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  1. Screening for Syphilis Infection During Pregnancy: USPSTF Reaffirmation Recommendation Statement (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/YJtsbuhNtrLyn6NpJZtfXk
    April 24, 2023 - cases in 2023.2,4 It is estimated that almost 90% of new congenital syphilis cases could have been pre … per 100 000 live births in Asian women, 222.0 cases per 100 000 live births in Black women, 125.0 cases … A recent analysis of national data from 2022 found that 5% of congenital syphilis cases (197/3761 cases … cases per 100 000 live births in Black women • 125.0 cases per 100 000 live births in Hispanic/Latina … Factors contributing to congenital syphilis cases—New York City, 2010-2016.

  2. Continuity Errors in Resident Clinic | PSNet

    psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
    October 02, 2019 - November 16, 2022 WebM&M Cases One Toxic Drug Is Not … Like Another February 1, 2011 WebM&M Cases … September 28, 2022 WebM&M Cases Delayed Breast … Attribution, Diagnostic Misstep January 1, 2019 WebM&M Cases … Lethal Vertigo June 1, 2004 WebM&M Cases

  3. Misdiagnosis of a Pelvic Mass versus Pregnancy | PSNet

    psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy
    November 25, 2020 - November 25, 2020 WebM&M Cases Hidden Danger! … May 1, 2003 WebM&M Cases Inflicting Confusion … December 23, 2020 WebM&M Cases The NSTEMI Curbside … May 1, 2011 WebM&M Cases Pregnant With Danger … Appendicitis June 1, 2003 WebM&M Cases The

  4. Counting matters: lessons from the root cause analysis of a retained surgical item. | PSNet

    psnet.ahrq.gov/issue/counting-matters-lessons-root-cause-analysis-retained-surgical-item
    January 02, 2017 - July 10, 2024 WebM&M Cases Management of Cardiac Arrest … May 6, 2020 WebM&M Cases Preventable Transfer to the … November 26, 2012 WebM&M Cases Home Medications Contribute … September 29, 2017 WebM&M Cases Undetected Foreign Object … January 18, 2012 WebM&M Cases Inadvertent Castration

  5. Failure to Reevaluate | PSNet

    psnet.ahrq.gov/web-mm/failure-reevaluate
    February 01, 2014 - to 7% of all hospital admissions, with drug-induced nephrotoxicity accounting for one-third of these cases … In these cases, a vancomycin trough concentration obtained at the time of admission could reveal excessive … A Painful Dilemma June 1, 2012 WebM&M Cases … Dangerous Dapsone June 1, 2004 WebM&M Cases … Too Tight Control May 1, 2004 WebM&M Cases

  6. Diffusion of Innovations. 5th ed. | PSNet

    psnet.ahrq.gov/issue/diffusion-innovations-5th-ed
    January 27, 2021 - July 13, 2016 WebM&M Cases Lost in the Black Hole … October 1, 2003 WebM&M Cases Did We Forget Something … September 1, 2003 WebM&M Cases Bleeding Risk … July 1, 2003 WebM&M Cases Inappropriate Antibiotic

  7. Administrative issues to ensure safe anesthesia care in the office-based setting. | PSNet

    psnet.ahrq.gov/issue/administrative-issues-ensure-safe-anesthesia-care-office-based-setting
    March 27, 2019 - Improving Diagnostic Safety and Quality April 26, 2023 WebM&M Cases … August 4, 2014 WebM&M Cases Raise the Bar May 1, … 2014 WebM&M Cases Residual Anesthesia: Tepid Burn … February 10, 2010 WebM&M Cases Right? Left?

  8. To err is human: quality and safety issues in spine care. | PSNet

    psnet.ahrq.gov/issue/err-human-quality-and-safety-issues-spine-care
    August 04, 2021 - November 6, 2024 WebM&M Cases Delay in Malignancy Diagnosis … Reflects Systemic Failures October 31, 2023 WebM&M Cases … December 4, 2019 WebM&M Cases Spinal Epidural Abscess … July 23, 2010 WebM&M Cases Round-Trip Service December

  9. Inpatient Stroke Management in an Adolescent with Type 1 Diabetes and Home Insulin Pump | PSNet

    psnet.ahrq.gov/web-mm/inpatient-stroke-management-adolescent-type-1-diabetes-and-home-insulin-pump
    February 01, 2023 - February 1, 2023 WebM&M Cases When the Lytes Go … March 29, 2023 WebM&M Cases When Taking an SGLT2 … February 16, 2022 WebM&M Cases A Sweet Case of Hidden … March 24, 2021 WebM&M Cases Multiple Levels Involved … February 26, 2020 WebM&M Cases It's Sarah, Not

  10. Safe patient outcomes occur with timely, standardized communication of critical values. | PSNet

    psnet.ahrq.gov/issue/safe-patient-outcomes-occur-timely-standardized-communication-critical-values
    January 15, 2020 - April 16, 2018 WebM&M Cases Critical Opportunity Lost … March 23, 2012 WebM&M Cases Amended Lab Results: Communication … October 7, 2011 WebM&M Cases A Seasonal Care Transition

  11. Hypoxemia after Emergency Intubation | PSNet

    psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
    March 24, 2019 - Approaches to Improving Patient Safety Avoid emergency intubation when possible In cases of pulmonary … December 14, 2022 WebM&M Cases Is that solution … History Leads to Adverse Outcomes July 8, 2022 WebM&M Cases … March 29, 2023 WebM&M Cases Distraction of the … April 26, 2023 WebM&M Cases The Wrong Blade: A

  12. A Fatal Twist in Pseudohyperkalemia | PSNet

    psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
    February 10, 2021 - November 16, 2022 WebM&M Cases Some Patients Can't Wait … Timeliness of Emergency Department Care March 25, 2020 WebM&M Cases … EMS Perils from Hospital Overcrowding August 31, 2022 WebM&M Cases … 27, 2023 View More Related Resources WebM&M Cases … July 10, 2024 WebM&M Cases Bandemia as a Harbinger of

  13. Missed injuries in trauma patients: a literature review. | PSNet

    psnet.ahrq.gov/issue/missed-injuries-trauma-patients-literature-review
    April 01, 2009 - January 11, 2023 WebM&M Cases Workaround Error February … September 27, 2017 WebM&M Cases Emergency Error August … June 10, 2013 WebM&M Cases All in the History March … 21, 2009 WebM&M Cases Lethal Vertigo June … 1, 2004 WebM&M Cases Ruptured Heterotopic Pregnancy

  14. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon | PSNet

    psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
    January 29, 2021 - History Leads to Adverse Outcomes July 8, 2022 WebM&M Cases … March 29, 2023 WebM&M Cases Distraction of the … March 15, 2023 WebM&M Cases Open wider: Failure … to Arterial Thrombosis June 28, 2023 WebM&M Cases … July 10, 2024 WebM&M Cases Syringe Swap During

  15. Liposuction Gone Awry | PSNet

    psnet.ahrq.gov/web-mm/liposuction-gone-awry
    July 01, 2003 - One recent study used an internet and peer review reporting system to analyze 400,000 cases (since the … report, the database has grown to more than 800,000 cases) performed in roughly 1200 accredited AAAASF … Overrides: A Dangerous Combination April 24, 2024 WebM&M Cases … December 23, 2020 WebM&M Cases The One That Got … July 20, 2009 WebM&M Cases Urinary Retention Dilemma

  16. Missing the Point—Eye Injury | PSNet

    psnet.ahrq.gov/web-mm/missing-point-eye-injury
    March 01, 2005 - eye-focused history and physical examination, recognize vision-threatening disorders, and identify cases … In cases of trauma, the most serious diagnoses that should be considered and excluded include ruptured … In atraumatic cases, the most common serious diagnoses that should be considered include acute angle … In such cases, the clue may be that the patient was working near high-speed equipment such as a metal … Plain X-ray and computed tomography of the orbit in cases and suspected cases of intraocular foreign

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60168/psn-pdf
    March 25, 2020 - https://psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient The Cases Multiple electrocardiograms … All of the cases involved the nurse or EKG technician either entering the wrong medical record number … Fortunately, there were no adverse effects on any of the patients involved in the cases of mentioned … The majority of cases came from the emergency department (ED), consistent with previously published … In the majority of the cases, the error was detected by the nurse or clerk prior to EKG transmission

  18. Death of a boy prompts new medical efforts nationwide. | PSNet

    psnet.ahrq.gov/issue/death-boy-prompts-new-medical-efforts-nationwide
    March 22, 2014 - November 14, 2012 View More Related Resources WebM&M Cases … November 23, 2005 WebM&M Cases No Blood, Please May … 1, 2004 WebM&M Cases Undiagnosed Vaginal Bleeding … Pregnancy January 1, 2004 WebM&M Cases Ectopic … May 1, 2003 WebM&M Cases The Dropped Lung May

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42035/psn-pdf
    February 13, 2013 - Using Safety Cases in Industry and Healthcare. …   https://psnet.ahrq.gov/issue/using-safety-cases-industry-and-healthcare This report details … how high-risk industries use safety cases to identify, evaluate, address, and monitor risks and explains … https://psnet.ahrq.gov/issue/using-safety-cases-industry-and-healthcare https://psnet.ahrq.gov/issue/

  20. Missed diagnoses of acute cardiac ischemia in the emergency department. | PSNet

    psnet.ahrq.gov/issue/missed-diagnoses-acute-cardiac-ischemia-emergency-department
    November 30, 2012 - February 3, 2011 View More Related Resources WebM&M Cases … March 20, 2024 WebM&M Cases Paroxysmal Supraventricular … Lead to Dangerous Delay March 1, 2018 WebM&M Cases … Dissecting the Presentation April 1, 2015 WebM&M Cases … A Real Heartache December 1, 2012 WebM&M Cases
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