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  1. psnet.ahrq.gov/issue/ebola-us-patient-zero-lessons-misdiagnosis-and-effective-use-electronic-health-records
    June 21, 2023 - July 10, 2024 WebM&M Cases Do Not Miss Sepsis Needles … May 22, 2019 WebM&M Cases Lapse in Antibiotics Leads … to Sepsis October 1, 2016 WebM&M Cases Pitfalls … in Diagnosing Necrotizing Fasciitis August 21, 2014 WebM&M Cases
  2. psnet.ahrq.gov/issue/hospital-commitments-address-diagnostic-errors-assessment-95-us-hospitals
    September 18, 2024 - Citation Related Resources From the Same Author(s) Root cause analysis of cases … Improving Diagnostic Safety and Quality April 26, 2023 WebM&M Cases … June 24, 2020 WebM&M Cases Timely diagnosis of esophageal … perforation February 26, 2020 WebM&M Cases
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60583/psn-pdf
    June 10, 2020 - COVID-19 in the emergency department: the role of improved case detection and segregation of suspect cases … COVID-19 in the emergency department: the role of improved case detection and segregation of suspect cases … The broader criterion may increase the numbers of suspected positive cases but can help minimize nosocomial
  4. psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
    July 02, 2019 - January 14, 2009 WebM&M Cases Antiseizure Medication … December 30, 2014 WebM&M Cases Medication Reconciliation … Pitfalls February 1, 2010 WebM&M Cases Double … Dosing, by the Rules March 21, 2009 WebM&M Cases … On the Other Hand May 1, 2007 WebM&M Cases
  5. psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
    January 29, 2020 - Improvement Conference Innovation Summary July 23, 2024 WebM&M Cases … October 27, 2022 WebM&M Cases Delayed Diagnosis … June 1, 2012 WebM&M Cases Dangerous Dialysis … Results March 1, 2007 WebM&M Cases Mark My … Limb December 1, 2004 WebM&M Cases Inadvertent
  6. psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
    May 08, 2019 - , postoperatively in 32% of cases, and intraoperatively in 30% of cases.( 3 ) Contributing factors included … May 1, 2018 WebM&M Cases Over-the-Counter … Injury After Laparoscopic Surgery January 1, 2015 WebM&M Cases … July 1, 2011 WebM&M Cases Hold the tPA April … 1, 2005 WebM&M Cases Around the Block March
  7. psnet.ahrq.gov/web-mm/walking-out-hospital-after-attempted-suicide
    March 29, 2023 - March 29, 2023 WebM&M Cases Delayed Diagnosis and … June 14, 2023 WebM&M Cases Failure to Adhere to … October 27, 2021 WebM&M Cases Liposuction Gone Awry … September 27, 2023 WebM&M Cases The One That Got … March 18, 2020 WebM&M Cases The Dangerous Detour
  8. psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
    February 23, 2022 - In cases with severe neurologic symptoms, such as seizures or coma, the panel recommended use of a 10 … March 3, 2021 View More Related Resources WebM&M Cases … Withdrawal with Dexmedetomidine Infusion July 31, 2023 WebM&M Cases … August 31, 2022 WebM&M Cases When Looks Aren’t All They … 1, 2009 WebM&M Cases Too Tight Control May
  9. Spotlight Case (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.275_slideshow.ppt
    August 01, 2012 - over a 4-year period, the median time for follow-up for marked hyperkalemia was 3 days In 14% of these cases
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44761/psn-pdf
    January 06, 2016 - Two fatal cases of accidental intrathecal vincristine administration: learning from death events. … Two fatal cases of accidental intrathecal vincristine administration: learning from death event. … https://psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death … https://psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death-events … https://psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death-events
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46656/psn-pdf
    February 07, 2018 - Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses incorrect … Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses incorrect … https://psnet.ahrq.gov/issue/autopsy-interrogation-emergency-medicine-dispute-cases-how-often-are- clinical-diagnoses … https://psnet.ahrq.gov/issue/autopsy-interrogation-emergency-medicine-dispute-cases-how-often-are-clinical-diagnoses … https://psnet.ahrq.gov/issue/autopsy-interrogation-emergency-medicine-dispute-cases-how-often-are-clinical-diagnoses
  12. psnet.ahrq.gov/issue/identification-patient-information-corruption-intensive-care-unit-using-scoring-tool-direct
    August 04, 2021 - Settings Help Improve Management of Sepsis May 31, 2023 WebM&M Cases … April 22, 2009 WebM&M Cases Dangerous Shift November … 1, 2008 WebM&M Cases On the Other Hand May … 1, 2007 WebM&M Cases Glucose Roller Coaster … July 1, 2004 WebM&M Cases Fumbled Handoff
  13. psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
    October 02, 2019 - November 16, 2022 WebM&M Cases One Toxic Drug Is Not … Like Another February 1, 2011 WebM&M Cases … September 28, 2022 WebM&M Cases Delayed Breast … Attribution, Diagnostic Misstep January 1, 2019 WebM&M Cases … Lethal Vertigo June 1, 2004 WebM&M Cases
  14. psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy
    November 25, 2020 - November 25, 2020 WebM&M Cases Hidden Danger! … May 1, 2003 WebM&M Cases Inflicting Confusion … December 23, 2020 WebM&M Cases The NSTEMI Curbside … May 1, 2011 WebM&M Cases Pregnant With Danger … Appendicitis June 1, 2003 WebM&M Cases The
  15. psnet.ahrq.gov/issue/counting-matters-lessons-root-cause-analysis-retained-surgical-item
    January 02, 2017 - July 10, 2024 WebM&M Cases Management of Cardiac Arrest … May 6, 2020 WebM&M Cases Preventable Transfer to the … November 26, 2012 WebM&M Cases Home Medications Contribute … September 29, 2017 WebM&M Cases Undetected Foreign Object … January 18, 2012 WebM&M Cases Inadvertent Castration
  16. psnet.ahrq.gov/web-mm/failure-reevaluate
    February 01, 2014 - to 7% of all hospital admissions, with drug-induced nephrotoxicity accounting for one-third of these cases … In these cases, a vancomycin trough concentration obtained at the time of admission could reveal excessive … A Painful Dilemma June 1, 2012 WebM&M Cases … Dangerous Dapsone June 1, 2004 WebM&M Cases … Too Tight Control May 1, 2004 WebM&M Cases
  17. psnet.ahrq.gov/web-mm/language-barrier
    February 28, 2024 - The Commentary Unfortunately, cases in which language barriers cause compromised quality of care … Works If You Use The Right One November 1, 2018 WebM&M Cases … Acetaminophen January 1, 2006 WebM&M Cases … Privacy Gone Awry May 1, 2004 WebM&M Cases … Vaginal Bleeding February 1, 2004 WebM&M Cases
  18. psnet.ahrq.gov/issue/diffusion-innovations-5th-ed
    January 27, 2021 - July 13, 2016 WebM&M Cases Lost in the Black Hole … October 1, 2003 WebM&M Cases Did We Forget Something … September 1, 2003 WebM&M Cases Bleeding Risk … July 1, 2003 WebM&M Cases Inappropriate Antibiotic
  19. psnet.ahrq.gov/issue/administrative-issues-ensure-safe-anesthesia-care-office-based-setting
    March 27, 2019 - Improving Diagnostic Safety and Quality April 26, 2023 WebM&M Cases … August 4, 2014 WebM&M Cases Raise the Bar May 1, … 2014 WebM&M Cases Residual Anesthesia: Tepid Burn … February 10, 2010 WebM&M Cases Right? Left?
  20. psnet.ahrq.gov/issue/err-human-quality-and-safety-issues-spine-care
    August 04, 2021 - November 6, 2024 WebM&M Cases Delay in Malignancy Diagnosis … Reflects Systemic Failures October 31, 2023 WebM&M Cases … December 4, 2019 WebM&M Cases Spinal Epidural Abscess … July 23, 2010 WebM&M Cases Round-Trip Service December

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