnet.ahrq.gov/issue/management-operating-room-critical-events
March 27, 2024 - March 19, 2008
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WebM&M Cases … Inadequate ECG Oversight in Cardiac Surgery
April 24, 2024
WebM&M Cases … Cardiac Arrests and Emergency Hysterectomy
March 27, 2024
WebM&M Cases … Resulting in Death During Endoscopy
February 28, 2024
WebM&M Cases … September 21, 2022
WebM&M Cases
Sudden Collapse During
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psnet.ahrq.gov/issue/new-enteral-connectors-raising-awareness
August 28, 2024 - September 22, 2021
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No BP During NIBP … September 1, 2014
WebM&M Cases
Liver Biopsy: Proceed … With Caution
August 21, 2014
WebM&M Cases … November 14, 2012
WebM&M Cases
Where's the Feeding Tube … December 14, 2005
WebM&M Cases
Central Line Clot
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psnet.ahrq.gov/issue/pediatric-medication-administration-errors-and-workflow-following-implementation-bar-code
July 02, 2019 - July 25, 2018
WebM&M Cases
Staggered Sensitivity Results … March 1, 2007
WebM&M Cases
Polypharmacy … August 17, 2011
WebM&M Cases
Pocket Syringe Swap … April 12, 2011
WebM&M Cases
Milliliters vs. … Milligrams
December 1, 2010
WebM&M Cases
Mother's
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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - At our institution, the current standard turnaround time for uncomplicated, routine biopsy cases is 48 … studies suggest that quality assurance metrics are improved and fewer discrepant results occur when cases … In this case, only one bone pathologist was on staff due to the relatively low volume of bone cases. … Cases in which the two pathologists are not in agreement should be sent out for review by an extramural … September 6, 2023
WebM&M Cases
Critical Echocardiogram
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psnet.ahrq.gov/web-mm/security-lapse
December 18, 2019 - July 13, 2009
WebM&M Cases
Do Not Disturb! … October 1, 2007
WebM&M Cases
Check the Anesthesia … February 3, 2011
WebM&M Cases
Do Not Disturb! … 1, 2006
WebM&M Cases
Privacy Gone Awry
May … in Fatal Error
February 1, 2004
WebM&M Cases
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psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
January 29, 2021 - History Leads to Adverse Outcomes
July 8, 2022
WebM&M Cases … March 15, 2023
WebM&M Cases
Open wider: Failure … to Arterial Thrombosis
June 28, 2023
WebM&M Cases … December 2, 2020
WebM&M Cases
The Inside of a Time Out … Safe
November 1, 2006
WebM&M Cases
Impatient
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psnet.ahrq.gov/node/73700/psn-pdf
September 15, 2021 - Preliminary study of patient safety and quality use cases
for ICD-11 MMS. … Preliminary study of patient safety and quality use cases for ICD-
11 MMS. … https://psnet.ahrq.gov/issue/preliminary-study-patient-safety-and-quality-use-cases-icd-11-mms
The World … https://psnet.ahrq.gov/issue/preliminary-study-patient-safety-and-quality-use-cases-icd-11-mms
https:
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psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-conferences
August 04, 2015 - AHRQ WebM&M offers an online version of such a conference with presentation of cases and expert commentaries … July 10, 2008
WebM&M Cases
Which End Is Which? … Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common … August 28, 2019
A multidisciplinary model for reviewing severe maternal morbidity cases … March 27, 2019
How common are cognitive errors in cases presented at emergency medicine
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psnet.ahrq.gov/node/848363/psn-pdf
May 03, 2023 - percentage of overlapping surgery on
patient outcomes: a retrospective cohort study of 87,000
surgical cases … percentage of overlapping surgery on patient
outcomes: a retrospective cohort study of 87,000 surgical cases … This retrospective cohort study including over 87,000 surgical cases found that overlapping surgeries … increased in-hospital mortality, adverse events, or
readmission rates when compared to nonoverlapping cases
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psnet.ahrq.gov/node/836830/psn-pdf
March 30, 2022 - multidisciplinary review of severe maternal
morbidity is associated with a reduction in preventable
cases … multidisciplinary review of severe maternal morbidity is
associated with a reduction in preventable cases … multi-disciplinary committee, the obstetric Quality and Peer
Review Committee (OBQPRC), to review all cases … health-equity-and-maternal-health
https://psnet.ahrq.gov/issue/multidisciplinary-model-reviewing-severe-maternal-morbidity-cases-and-teaching-residents
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psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
April 27, 2022 - Erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) are elevated in 94-100% of cases. 7 … Update of Spinal Epidural Abscess: 35 Cases and Review of the Literature. … Spinal epidural abscess: A report of 40 cases and review. Surg Neuro l 1992;38(3):225–31. … Spinal Epidural Abscess: A Series of 101 Cases. Am J Medicine 2017;130(12):1458–63. … Spinal Cord Ser Cases 2017;3(1):17013. Angtuaco EJC, McConnell JR, Chadduck WM, at el.
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psnet.ahrq.gov/issue/interrogating-and-uprooting-systemic-racism-emergency-department
March 05, 2025 - June 19, 2018
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WebM&M Cases … May 22, 2024
WebM&M Cases
Under Pressure: Delayed Diagnosis … April 24, 2024
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Hindsight is 20/20: … Thrombolytics for Alcohol Intoxication
April 10, 2024
WebM&M Cases … October 28, 2020
WebM&M Cases
The NSTEMI Curbside Consultation
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psnet.ahrq.gov/issue/checklists-reduce-diagnostic-errors
September 18, 2024 - Citation
Related Resources From the Same Author(s)
Root cause analysis of cases … March 1, 2023
WebM&M Cases
Premature Closure: Was It … September 18, 2013
WebM&M Cases
Eptifibatide Epilogue … July 2, 2008
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Inappropriate Antibiotic Use … June 1, 2003
WebM&M Cases
Ectopic or Not?
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psnet.ahrq.gov/issue/developing-and-evaluating-large-language-model-generated-emergency-medicine-handoff-notes
March 12, 2025 - July 29, 2020
WebM&M Cases
Missing the Point—Eye Injury … Settings Help Improve Management of Sepsis
May 31, 2023
WebM&M Cases … November 20, 2015
WebM&M Cases
Delay in Initiating Antibiotics … Results in Fatal Error
February 1, 2004
WebM&M Cases … Lost in the Black Hole
October 1, 2003
WebM&M Cases
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psnet.ahrq.gov/web-mm/see-patient-first
September 27, 2023 - While appropriate in some cases, the content of such handoffs is often inappropriate. … The Deadly Duo
October 1, 2010
WebM&M Cases … Nosy Business
April 1, 2010
WebM&M Cases … October 1, 2009
WebM&M Cases
Antibiotics for URI … September 28, 2022
WebM&M Cases
Mitigating the
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psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
April 01, 2005 - healthcare system. 1 Many methods of reducing diagnostic error focus on individual factors and single cases … Instead of addressing individual cases, KP sought to improve the disease diagnosis process and systems … In 2010, KP developed the e-Autopsy/e-Biopsy (eA/eB) methodology, an innovation designed to compile cases … These methods usually evaluate single cases rather than the systems that allowed the error. … December 20, 2023
WebM&M Cases
On O.R. Off?