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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
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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
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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
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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
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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
-
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.
-
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.
-
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
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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
-
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
-
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
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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
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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
-
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
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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
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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
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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
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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
-
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
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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