-
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.
-
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
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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
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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
-
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/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
-
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/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
-
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
-
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
-
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.
-
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.
-
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
-
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
-
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
-
psnet.ahrq.gov/issue/ehrs-er-doctors-adapt-concerns-emerge-about-medical-errors
September 01, 2016 - October 5, 2016
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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/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
-
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
-
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