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  1. psnet.ahrq.gov/web-mm/inpatient-stroke-management-adolescent-type-1-diabetes-and-home-insulin-pump
    February 01, 2023 - February 1, 2023 WebM&M Cases When the Lytes Go … March 29, 2023 WebM&M Cases When Taking an SGLT2 … February 16, 2022 WebM&M Cases A Sweet Case of Hidden … March 24, 2021 WebM&M Cases Multiple Levels Involved … February 26, 2020 WebM&M Cases It's Sarah, Not
  2. psnet.ahrq.gov/issue/safe-patient-outcomes-occur-timely-standardized-communication-critical-values
    January 15, 2020 - April 16, 2018 WebM&M Cases Critical Opportunity Lost … March 23, 2012 WebM&M Cases Amended Lab Results: Communication … October 7, 2011 WebM&M Cases A Seasonal Care Transition
  3. psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
    March 24, 2019 - Approaches to Improving Patient Safety Avoid emergency intubation when possible In cases of pulmonary … December 14, 2022 WebM&M Cases Is that solution … History Leads to Adverse Outcomes July 8, 2022 WebM&M Cases … March 29, 2023 WebM&M Cases Distraction of the … April 26, 2023 WebM&M Cases The Wrong Blade: A
  4. psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
    February 10, 2021 - November 16, 2022 WebM&M Cases Some Patients Can't Wait … Timeliness of Emergency Department Care March 25, 2020 WebM&M Cases … EMS Perils from Hospital Overcrowding August 31, 2022 WebM&M Cases … 27, 2023 View More Related Resources WebM&M Cases … July 10, 2024 WebM&M Cases Bandemia as a Harbinger of
  5. psnet.ahrq.gov/issue/missed-injuries-trauma-patients-literature-review
    April 01, 2009 - January 11, 2023 WebM&M Cases Workaround Error February … September 27, 2017 WebM&M Cases Emergency Error August … June 10, 2013 WebM&M Cases All in the History March … 21, 2009 WebM&M Cases Lethal Vertigo June … 1, 2004 WebM&M Cases Ruptured Heterotopic Pregnancy
  6. psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
    January 29, 2021 - History Leads to Adverse Outcomes July 8, 2022 WebM&M Cases … March 29, 2023 WebM&M Cases Distraction of the … March 15, 2023 WebM&M Cases Open wider: Failure … to Arterial Thrombosis June 28, 2023 WebM&M Cases … July 10, 2024 WebM&M Cases Syringe Swap During
  7. psnet.ahrq.gov/web-mm/liposuction-gone-awry
    July 01, 2003 - One recent study used an internet and peer review reporting system to analyze 400,000 cases (since the … report, the database has grown to more than 800,000 cases) performed in roughly 1200 accredited AAAASF … Overrides: A Dangerous Combination April 24, 2024 WebM&M Cases … December 23, 2020 WebM&M Cases The One That Got … July 20, 2009 WebM&M Cases Urinary Retention Dilemma
  8. psnet.ahrq.gov/web-mm/missing-point-eye-injury
    March 01, 2005 - eye-focused history and physical examination, recognize vision-threatening disorders, and identify cases … In cases of trauma, the most serious diagnoses that should be considered and excluded include ruptured … In atraumatic cases, the most common serious diagnoses that should be considered include acute angle … In such cases, the clue may be that the patient was working near high-speed equipment such as a metal … Plain X-ray and computed tomography of the orbit in cases and suspected cases of intraocular foreign
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60168/psn-pdf
    March 25, 2020 - https://psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient The Cases Multiple electrocardiograms … All of the cases involved the nurse or EKG technician either entering the wrong medical record number … Fortunately, there were no adverse effects on any of the patients involved in the cases of mentioned … The majority of cases came from the emergency department (ED), consistent with previously published … In the majority of the cases, the error was detected by the nurse or clerk prior to EKG transmission
  10. psnet.ahrq.gov/issue/death-boy-prompts-new-medical-efforts-nationwide
    March 22, 2014 - November 14, 2012 View More Related Resources WebM&M Cases … November 23, 2005 WebM&M Cases No Blood, Please May … 1, 2004 WebM&M Cases Undiagnosed Vaginal Bleeding … Pregnancy January 1, 2004 WebM&M Cases Ectopic … May 1, 2003 WebM&M Cases The Dropped Lung May
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42035/psn-pdf
    February 13, 2013 - Using Safety Cases in Industry and Healthcare. …   https://psnet.ahrq.gov/issue/using-safety-cases-industry-and-healthcare This report details … how high-risk industries use safety cases to identify, evaluate, address, and monitor risks and explains … https://psnet.ahrq.gov/issue/using-safety-cases-industry-and-healthcare https://psnet.ahrq.gov/issue/
  12. psnet.ahrq.gov/issue/missed-diagnoses-acute-cardiac-ischemia-emergency-department
    November 30, 2012 - February 3, 2011 View More Related Resources WebM&M Cases … March 20, 2024 WebM&M Cases Paroxysmal Supraventricular … Lead to Dangerous Delay March 1, 2018 WebM&M Cases … Dissecting the Presentation April 1, 2015 WebM&M Cases … A Real Heartache December 1, 2012 WebM&M Cases
  13. psnet.ahrq.gov/web-mm/outbreak
    January 29, 2015 - May 12, 2021 WebM&M Cases Back to Basics March 1, … August 26, 2020 WebM&M Cases Nosy Business … April 1, 2010 WebM&M Cases Mark My Tooth … Dosing August 21, 2005 WebM&M Cases Techno … or Do Not Use the Line February 1, 2013 WebM&M Cases
  14. psnet.ahrq.gov/web-mm/not-miscarriage
    June 01, 2005 - August 27, 2012 WebM&M Cases An Outpatient 'Zebra' … January 1, 2006 WebM&M Cases Who Nose Where the … to Home Parenteral Nutrition Error May 26, 2021 WebM&M Cases … Insert Omission April 1, 2006 WebM&M Cases … Do Me a Favor May 1, 2004 WebM&M Cases
  15. psnet.ahrq.gov/issue/medication-safety-look-alikesound-alike-drugs-home-care
    February 03, 2021 - August 16, 2023 WebM&M Cases Fatal Patient-Controlled … PCA) Opioid-Induced Respiratory Depression May 27, 2020 WebM&M Cases … April 17, 2009 WebM&M Cases Miscalculated Risk August … 1, 2006 WebM&M Cases Citrate Mix-Up May 1,
  16. psnet.ahrq.gov/issue/error-detection-and-recovery-dialysis-nursing
    November 16, 2022 - November 6, 2015 WebM&M Cases Two Pills, Same Drug … June 1, 2005 WebM&M Cases Cognitive Overload in … May 27, 2011 View More Related Resources WebM&M Cases … January 18, 2011 WebM&M Cases Dangerous Dialysis
  17. psnet.ahrq.gov/issue/preventable-errors-operating-room-retained-foreign-bodies-after-surgery-part-i
    April 28, 2021 - Download Citation Related Resources From the Same Author(s) WebM&M Cases … Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough April … 28, 2021 WebM&M Cases Did We Forget Something? … September 1, 2003 WebM&M Cases Procedural Mishap
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37964/psn-pdf
    June 29, 2011 - Impact of miscommunication in medical dispute cases in Japan. … Impact of miscommunication in medical dispute cases in Japan. … https://psnet.ahrq.gov/issue/impact-miscommunication-medical-dispute-cases-japan This study of closed … https://psnet.ahrq.gov/issue/impact-miscommunication-medical-dispute-cases-japan
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38987/psn-pdf
    May 04, 2014 - Disclosing harmful medical errors to patients: tackling three tough cases. … Disclosing harmful medical errors to patients: tackling three tough cases. … https://psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-tackling-three-tough-cases This … https://psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-tackling-three-tough-cases
  20. psnet.ahrq.gov/web-mm/autopsy-revelation
    December 01, 2007 - that advances in medical technology have rendered the autopsy unnecessary in all but extraordinary cases … , but possibly as many as 7.9% of cases depending on the percentage of decedents undergoing autopsy. … December 1, 2007 WebM&M Cases Patient Mix-Up … No Blood, Please May 1, 2004 WebM&M Cases … X-ray Flip February 1, 2004 WebM&M Cases

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