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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45640/psn-pdf
    September 01, 2018 - Investigators analyzed 125 adverse event cases from 5 New York City hospitals over a 22-month period … The majority of cases did not involve substandard care, and disclosure occurred in more than 90% of … cases.
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. hcup-us.ahrq.gov/reports/statbriefs/sb33.pdf
    June 01, 2007 - accounting for roughly half of all pediatric hospital stays (excluding births and adolescent pregnancy cases … Excluding these cases, nearly half of the remaining pediatric stays (1.1 milli hospitalizations) were … For 1 to 4 and 5 to 9 year olds, asthma was the most common reason for admission with about 1 in 7 cases … Pediatric, neonatal, and maternal cases Definitions of pediatric, birth, and maternal cases are as follows … : – Pediatric cases: hospital stays for individuals under 18 years of age – Birth cases: hospital stays
  11. psnet.ahrq.gov/issue/missed-diagnosis-stroke-emergency-department-cross-sectional-analysis-large-population-based
    April 08, 2018 - initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases … March 1, 2023 WebM&M Cases Missing a Large Vessel Occlusion … August 4, 2015 WebM&M Cases Misleading Complaint … July 1, 2012 WebM&M Cases Duty to Disclose Someone … May 1, 2011 WebM&M Cases The Worst Headache
  12. hcup-us.ahrq.gov/reports/statbriefs/sb50.pdf
    April 01, 2008 - In most cases CDAD was a secondary diagnosis, particularly in the later years. … while the majority of cases had this infection as a secondary diagnosis. … Complexity of cases with CDAD Over 60 percent of cases with CDAD entered the hospital through the emergency … The number of diagnoses provides an indication of the complexity of the cases—on average, CDAD cases … had over 10 diagnoses compared with 6 diagnoses for cases without CDAD.
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35405/psn-pdf
    December 14, 2007 - Compiling data for more than 1000 Medicare beneficiaries from acute-care hospitals, investigators captured cases … authors report that potential quality problems were identified at much higher rates in the flagged cases … subjectivity in physician case review exists, this study offers a potential strategy for selecting cases
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34863/psn-pdf
    June 12, 2007 - internal-bleeding-truth-behind-americas-terrifying-epidemic-medical-mistakes- updated-edition Wachter and Shojania adapted many of the cases … they previously published in the academic literature, some cases previously described in the lay literature … the Duke transplant mix-up and the death of Betsy Lehman at Dana-Farber Cancer Institute), and other cases
  15. www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary94/syphilis-infection-in-pregnancy-screening-2009
    May 15, 2009 - in 1991 to 353 cases (8.8 cases per 100,000 live births) in 2004. 4 However, the rate of congenital … Most (83%) of these cases were in babies born to women who received no prenatal care. … Tinajeros et al, 2006 11 342 confirmed cases among 8892 women who completed screening. … Assuming a 30% rate of congenital syphilis, POC testing averted 61 cases (54% of 114 cases). 32 cited … cases of penicillin anaphylaxis per 100 000 exposed.
  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. 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
  19. psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
    November 19, 2014 - In Conversation with...Sorrel King March 1, 2007 WebM&M Cases … September 21, 2005 WebM&M Cases No Blood, Please … May 1, 2004 WebM&M Cases Urine a Tough Position … October 1, 2003 WebM&M Cases The Dangerous
  20. digital.ahrq.gov/sites/default/files/docs/publication/r18hs017094-mccolm-final-report-2009.pdf
    January 01, 2009 - and applied only 16% of the eligible codes to those cases. … Number % Total cases for this indicator 311 Cases identified correctly by coders 62 20% Cases not … (26%) were coded for A1C and 71 cases (28%) were coded for LDL. … These cases include all 15 practices in the study. Table 6. … documented 1485, 95.8% Number of cases with diastolic BP documented 1485, 95.8% Number of cases