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  1. psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other
    October 01, 2018 - Safety in the Retail Pharmacy October 1, 2018 WebM&M Cases … December 1, 2012 WebM&M Cases Peripheral IV in … Too Long September 1, 2012 WebM&M Cases Wrong … Back to Basics March 1, 2007 WebM&M Cases … Not a Miscarriage June 1, 2003 WebM&M Cases
  2. psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
    July 20, 2016 - this time frame—of 138 published cases of local tissue injury where the duration of infusion was given … A review of reported cases indicates that the risk of local tissue injury with peripheral infusion is … June 16, 2019 WebM&M Cases Chest Tube Complications … March 1, 2013 WebM&M Cases CVC Placement: … December 1, 2012 WebM&M Cases Outbreak May
  3. psnet.ahrq.gov/web-mm/no-bp-during-nibp
    March 01, 2011 - These features are not in place for out-of-OR cases. … January 12, 2012 WebM&M Cases Missed TB May 1, 2004 … March 23, 2011 WebM&M Cases Allergy to Holter July … Object September 1, 2012 WebM&M Cases The … Encounters: A CMO and CNO Respond October 1, 2009 WebM&M Cases
  4. psnet.ahrq.gov/web-mm/new-oral-anticoagulants
    July 01, 2011 - September 23, 2020 WebM&M Cases Peripheral IV in Too … June 27, 2018 View More Related Resources WebM&M Cases … Risks of Intraosseous Vascular Access August 21, 2014 WebM&M Cases … The Other Side October 1, 2003 WebM&M Cases … Making Do September 1, 2003 WebM&M Cases
  5. psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
    April 01, 2010 - In most cases, when imaging does not accompany a patient in transfer, the patient is reimaged to confirm … This is because the Universal Protocol does not differentiate between types of cases requiring imaging … Many surgical cases do not require preoperative imaging, and the presence or absence of imaging is left … Estimated rate of wrong-site surgery varies widely, ranging from 0.09 to 4.5 per 10,000 cases performed … August 31, 2011 WebM&M Cases Turn the Other Cheek
  6. psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
    March 01, 2012 - We weren't just reacting to some cases that posed big financial risks and other cases that didn't. … It's quite common in litigation circles to see cases that are strong defense cases as cases we should … RW : How do you figure out which bucket cases fall in? … Looking at cases that we settled over the last 10 or 15 years, we compared them by the number of cases … What we find is that in the majority of those cases, we believe we are at fault.
  7. psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
    March 01, 2012 - We weren't just reacting to some cases that posed big financial risks and other cases that didn't. … It's quite common in litigation circles to see cases that are strong defense cases as cases we should … RW : How do you figure out which bucket cases fall in? … Looking at cases that we settled over the last 10 or 15 years, we compared them by the number of cases … What we find is that in the majority of those cases, we believe we are at fault.
  8. psnet.ahrq.gov/web-mm/undetected-foreign-object
    April 24, 2018 - In legal parlance, these cases are described by the doctrine of "res ipsa loquitur" which is Latin for … surgeries in the United States of slightly greater than 20 million procedures.( 8 ) Because many RSI cases … the exact number of patients affected is unknown, but a conservative estimate would be around 1000 cases … April 16, 2018 WebM&M Cases The Forgotten Line May … 1, 2012 WebM&M Cases The ECG Is Not Normal
  9. psnet.ahrq.gov/web-mm/who-nose-where-airway
    May 01, 2016 - although this occurred in the context of significant underlying respiratory failure.( 4 ) As these cases … 1, 2006 WebM&M Cases A Costly Colonoscopy Leads … March 29, 2023 WebM&M Cases Mechanical Prosthetic … May 1, 2009 WebM&M Cases DNR in the OR and … Afterwards September 1, 2006 WebM&M Cases
  10. psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue
    October 01, 2015 - difficile infection (CDI) is the most common hospital-acquired infection and accounts for 250,000 cases … However, in most cases of CDI—including severe episodes—appropriate antibiotic therapy should result … —Medication Error June 1, 2014 WebM&M Cases … Anticoagulants December 1, 2013 WebM&M Cases … March 1, 2004 WebM&M Cases Not a Miscarriage
  11. psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
    August 21, 2005 - In severe cases of acute limb ischemia in which irreversible damage has occurred and the extremity is … September 26, 2018 WebM&M Cases Informed or Misled? … April 1, 2019 WebM&M Cases Diagnostic Failure: … The Growing Deficit February 1, 2019 WebM&M Cases … Triage Time Bomb January 1, 2004 WebM&M Cases
  12. psnet.ahrq.gov/web-mm/communication-error-closed-icu
    July 01, 2016 - March 19, 2018 WebM&M Cases Wrong Turn through Colon: … Misplaced PEG August 1, 2012 WebM&M Cases … October 1, 2011 WebM&M Cases Breakage of a PICC … Line April 1, 2009 WebM&M Cases PCA Overdose … May 1, 2004 WebM&M Cases Central Line Clot
  13. psnet.ahrq.gov/web-mm/result-stopped-here
    December 01, 2006 - March 1, 2005 WebM&M Cases May I Have Another? … —Medication Error June 1, 2014 WebM&M Cases … The 2-Week Itch April 1, 2003 WebM&M Cases … Dangerous Dapsone June 1, 2004 WebM&M Cases … June 1, 2003 WebM&M Cases Missed Appendicitis
  14. psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
    August 02, 2015 - Serious adverse outcomes occurred in 90% of the cases, including death in 31% of cases. … February 18, 2011 WebM&M Cases A Double “Never Event” … November 16, 2022 WebM&M Cases Do Not Disturb! … October 1, 2007 WebM&M Cases Lost in Transition … June 1, 2003 WebM&M Cases The Dropped Lung
  15. psnet.ahrq.gov/web-mm/standard-deviations
    January 01, 2006 - July 31, 2024 WebM&M Cases Delirium or Dementia? … May 1, 2009 WebM&M Cases Liposuction Gone Awry … October 1, 2008 WebM&M Cases Raise the Bar … Follow-Up Phone Call March 1, 2012 WebM&M Cases … Elopement December 1, 2007 WebM&M Cases
  16. psnet.ahrq.gov/issue/ehrs-er-doctors-adapt-concerns-emerge-about-medical-errors
    September 01, 2016 - October 5, 2016 View More Related Resources WebM&M Cases … November 23, 2016 WebM&M Cases Lapse in Antibiotics Leads … to Sepsis October 1, 2016 WebM&M Cases The … July 3, 2013 WebM&M Cases Recurrent Hypoglycemia: A Care
  17. psnet.ahrq.gov/web-mm/mark-my-limb
    February 10, 2015 - May 3, 2006 WebM&M Cases Right? Left? Neither! … May 1, 2006 WebM&M Cases Listen to the Family … June 1, 2004 WebM&M Cases Too Tight Control … 1, 2004 WebM&M Cases Inadvertent Castration … Tip November 1, 2003 WebM&M Cases The Other
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39174/psn-pdf
    December 16, 2009 - This retrospective review of incident reports found more than 100 cases in a 5-year period in which … These included cases where parents detected an adverse event as well as cases where the parents caused
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34063/psn-pdf
    September 18, 2011 - Investigators analyzed 54 cases where foreign bodies requiring reoperation occurred and drew comparisons … to more than 230 control cases. … such case or more each year at the typical large hospital, which may be an underestimation given the cases
  20. psnet.ahrq.gov/issue/risk-management-obstetrics-and-gynaecology
    June 15, 2011 - August 26, 2020 WebM&M Cases “Copy and Paste” Notes and … September 21, 2022 WebM&M Cases Two Cases of Retained … June 22, 2009 WebM&M Cases Insert Omission April

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