-
psnet.ahrq.gov/node/46735/psn-pdf
January 31, 2018 - Influence of perceived difficulty of cases on student
osteopaths' diagnostic reasoning: a cross sectional … Influence of perceived difficulty of cases on student osteopaths'
diagnostic reasoning: a cross sectional … https://psnet.ahrq.gov/issue/influence-perceived-difficulty-cases-student-osteopaths-diagnostic-reasoning … https://psnet.ahrq.gov/issue/influence-perceived-difficulty-cases-student-osteopaths-diagnostic-reasoning-cross-sectional … https://psnet.ahrq.gov/issue/influence-perceived-difficulty-cases-student-osteopaths-diagnostic-reasoning-cross-sectional
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psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
October 31, 2023 - Packing in conjunction with the use of a local hemostatic agent resolves most cases of mild to moderate … May 24, 2023
WebM&M Cases
Respiratory Distress after … Neck Surgery: Two Cases of Postoperative Cervical Hematoma. … February 1, 2023
WebM&M Cases
Open wider: Failure … December 15, 2011
WebM&M Cases
Silent Pain in the Neck
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psnet.ahrq.gov/node/74187/psn-pdf
December 15, 2021 - real-world-virtual-patient-simulation-improve-diagnostic-performance-through-
deliberate
Previous studies have used virtual patient cases … real-world-virtual-patient-simulation-improve-diagnostic-performance-through-deliberate
https://psnet.ahrq.gov/issue/teaching-about-diagnostic-errors-through-virtual-patient-cases-pilot-exploration … https://psnet.ahrq.gov/issue/using-computerized-virtual-cases-explore-diagnostic-error-practicing-physicians
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psnet.ahrq.gov/web-mm/back-basics
July 13, 2010 - July 13, 2010
WebM&M Cases
Reaction to Dye
September … August 26, 2020
WebM&M Cases
Nosy Business … April 1, 2010
WebM&M Cases
Mark My Tooth … Dosing
August 21, 2005
WebM&M Cases
Techno … August 30, 2023
WebM&M Cases
Norepinephrine Dosing
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psnet.ahrq.gov/web-mm/forgotten-drip
April 01, 2014 - May 29, 2024
WebM&M Cases
Hyponatremia Secondary … to Home Parenteral Nutrition Error
May 26, 2021
WebM&M Cases … September 1, 2008
WebM&M Cases
Discharging Our … Responsibility
September 1, 2007
WebM&M Cases … Antiseizure Medication Disorder
May 1, 2007
WebM&M Cases
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psnet.ahrq.gov/web-mm/secured-not-always-safe
October 01, 2015 - Damage may occur to the recurrent laryngeal nerve, and documented cases of vocal cord paralysis after … Aspiration and the laryngeal mask airway: three cases and a review of the literature. … : Clarifying Code Status
December 18, 2019
WebM&M Cases … September 1, 2006
WebM&M Cases
Right? … August 21, 2005
WebM&M Cases
Lap Burn
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psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
September 27, 2023 - In cases where this is unclear, formal cognitive assessment may be needed, as cognitive disorders are … June 14, 2023
WebM&M Cases
Missed Opportunities … for Suicide Risk Assessment
November 27, 2019
WebM&M Cases … History Leads to Adverse Outcomes
July 8, 2022
WebM&M Cases … October 1, 2008
WebM&M Cases
DNR in the OR and
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psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
November 25, 2020 - The Cases Case #1 : A 24-year-old man was seen in a trauma center after his motorcycle collided with … Both cases represent failures of timely diagnosis and intervention; permanent loss of muscle tissue and … September 27, 2023
WebM&M Cases
The One That Got … Pitfalls
February 1, 2010
WebM&M Cases
All … in the History
March 21, 2009
WebM&M Cases
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psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
November 25, 2020 - In most cases, more than one strategy is required. … May 29, 2024
WebM&M Cases
An Inadvertent Bolus … to Home Parenteral Nutrition Error
May 26, 2021
WebM&M Cases … 28, 2021
WebM&M Cases
A Postpartum Woman with … October 28, 2020
WebM&M Cases
When Looks Aren’t
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psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
January 04, 2024 - In these cases, counting identified a problem but communication failed. … These cases should be viewed as false negative counts. … In the 46 administrative penalty retained sponge cases there were two cases of retained bar-code/device … In both cases, the final sponge counts were documented as correct. … January 4, 2024
WebM&M Cases
Two Cases of Retained
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psnet.ahrq.gov/node/60583/psn-pdf
June 10, 2020 - COVID-19 in the emergency department: the
role of improved case detection and segregation of
suspect cases … COVID-19 in the emergency department: the role of
improved case detection and segregation of suspect cases … The broader criterion may increase the numbers of suspected positive
cases but can help minimize nosocomial
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psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
July 02, 2019 - January 14, 2009
WebM&M Cases
Antiseizure Medication … December 30, 2014
WebM&M Cases
Medication Reconciliation … Pitfalls
February 1, 2010
WebM&M Cases
Double … Dosing, by the Rules
March 21, 2009
WebM&M Cases … On the Other Hand
May 1, 2007
WebM&M Cases
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psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
January 29, 2020 - Improvement Conference Innovation Summary
July 23, 2024
WebM&M Cases … October 27, 2022
WebM&M Cases
Delayed Diagnosis … June 1, 2012
WebM&M Cases
Dangerous Dialysis … Results
March 1, 2007
WebM&M Cases
Mark My … Limb
December 1, 2004
WebM&M Cases
Inadvertent
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psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
May 08, 2019 - , postoperatively in 32% of cases, and intraoperatively in 30% of cases.( 3 ) Contributing factors included … May 1, 2018
WebM&M Cases
Over-the-Counter … Injury After Laparoscopic Surgery
January 1, 2015
WebM&M Cases … July 1, 2011
WebM&M Cases
Hold the tPA
April … 1, 2005
WebM&M Cases
Around the Block
March
-
psnet.ahrq.gov/web-mm/walking-out-hospital-after-attempted-suicide
March 29, 2023 - March 29, 2023
WebM&M Cases
Delayed Diagnosis and … June 14, 2023
WebM&M Cases
Failure to Adhere to … October 27, 2021
WebM&M Cases
Liposuction Gone Awry … September 27, 2023
WebM&M Cases
The One That Got … March 18, 2020
WebM&M Cases
The Dangerous Detour
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psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
February 23, 2022 - In cases with severe neurologic symptoms, such as seizures or coma, the panel recommended use of a 10 … March 3, 2021
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WebM&M Cases … Withdrawal with Dexmedetomidine Infusion
July 31, 2023
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When Looks Aren’t All They … 1, 2009
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Too Tight Control
May
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.275_slideshow.ppt
August 01, 2012 - over a 4-year period, the median time for follow-up for marked hyperkalemia was 3 days
In 14% of these cases
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psnet.ahrq.gov/node/44761/psn-pdf
January 06, 2016 - Two fatal cases of accidental intrathecal vincristine
administration: learning from death events. … Two fatal cases of accidental intrathecal
vincristine administration: learning from death event. … https://psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death … https://psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death-events … https://psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death-events
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psnet.ahrq.gov/node/46656/psn-pdf
February 07, 2018 - Autopsy interrogation of emergency medicine dispute
cases: how often are clinical diagnoses incorrect … Autopsy interrogation of emergency medicine dispute cases: how often are
clinical diagnoses incorrect … https://psnet.ahrq.gov/issue/autopsy-interrogation-emergency-medicine-dispute-cases-how-often-are-
clinical-diagnoses … https://psnet.ahrq.gov/issue/autopsy-interrogation-emergency-medicine-dispute-cases-how-often-are-clinical-diagnoses … https://psnet.ahrq.gov/issue/autopsy-interrogation-emergency-medicine-dispute-cases-how-often-are-clinical-diagnoses
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psnet.ahrq.gov/issue/identification-patient-information-corruption-intensive-care-unit-using-scoring-tool-direct
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May 31, 2023
WebM&M Cases … April 22, 2009
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Dangerous Shift
November … 1, 2008
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On the Other Hand
May … 1, 2007
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Glucose Roller Coaster … July 1, 2004
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Fumbled Handoff