Results

Total Results: over 10,000 records

Showing results for "cases".

21. Selection Criteria and Honorarium Information | PSNet
    psnet.ahrq.gov/Webmm/submit-case-info
    August 10, 2025 - works Health care professionals may submit de-identified cases … Note that you can choose to submit cases either as a guest or … Cases including complete information can be processed more quickly (but note the word … Submitters of selected cases will receive a $300 honorarium paid anonymously through PayPal. … Track and save your case in My Cases. Register

22. Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. | PSNet
    psnet.ahrq.gov/issue/does-learning-mistakes-have-be-painful-analysis-5-years-experience-leeds-radiology
    April 05, 2013 - Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common … Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common … able to identify numerous opportunities for improving learning from error, including using positive cases … Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common … August 9, 2011 WebM&M Cases The Wet Read March 1,

23. Systematic review of malpractice litigation in the diagnosis and treatment of acute stroke | PSNet
    psnet.ahrq.gov/issue/systematic-review-malpractice-litigation-diagnosis-and-treatment-acute-stroke
    October 19, 2022 - Analyzing nearly 300 medical malpractice cases related to acute care of stroke patients, this review … The majority of cases resulted in no payout, but those that did result in payout saw an average settlement … August 4, 2015 WebM&M Cases Misleading Complaint … July 1, 2012 WebM&M Cases Duty to Disclose Someone … May 1, 2011 WebM&M Cases The Worst Headache

24. Delayed Diagnosis of Endocrinologic Emergencies | PSNet
    psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
    November 13, 2024 - The Cases Case #1: A 47-year-old man with a history of hyperthyroidism and hypertension presented … In a retrospective study, both factors contributed to diagnostic error in 46% of the cases.( 14 ) In … January 4, 2024 WebM&M Cases Delay in Malignancy … Mesenteric Ischemia August 31, 2022 WebM&M Cases … Duplicate Insulin Order March 1, 2019 WebM&M Cases

25. Hastened death due to disease burden and distress that has not received timely, quality palliative care is a medical error. | PSNet
    psnet.ahrq.gov/issue/hastened-death-due-disease-burden-and-distress-has-not-received-timely-quality-palliative
    October 31, 2023 - They highlight three cases in which patients in Canada requested medical assistance in dying (MAiD). … The patients in two of the cases were never offered palliative care services, and this could be considered … Text in the Electronic Health Records October 31, 2023 WebM&M Cases … July 8, 2020 WebM&M Cases The “Great Pretender” (Syphilis … February 12, 2020 WebM&M Cases Multiple Missed Opportunities

26. Using computerized virtual cases to explore diagnostic error in practicing physicians. | PSNet
    psnet.ahrq.gov/issue/using-computerized-virtual-cases-explore-diagnostic-error-practicing-physicians
    August 20, 2018 - Study Using computerized virtual cases to explore diagnostic error in practicing … Using computerized virtual cases to explore diagnostic error in practicing physicians. … This simulation study presented virtual patient cases to practicing physicians with the aim of improving … Using computerized virtual cases to explore diagnostic error in practicing physicians. … March 13, 2019 Teaching about diagnostic errors through virtual patient cases: a pilot

27. The hidden dangers of outsourcing radiology. | PSNet
    psnet.ahrq.gov/issue/hidden-dangers-outsourcing-radiology
    December 19, 2007 - July 3, 2013 WebM&M Cases The Dropped "No" October … 1, 2011 WebM&M Cases Duty to Disclose Someone … May 1, 2011 WebM&M Cases Right? Left? … May 1, 2006 WebM&M Cases The Wet Read March … 1, 2006 WebM&M Cases Techno Trip March 1,

28. Training Education | PSNet
    psnet.ahrq.gov/training-education
    October 01, 2025 - In this section, you will have the opportunity to read WebM&M (Morbidity & Mortality) Spotlight Cases … Continuing Education: New Spotlight Cases Spotlight Case and Commentaries are certified for continuing … View All Spotlight Cases WebM&M Case Studies WebM&M (Morbidity … Spotlight Cases include interactive learning modules available for CME (Continuing Medical Education) … Olson, MD | March 25, 2025 This pair of cases describes patients misdiagnosed

29. Underdiagnosis of hypertension using electronic health records. | PSNet
    psnet.ahrq.gov/issue/underdiagnosis-hypertension-using-electronic-health-records
    November 16, 2022 - New cases of hypertension were frequently not diagnosed in a large ambulatory health care system, despite … March 15, 2017 View More Related Resources WebM&M Cases … April 19, 2017 WebM&M Cases Dual Therapy Debacle … September 1, 2015 WebM&M Cases It's Sarah, Not … July 26, 2011 WebM&M Cases Bad Writing, Wrong Medication

30. Medicare failed to investigate suspicious infection cases from 96 hospitals. | PSNet
    psnet.ahrq.gov/issue/medicare-failed-investigate-suspicious-infection-cases-96-hospitals
    May 29, 2019 - Newspaper/Magazine Article Medicare failed to investigate suspicious infection cases … Citation Text: Medicare failed to investigate suspicious infection cases from 96 hospitals. … Cite Citation Citation Text: Medicare failed to investigate suspicious infection cases

31. Complications of Vascular Access Procedures in Patients with Kidney Disease | PSNet
    psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
    November 15, 2023 - The Cases Three patients were at the same hospital over the course of a few months for vascular access … As a result of these first two cases, system-wide changes were implemented that included standardized … The cases presented above describe situations in which additional monitoring and staff could have been … Morbidity & Mortality meetings can also be helpful to discuss difficult cases and identify additional … November 16, 2022 WebM&M Cases Delayed Diagnosis

32. Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. | PSNet
    psnet.ahrq.gov/issue/role-communicating-diagnostic-uncertainty-safety-netting-process-insights-vignette-study
    February 20, 2019 - January 10, 2024 WebM&M Cases Paroxysmal Supraventricular … initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases … October 23, 2019 WebM&M Cases Hiding in Plain Sight … August 1, 2009 WebM&M Cases Autopsy Revelation … March 1, 2004 WebM&M Cases Missed Appendicitis

33. Duplicate Therapies in Retail Pharmacy | PSNet
    psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
    August 05, 2022 - The Cases Case 1: A middle-aged man with a past medical history of heart failure with reduced ejection … In addition to opportunities for an improved patient counseling process, both cases reflect errors that … Adequate patient/caregiver counseling in both cases may have prevented these medication discrepancies … Close follow-up with a pharmacist occurred in both cases and led to identification and correction of … May 16, 2022 WebM&M Cases Wrong Catheter in the

34. Management of Cardiac Arrest in Unconventional Locations. | PSNet
    psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations
    June 14, 2023 - The Commentary By Garima Agrawal, MD, MPH, and Mithu Molla, MD, MBA Both of the cases described above … other cardiovascular emergencies through didactic instruction and active participation in simulated cases … November 15, 2018 WebM&M Cases No BP During NIBP … March 1, 2013 WebM&M Cases Anticoagulation … January 1, 2009 WebM&M Cases A Mid-Summer Fog

35. Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a population-based study. | PSNet
    psnet.ahrq.gov/issue/mortality-and-risk-factors-associated-misdiagnosis-acute-aortic-syndrome-ontario-canada
    September 23, 2020 - Based on a retrospective cohort including 1,299 cases of AAS in Ontario, Canada, between 2003-2018, researchers … Mortality and surgical intervention were similar in missed and non-missed cases of AAS. … May 29, 2024 WebM&M Cases Under Pressure: Delayed Diagnosis … April 24, 2024 WebM&M Cases A Laceration that Needed … August 19, 2020 WebM&M Cases The NSTEMI Curbside Consultation

36. Missed Opportunities for Suicide Risk Assessment | PSNet
    psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
    September 27, 2023 - Systems Issues: In both of these cases, the patients did not receive adequate suicide risk assessment … It is also recommended that in cases when a patient cannot respond, reliable third-party information … June 14, 2023 WebM&M Cases A Fumbled Handoff to … Inpatient Rehab September 1, 2015 WebM&M Cases … June 14, 2023 WebM&M Cases Challenging Case of

37. Inadequate Preanesthetic Evaluation, Airway Trouble | PSNet
    psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
    November 01, 2023 - The morning gynecology surgery list was overbooked with five cases, a mixture of ambulatory cases and … inpatient cases. … degree of potential difficulty with placing an endotracheal tube ( Table 2 ).( 4,5 ) In these two cases … December 14, 2022 WebM&M Cases Open wider: Failure … December 14, 2022 WebM&M Cases Fecal Contamination

38. The Different Count Contributions to Retention (pdf file)
    psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
    January 01, 2024 - All RSI cases are not the same. … In 31 cases (67%) lap pads (18x18” cotton woven surgical sponges) were retained, in 11 cases (24%) “ … ) No Count Retention Cases and forty (87%) Correct Count Retention Cases. … or near miss cases. … factor in retained sponge cases.

39. Patient preferences in cases of Inter-system Medical Error Discovery (IMED). | PSNet
    psnet.ahrq.gov/issue/patient-preferences-cases-inter-system-medical-error-discovery-imed
    November 02, 2018 - Study Patient preferences in cases of Inter-system Medical Error Discovery (IMED) … Patient Preferences in Cases of Inter-system Medical Error Discovery (IMED). … This study used simulated cases to explore patient preferences for error disclosure when the disclosing … Patient Preferences in Cases of Inter-system Medical Error Discovery (IMED).

40. Hospital-Acquired Diabetic Ketoacidosis. | PSNet
    psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
    October 28, 2020 - The Cases Case #1: A 46-year-old Hindi-speaking resident of a skilled nursing facility (SNF) with … hyperglycemia in the setting of type 1 diabetes is ineffective and can result in DKA, as these two cases … The remaining cases were caused by infection, steroid-induced hyperglycemia, acute stress from cardiac … In both the cases described above, a medical history with best possible medication history would have … In the two cases described above, reflexively testing beta-hydroxybutyrate may have triggered timelier