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psnet.ahrq.gov/issue/outcome-6-years-protocol-use-preventing-wrong-site-office-surgery
February 10, 2012 - January 12, 2012
WebM&M Cases
Turn the Other Cheek … August 3, 2017
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WebM&M Cases … June 10, 2013
WebM&M Cases
Turn the Other Cheek
March … April 4, 2011
WebM&M Cases
The Forgotten Turn
December
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psnet.ahrq.gov/issue/patient-safety-emergency-department
July 13, 2016 - February 1, 2011
WebM&M Cases
Reconciling Records … November 1, 2010
WebM&M Cases
Recurrent Hypoglycemia … April 5, 2006
WebM&M Cases
Discharge Fumbles
December … 1, 2004
WebM&M Cases
X-ray Flip
February 1
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psnet.ahrq.gov/node/33795/psn-pdf
November 01, 2015 - The idea was to post anonymously submitted cases of medical errors
or near misses, with those cases … We
have published 360 cases, which have been widely used in teaching and republished by several other … built links from
PSNet resources into our WebM&M commentaries, and, conversely, often cited WebM&M cases … The cases and commentaries will
continue to be called "WebM&M," which will persist as a section within … journal
articles, websites, conferences, primers, and the like, but also highlight relevant WebM&M cases
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psnet.ahrq.gov/node/35868/psn-pdf
July 10, 2008 - information from nearly 3 million operations between 1985 and 2004,
discovering a rate of 1 in 112,994 cases … Investigators further evaluated cases with
available medical records, all of which were among the malpractice … so, they noted that the
Joint Commission's Universal Protocol might have prevented only 62% of the cases
-
psnet.ahrq.gov/node/45509/psn-pdf
September 28, 2016 - Investigators used an automated algorithm to identify chest imaging cases that potentially had a follow-up … A clinician then reviewed the medical records for a random sample of cases identified by the trigger … tool and a reference set of cases involving patients with abnormal test results but no delays.
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psnet.ahrq.gov/node/40907/psn-pdf
December 08, 2011 - In Sweden,
clinicians are required to report cases of serious adverse events, and patients can obtain … However, this study found that more than
80% of cases where patients were compensated for severe injuries … were not reported by practitioners,
including many cases of health care–associated infections and diagnostic
-
psnet.ahrq.gov/node/37096/psn-pdf
June 24, 2010 - For several patient safety indicators, the
authors found that the majority of cases were actually pre-existing … Furthermore, cases where an in-hospital complication occurred did not receive
significantly higher financial … payments than cases without complications.
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psnet.ahrq.gov/issue/multitasking-during-patient-handover-recovery-room
October 05, 2011 - March 14, 2022
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WebM&M Cases … July 8, 2008
WebM&M Cases
DNR in the OR and Afterwards … September 1, 2006
WebM&M Cases
Around the … Block
March 1, 2005
WebM&M Cases
Fumbled Handoff
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psnet.ahrq.gov/issue/best-medical-care-world
December 21, 2014 - December 18, 2019
WebM&M Cases
Spotlight: Mistaken Attribution … December 19, 2018
WebM&M Cases
Diagnosing a Missed Diagnosis … August 13, 2014
WebM&M Cases
Dependence vs. … Pain
July 1, 2008
WebM&M Cases
When "Psychiatric
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psnet.ahrq.gov/issue/oxytocin-high-alert-medication-implications-perinatal-patient-safety
September 29, 2010 - December 4, 2019
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WebM&M Cases … Error During Spinal Epidural Anesthesia
August 30, 2023
WebM&M Cases … June 28, 2023
A multidisciplinary model for reviewing severe maternal morbidity cases … May 29, 2013
WebM&M Cases
Failure to Latch
September
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psnet.ahrq.gov/issue/medication-errors-intravenous-drug-preparation-and-administration-multicentre-audit-uk
December 04, 2015 - May 28, 2015
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WebM&M Cases … January 12, 2011
WebM&M Cases
A Troubling Amine
September … 1, 2006
WebM&M Cases
It's All in the Syringe … August 1, 2006
WebM&M Cases
Citrate Mix-Up
-
psnet.ahrq.gov/issue/residency-training-handoffs-survey-program-directors-psychiatry
January 01, 2019 - Download Citation
Related Resources From the Same Author(s)
WebM&M Cases … November 10, 2021
WebM&M Cases
A Seasonal Care Transition … Failure
July 1, 2011
WebM&M Cases
July Syndrome … January 28, 2011
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WebM&M Cases
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psnet.ahrq.gov/issue/no-shortcuts-safer-opioid-prescribing
March 30, 2016 - May 27, 2020
WebM&M Cases
Diagnosing HIV-It Doesn't Take … a Brain Surgeon
May 1, 2008
WebM&M Cases
A … January 29, 2018
WebM&M Cases
The Empty Bag
December … February 17, 2015
WebM&M Cases
Poor Prognosis
September
-
psnet.ahrq.gov/issue/medication-safety-operating-room-survey-preparation-methods-and-drug-concentration
December 22, 2018 - Perspective: Topics in Medication Safety
March 31, 2022
WebM&M Cases … and Consequences in the Operating Room
October 27, 2021
WebM&M Cases … PCA) Opioid-Induced Respiratory Depression
May 27, 2020
WebM&M Cases … January 2, 2011
WebM&M Cases
Crossed Coverage
February
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psnet.ahrq.gov/issue/clinical-triggers-and-vital-signs-influencing-crisis-acknowledgment-and-calls-help
June 15, 2012 - September 26, 2016
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WebM&M Cases … Intraoperative Awareness during Rhinoplasty
July 31, 2024
WebM&M Cases … Cardiac Arrests and Emergency Hysterectomy
March 27, 2024
WebM&M Cases … September 22, 2021
WebM&M Cases
Sudden Collapse During
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psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-program-across-two-merged-pediatric-institutions
June 03, 2013 - December 3, 2018
WebM&M Cases
Situational (Un)Awareness … September 1, 2011
WebM&M Cases
Is the Admission … August 1, 2009
WebM&M Cases
DRESSed for Failure … April 7, 2010
WebM&M Cases
Privacy Gone Awry
May
-
psnet.ahrq.gov/issue/cognitive-biases-and-moral-characteristics-healthcare-workers-and-their-treatment-approach
March 28, 2018 - Improving Diagnostic Safety and Quality
April 26, 2023
WebM&M Cases … December 22, 2018
WebM&M Cases
Engaging Seriously Ill … November 23, 2016
WebM&M Cases
Deciphering the Code … February 1, 2006
WebM&M Cases
Poor Prognosis
-
psnet.ahrq.gov/issue/randomized-crossover-study-evaluating-effect-hand-sanitizer-dispenser-frequency-hand-hygiene
November 09, 2015 - September 21, 2022
WebM&M Cases
Perioperative Anaphylaxis … September 27, 2016
WebM&M Cases
Pocket Syringe Swap … May 21, 2009
WebM&M Cases
Right? Left? Neither! … March 22, 2006
WebM&M Cases
Impatient Inpatient Dosing
-
psnet.ahrq.gov/issue/clinical-and-medicolegal-implications-radiology-results-communication
August 20, 2018 - November 30, 2022
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WebM&M Cases … October 27, 2022
WebM&M Cases
The Consequences … July 8, 2009
WebM&M Cases
Not a Miscarriage
June … 1, 2003
WebM&M Cases
The Dropped Lung
May 1
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psnet.ahrq.gov/issue/defensive-medicine-it-time-finally-slow-down-epidemic
November 18, 2016 - World J Clin Cases. 2018;6(11):406-409. doi:10.12998/wjcc.v6.i11.406. … World J Clin Cases . 2018; 6 (11) :406-409 .
View more articles from the same authors. … World J Clin Cases. 2018;6(11):406-409. doi:10.12998/wjcc.v6.i11.406. … recognition of error and use of apology as preemptive steps to ADR or litigation in medical malpractice cases