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  1. 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 WebM&M Cases Caution, Interrupted … of CPOE October 1, 2016 WebM&M Cases What … April 1, 2019 WebM&M Cases Delay in Malignancy … Citrate Mix-Up May 1, 2006 WebM&M Cases
  2. 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
  3. 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 WebM&M Cases
  4. psnet.ahrq.gov/web-mm/transition-nowhere
    March 21, 2009 - Table Related Resources From the Same Author(s) WebM&M Cases … October 13, 2018 WebM&M Cases 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 WebM&M Cases
  5. psnet.ahrq.gov/web-mm/polypharmacy
    March 01, 2007 - August 6, 2014 WebM&M Cases Urinary Retention Dilemma … Nutrition, Multifarious Errors April 1, 2013 WebM&M Cases … Lethal Vertigo June 1, 2004 WebM&M Cases … October 25, 2023 WebM&M Cases Duplicate Therapies in … September 25, 2008 WebM&M Cases Dangerous Dapsone
  6. 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 Related Resources From the Same Author(s) WebM&M Cases … Crossed Coverage February 1, 2007 WebM&M Cases … October 1, 2008 WebM&M Cases Failure to Latch … Antibiotics Results in Fatal Error February 1, 2004 WebM&M Cases
  7. 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 WebM&M Cases The Fluidity of Diagnostic … March 4, 2015 WebM&M Cases A Picture Speaks 1000 Words … September 1, 2013 WebM&M Cases Duty to Disclose … May 1, 2011 WebM&M Cases The Dropped Lung May
  8. psnet.ahrq.gov/issue/care-transitions-outpatient-surgery-preoperative-process-facilitators-and-obstacles
    December 31, 2014 - April 3, 2024 WebM&M Cases False Assumptions Result in … November 17, 2021 WebM&M Cases To Dilute or Not Dilute … August 24, 2016 WebM&M Cases Raise the Bar May 1, … October 27, 2010 WebM&M Cases Mark My Limb December … 1, 2004 WebM&M Cases Too Tight Control May
  9. psnet.ahrq.gov/web-mm/dropped-lung
    February 06, 2012 - by Text: Multitasking Mishap December 1, 2011 WebM&M Cases … May 1, 2011 WebM&M Cases Lethal Vertigo June … 1, 2004 WebM&M Cases X-ray Flip February 1 … , 2004 WebM&M Cases Undiagnosed Vaginal Bleeding … Pain: A Missed Opportunity January 1, 2004 WebM&M Cases
  10. psnet.ahrq.gov/web-mm/refused-medication-error
    November 01, 2005 - 1, 2009 WebM&M Cases Deciphering the Code … February 1, 2006 WebM&M Cases Premature or Overdue … October 1, 2008 WebM&M Cases Beeline to Spine … June 1, 2007 WebM&M Cases Discharge Fumbles … December 1, 2004 WebM&M Cases Hard to Swallow
  11. psnet.ahrq.gov/web-mm/bowel-prep
    March 01, 2017 - Symptomatic hypocalcemia from oral sodium phosphate: a report of two cases. … July 25, 2011 WebM&M Cases Hidden Mystery March 1 … Medication September 1, 2016 WebM&M Cases … Spinal Epidural Abscess August 8, 2019 WebM&M Cases … Pain July 1, 2008 WebM&M Cases Which End Is
  12. psnet.ahrq.gov/web-mm/after-visit-confusion
    August 21, 2007 - Mark My Limb December 1, 2004 WebM&M Cases … October 1, 2008 WebM&M Cases One ACE Too Many … July 1, 2006 WebM&M Cases Right? … May 1, 2006 WebM&M Cases Carpe Diem (Seize the … Day) December 1, 2004 WebM&M Cases Lethal Cap
  13. 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 WebM&M Cases Compare and … Contrast April 1, 2005 WebM&M Cases Doctor
  14. 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 WebM&M Cases Pathologic … High-Fidelity Simulation March 1, 2006 WebM&M Cases … Autopsy Revelation March 1, 2004 WebM&M Cases
  15. 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 WebM&M Cases
  16. 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 WebM&M Cases Diagnostic Failure: The Growing … May 25, 2011 WebM&M Cases Duty to Disclose Someone Else's … February 1, 2011 WebM&M Cases Rapid Mis-St(r)ep February … 1, 2007 WebM&M Cases The Worst Headache July
  17. psnet.ahrq.gov/issue/enhancing-patient-safety-and-resident-education-during-academic-year-end-transfer-outpatients
    March 25, 2017 - November 10, 2021 WebM&M Cases A Seasonal Care Transition … Failure July 1, 2011 WebM&M Cases Spotlight … Mistaken Attribution, Diagnostic Misstep January 1, 2019 WebM&M Cases … February 10, 2021 WebM&M Cases Spotlight: Mistaken Attribution … January 28, 2011 WebM&M Cases Physical Diagnosis: A Lost
  18. psnet.ahrq.gov/web-mm/making-do
    September 05, 2018 - September 5, 2018 WebM&M Cases 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 WebM&M Cases
  19. 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 WebM&M Cases Abdominal Aortic Aneurysm … " Report Leads to "Deep" Problem December 1, 2009 WebM&M Cases … October 1, 2008 WebM&M Cases Back to Basics … March 1, 2007 WebM&M Cases One ACE Too Many
  20. Psn-Pdf (pdf file)

    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

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