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psnet.ahrq.gov/web-mm/crossing-borderline
June 01, 2022 - In most cases, the psychotherapy, whether cognitive-behavioral or psychodynamic, is carried out in an … June 1, 2022
WebM&M Cases
Good Catch in the Operating … by Text: Multitasking Mishap
December 1, 2011
WebM&M Cases … October 1, 2007
WebM&M Cases
Preventable Rash … March 1, 2005
WebM&M Cases
Missed TB
May
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psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
September 27, 2023 - April 29, 2020
WebM&M Cases
Delayed Diagnosis of … Mesenteric Ischemia
August 31, 2022
WebM&M Cases … : The Growing Deficit
February 1, 2019
WebM&M Cases … Hidden Mystery
March 1, 2005
WebM&M Cases … The Worst Headache
July 1, 2004
WebM&M Cases
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/masks-appendix-table-b-3-version-1.xlsx
February 01, 2020 - June 2014 Saudi Arabia 1 hospital Healthcare workers (HCWs) in 1 hospital with MERS outbreak 283 40 (cases … with SARS-CoV-1 seropositivity 91 cases and 657 controls Mean age not reported; 34.9% <26 years old … with SARS-CoV-1 seropositivity 47 cases and 426 controls 29 70% Physicians, nurses, care givers and … with SARS-CoV-1 seropositivity 29 cases and 98 controls Mean age not reported; 57% 29–39 years old … with SARS-CoV-1 seropositivity 13 cases and 241 controls Not reported 69% 15% doctor
46% nurse
31%
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - (AMI) Mortality Rate and IQI 32 Acute Myocardial Infarction (AMI)
Mortality Rate, Without Transfer Cases … Recommended Practice Details of Recommended Practice
Create a process for
identifying cases
• 100% … Best Processes/Systems of Care
Recommended Practice: Create a Process for Identifying Cases
• … Decision support staff can identify IQI cases and all should be reviewed. … not needing further
review and prepare selected cases for committee presentation.
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psnet.ahrq.gov/web-mm/elopement
July 14, 2010 - "( 1 ) In many cases of elopement, the patient may have a decreased mental capacity related to dementia … be difficult to determine, eloping patients are often at risk for serious harm, and there are many cases … In such cases, the physician should inform the patient of the risks associated with leaving. … ATLA's Litigating Tort Cases. Vol 5. Washington, DC: AAJ Press; 2003.
3. Rigelhaupt J Jr. … June 1, 2012
WebM&M Cases
Amended Lab Results:
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psnet.ahrq.gov/issue/teaching-about-diagnostic-errors-through-virtual-patient-cases-pilot-exploration
September 18, 2013 - Study
Teaching about diagnostic errors through virtual patient cases: a pilot exploration … Teaching about diagnostic errors through virtual patient cases: a pilot exploration. … Teaching about diagnostic errors through virtual patient cases: a pilot exploration. … March 2, 2022
WebM&M Cases
"Superficial" Report Leads … February 20, 2019
Using computerized virtual cases to explore diagnostic error in practicing
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psnet.ahrq.gov/web-mm/liver-failure-after-chemotherapy-did-we-forget-something
May 01, 2019 - Pocket Syringe Swap
May 1, 2011
WebM&M Cases … PCA Overdose
August 21, 2005
WebM&M Cases … August 21, 2013
WebM&M Cases
The Dropped "No" … September 1, 2011
WebM&M Cases
Discharging … Our Responsibility
September 1, 2007
WebM&M Cases
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hcup-us.ahrq.gov/reports/methods/2005_04.pdf
January 01, 2005 - of cases N/A N/A N/A
Percent of state total N/A N/A N/A
Nebraska Number of cases 17,390 745 12,189 … Number of cases 81,976 3,234 104,449
Percent of state total 8% 0% 10%
Utah Number of cases 14,199 … cases N/A N/A N/A
Percent of state total N/A N/A N/A
Nebraska Number of cases 6,061 12,570 2,995 … of cases 8,899 2,127
Percent of state total 3% 1%
New York Number of cases 36,040 283
Percent of … of cases 3,914 60,842
Percent of state total 2% 24%
Wisconsin Number of cases 6,861 267
Percent
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psnet.ahrq.gov/issue/preventing-vincristine-administration-errors
June 16, 2019 - August 29, 2016
WebM&M Cases
Crossed Coverage
February … 1, 2007
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 … May 1, 2006
WebM&M Cases
Getting to the Root
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psnet.ahrq.gov/issue/do-micropauses-prevent-surgeons-fatigue-and-loss-accuracy-associated-prolonged-surgery
November 29, 2023 - September 14, 2022
WebM&M Cases
Fatal Patient-Controlled … 1, 2004
WebM&M Cases
Environmental Safety in the … OR
February 1, 2004
WebM&M Cases
The Other … Side
October 1, 2003
WebM&M Cases
Making Do … September 1, 2003
WebM&M Cases
Ectopic or
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psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
August 10, 2019 - June 29, 2011
WebM&M Cases
On O.R. Off? … March 1, 2005
WebM&M Cases
Right Patient, Wrong … Sample
December 1, 2006
WebM&M Cases
May I … —Medication Error
June 1, 2014
WebM&M Cases … The 2-Week Itch
April 1, 2003
WebM&M Cases
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effectivehealthcare.ahrq.gov/sites/default/files/Masks-appendix-table-b-3-surveillance-report.xlsx
February 01, 2020 - with SARS-CoV-1 seropositivity 91 cases and 657 controls Mean age not reported; 34.9% <26 years of … with SARS-CoV-1 seropositivity 47 cases and 426 controls 29 70% Physicians, nurses, care givers and … with SARS-CoV-1 seropositivity 29 cases and 98 controls Mean age not reported; 57% 29 to 39 years … with SARS-CoV-1 seropositivity 13 cases and 241 controls Not reported 69% 15% doctor
46% nurse
31% … with SARS infection 36 cases and 50 controls Mean not reported; 64% age <30 years 89% 72% doctor or
-
effectivehealthcare.ahrq.gov/sites/default/files/masks-appendix-table-b-3-version-2.xlsx
February 01, 2020 - with SARS-CoV-1 seropositivity 91 cases and 657 controls Mean age not reported; 34.9% <26 years of … with SARS-CoV-1 seropositivity 47 cases and 426 controls 29 70% Physicians, nurses, care givers and … with SARS-CoV-1 seropositivity 29 cases and 98 controls Mean age not reported; 57% 29 to 39 years … with SARS-CoV-1 seropositivity 13 cases and 241 controls Not reported 69% 15% doctor
46% nurse
31% … with SARS infection 36 cases and 50 controls Mean not reported; 64% age <30 years 89% 72% doctor or
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Williams_115.pdf
June 19, 2008 - Over 3 years, 934 patient cases have been reviewed in 209
teleconferences. … Conversely, surgeons feel that family
physicians cannot adequately review surgery cases. … Once cases are posted, reviewing physicians in each hospital are able to access the cases via the
Web … However, some physicians still prefer to have clerical
staff members print out the cases. … • Inadequate documentation for adjudication was found in 18 cases (2 percent).
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psnet.ahrq.gov/node/865923/psn-pdf
May 22, 2024 - Undiagnosed cancer cases in the US during the first 10
months of the COVID-19 pandemic. … Undiagnosed cancer cases in the US during the first 10 months of the
COVID-19 pandemic. … https://psnet.ahrq.gov/issue/undiagnosed-cancer-cases-us-during-first-10-months-covid-19-pandemic
Many … https://psnet.ahrq.gov/issue/undiagnosed-cancer-cases-us-during-first-10-months-covid-19-pandemic
https
-
psnet.ahrq.gov/node/47630/psn-pdf
February 27, 2019 - Teaching about diagnostic errors through virtual patient
cases: a pilot exploration. … Teaching about diagnostic errors through virtual patient cases: a
pilot exploration. … https://psnet.ahrq.gov/issue/teaching-about-diagnostic-errors-through-virtual-patient-cases-pilot-exploration … https://psnet.ahrq.gov/issue/teaching-about-diagnostic-errors-through-virtual-patient-cases-pilot-exploration
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psnet.ahrq.gov/issue/tolerance-uncertainty-and-practice-emergency-medicine
May 25, 2022 - Conversation with…Pat Croskerry, MD, PhD
June 1, 2010
WebM&M Cases … Lethal Vertigo
June 1, 2004
WebM&M Cases … No Blood, Please
May 1, 2004
WebM&M Cases … Undiagnosed Vaginal Bleeding
February 1, 2004
WebM&M Cases … Ruptured Heterotopic Pregnancy
January 1, 2004
WebM&M Cases
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psnet.ahrq.gov/web-mm/not-all-headaches-are-due-migraine-red-flags-dont-miss-diagnoses-and-diagnostic-pitfalls
February 17, 2021 - The Cases Case #1: A 22-year-old physically active man went to his family physician complaining of severe … However, as these two cases demonstrate, there are serious causes of headache that must be considered … In most cases, there are no definitive tests to determine a specific etiology for a patient’s headache … of headache presented, and considerations for application in other cases will be discussed. … How can students’ diagnostic competence benefit most from practice with clinical cases?
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psnet.ahrq.gov/node/850176/psn-pdf
June 07, 2023 - Care Post-Roe: Documenting Cases of Poor-quality Care
Since the Dobbs Decision. … https://psnet.ahrq.gov/issue/care-post-roe-documenting-cases-poor-quality-care-dobbs-decision
Overarching … This
document reports the preliminary findings of a study examining 50 cases submitted where clinicians … https://psnet.ahrq.gov/issue/care-post-roe-documenting-cases-poor-quality-care-dobbs-decision
https:/
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psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
November 25, 2020 - Close follow-up with a hand surgeon should be arranged for all cases of definite or suspected tendon … Splint all cases of confirmed and suspected tendon injuries. … A Multicenter prospective study of 3,110 consecutive cases of elective epinephrine use in the fingers … April 24, 2024
WebM&M Cases
Hindsight is 20/20: … July 29, 2020
WebM&M Cases
Spinal Epidural