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psnet.ahrq.gov/web-mm/nonsustained-ventricular-tachycardia-after-acute-coronary-syndromes-recognizing-high-risk
September 20, 2011 - In most cases of NSVT, each beat has a similar appearance and is termed monomorphic VT, which is usually … November 18, 2015
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Caution, Interrupted … of CPOE
October 1, 2016
WebM&M Cases
What … April 1, 2019
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Delay in Malignancy … Citrate Mix-Up
May 1, 2006
WebM&M Cases
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psnet.ahrq.gov/web-mm/moved-too-soon
November 01, 2006 - reporting system shared by 54 neonatal intensive care units in the United States found that 11% of cases … Safety received more than 100 patient misidentification root cause analyses, 22% of which involved cases … One in a Series of Errors In this example, as in most such cases, a series of errors occurred in the … At our institution, these lessons are reinforced by highlighting actual cases reported to our own near … The Forgotten Med
April 1, 2005
WebM&M Cases
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psnet.ahrq.gov/web-mm/missed-tb
March 03, 2010 - of pulmonary TB and 37 cases of miliary TB during the same period.( 2 ) The mortality rate of 69% was … Most cases of missed TB can be traced to the fact that clinicians failed to consider the possibility … Simple Decision Gone Bad
April 1, 2008
WebM&M Cases … Novel Drug Misuse
July 1, 2004
WebM&M Cases … The Dropped Lung
May 1, 2003
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psnet.ahrq.gov/web-mm/transition-nowhere
March 21, 2009 - Table
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40 of K
November 1, … Resulting in Death During Endoscopy
February 28, 2024
WebM&M Cases … of High-Risk Pulmonary Embolism
May 1, 2019
WebM&M Cases … Duplicate Insulin Order
March 1, 2019
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psnet.ahrq.gov/web-mm/polypharmacy
March 01, 2007 - August 6, 2014
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Urinary Retention Dilemma … Nutrition, Multifarious Errors
April 1, 2013
WebM&M Cases … Lethal Vertigo
June 1, 2004
WebM&M Cases … October 25, 2023
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Duplicate Therapies in … September 25, 2008
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Dangerous Dapsone
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psnet.ahrq.gov/web-mm/communication-consultants
October 01, 2018 - referring physician and the consultant disagreed about the primary reason for consultation in 14% of cases … Table
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February 1, 2007
WebM&M Cases … October 1, 2008
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February 1, 2004
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psnet.ahrq.gov/issue/improvement-detection-wrong-patient-errors-when-radiologists-include-patient-photographs
June 13, 2015 - Regarding a Possible Artifact
June 30, 2021
WebM&M Cases … June 21, 2016
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The Fluidity of Diagnostic … March 4, 2015
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A Picture Speaks 1000 Words … September 1, 2013
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May
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psnet.ahrq.gov/issue/care-transitions-outpatient-surgery-preoperative-process-facilitators-and-obstacles
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False Assumptions Result in … November 17, 2021
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To Dilute or Not Dilute … August 24, 2016
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May 1, … October 27, 2010
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Mark My Limb
December … 1, 2004
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Too Tight Control
May
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psnet.ahrq.gov/web-mm/dropped-lung
February 06, 2012 - by Text: Multitasking Mishap
December 1, 2011
WebM&M Cases … May 1, 2011
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June … 1, 2004
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X-ray Flip
February 1 … , 2004
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January 1, 2004
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psnet.ahrq.gov/web-mm/refused-medication-error
November 01, 2005 - 1, 2009
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Deciphering the Code … February 1, 2006
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Premature or Overdue … October 1, 2008
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Beeline to Spine … June 1, 2007
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Hard to Swallow
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psnet.ahrq.gov/web-mm/bowel-prep
March 01, 2017 - Symptomatic hypocalcemia from oral sodium phosphate: a report of two cases. … July 25, 2011
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Hidden Mystery
March 1 … Medication
September 1, 2016
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WebM&M Cases … Pain
July 1, 2008
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psnet.ahrq.gov/web-mm/after-visit-confusion
August 21, 2007 - Mark My Limb
December 1, 2004
WebM&M Cases … October 1, 2008
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Right? … May 1, 2006
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Carpe Diem (Seize the … Day)
December 1, 2004
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psnet.ahrq.gov/web-mm/reaction-dye
March 01, 2007 - Nosy Business
April 1, 2010
WebM&M Cases … Mark My Tooth
August 21, 2007
WebM&M Cases … Techno Trip
March 1, 2005
WebM&M Cases … September 1, 2007
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Compare and … Contrast
April 1, 2005
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Doctor
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psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
July 01, 2017 - Most cases are related to pregnancy-related conditions such as such as the syndrome of hemolysis, elevated … Acetaminophen toxicity accounts for more cases of acute liver failure (42%) than any other in the United … Advice
May 1, 2005
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Pathologic … High-Fidelity Simulation
March 1, 2006
WebM&M Cases … Autopsy Revelation
March 1, 2004
WebM&M Cases
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psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
August 21, 2007 - Although fatal cases are rare, they are in the news occasionally and involve patients who are ultimately … Mark My Tooth
August 21, 2007
WebM&M Cases … Back to Basics
March 1, 2007
WebM&M Cases … Insert Omission
April 1, 2006
WebM&M Cases … OR Peeping
March 1, 2004
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psnet.ahrq.gov/issue/diagnostic-pitfalls-paediatric-ischaemic-stroke
December 14, 2016 - Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases … April 3, 2019
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Diagnostic Failure: The Growing … May 25, 2011
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Duty to Disclose Someone Else's … February 1, 2011
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February … 1, 2007
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July
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psnet.ahrq.gov/issue/enhancing-patient-safety-and-resident-education-during-academic-year-end-transfer-outpatients
March 25, 2017 - November 10, 2021
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A Seasonal Care Transition … Failure
July 1, 2011
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Spotlight … Mistaken Attribution, Diagnostic Misstep
January 1, 2019
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Spotlight: Mistaken Attribution … January 28, 2011
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Physical Diagnosis: A Lost
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psnet.ahrq.gov/web-mm/making-do
September 05, 2018 - September 5, 2018
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Glucose Roller Coaster … The Other Side
October 1, 2003
WebM&M Cases … Feeling No Pain
July 1, 2003
WebM&M Cases … Missed Appendicitis
June 1, 2003
WebM&M Cases … Not a Miscarriage
June 1, 2003
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psnet.ahrq.gov/web-mm/hazards-loading-doses
December 01, 2003 - Overall, there were 61 nonfatal cases of phenytoin incidents out of 1165 total reported errors involving … 1, 2004
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Abdominal Aortic Aneurysm … " Report Leads to "Deep" Problem
December 1, 2009
WebM&M Cases … October 1, 2008
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Back to Basics … March 1, 2007
WebM&M Cases
One ACE Too Many
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psnet.ahrq.gov/node/45891/psn-pdf
October 11, 2017 - This retrospective medical
record review study examined cases where primary care providers sought diagnostic … They found that the diagnosis differed substantially
in about one-fifth of cases following the subspecialty … Costs were higher for cases with
substantively different diagnoses compared to cases where subspecialists