-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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?
-
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