-
psnet.ahrq.gov/issue/medication-prescribing-errors-involving-route-administration
January 12, 2011 - January 12, 2011
WebM&M Cases
40 of K
November 1, … May 27, 2011
WebM&M Cases
Crossed Coverage
February … 1, 2006
WebM&M Cases
Miscalculated Risk
August … 1, 2006
WebM&M Cases
Citrate Mix-Up
May 1, … October 5, 2005
WebM&M Cases
Surprise Wire
August
-
psnet.ahrq.gov/issue/communication-factors-follow-abnormal-mammograms
March 02, 2011 - January 22, 2014
WebM&M Cases
Are You Mrs. A? … Patient Engagement and Patient Safety
February 1, 2013
WebM&M Cases … 1, 2009
WebM&M Cases
Elopement
December 1, … 2007
WebM&M Cases
Discharging Our Responsibility … September 1, 2007
WebM&M Cases
Language Barrier
-
psnet.ahrq.gov/issue/error-medicine
November 02, 2014 - June 7, 2006
WebM&M Cases
Discharge Fumbles
December … 1, 2004
WebM&M Cases
Poor Prognosis
September … 1, 2004
WebM&M Cases
The Result Stopped Here … June 1, 2004
WebM&M Cases
Dangerous Dapsone … June 1, 2004
WebM&M Cases
Inadvertent Castration
-
psnet.ahrq.gov/web-mm/pocket-syringe-swap
July 01, 2006 - The Context Is the Intervention
October 1, 2011
WebM&M Cases … A Seasonal Care Transition Failure
July 1, 2011
WebM&M Cases … May 1, 2009
WebM&M Cases
Crossed Coverage … February 1, 2007
WebM&M Cases
Right? … May 1, 2006
WebM&M Cases
Unexplained Apnea Under
-
psnet.ahrq.gov/web-mm/nonsustained-ventricular-tachycardia-after-acute-coronary-syndromes-recognizing-high-risk
September 20, 2011 - In most cases of NSVT, each beat has a similar appearance and is termed monomorphic VT, which is usually … November 18, 2015
WebM&M Cases
Caution, Interrupted … of CPOE
October 1, 2016
WebM&M Cases
What … April 1, 2019
WebM&M Cases
Delay in Malignancy … Citrate Mix-Up
May 1, 2006
WebM&M Cases
-
psnet.ahrq.gov/web-mm/moved-too-soon
November 01, 2006 - reporting system shared by 54 neonatal intensive care units in the United States found that 11% of cases … Safety received more than 100 patient misidentification root cause analyses, 22% of which involved cases … One in a Series of Errors In this example, as in most such cases, a series of errors occurred in the … At our institution, these lessons are reinforced by highlighting actual cases reported to our own near … The Forgotten Med
April 1, 2005
WebM&M Cases
-
psnet.ahrq.gov/web-mm/missed-tb
March 03, 2010 - of pulmonary TB and 37 cases of miliary TB during the same period.( 2 ) The mortality rate of 69% was … Most cases of missed TB can be traced to the fact that clinicians failed to consider the possibility … Simple Decision Gone Bad
April 1, 2008
WebM&M Cases … Novel Drug Misuse
July 1, 2004
WebM&M Cases … The Dropped Lung
May 1, 2003
WebM&M Cases
-
psnet.ahrq.gov/web-mm/transition-nowhere
March 21, 2009 - Table
Related Resources From the Same Author(s)
WebM&M Cases … October 13, 2018
WebM&M Cases
40 of K
November 1, … Resulting in Death During Endoscopy
February 28, 2024
WebM&M Cases … of High-Risk Pulmonary Embolism
May 1, 2019
WebM&M Cases … Duplicate Insulin Order
March 1, 2019
WebM&M Cases
-
psnet.ahrq.gov/web-mm/polypharmacy
March 01, 2007 - August 6, 2014
WebM&M Cases
Urinary Retention Dilemma … Nutrition, Multifarious Errors
April 1, 2013
WebM&M Cases … Lethal Vertigo
June 1, 2004
WebM&M Cases … October 25, 2023
WebM&M Cases
Duplicate Therapies in … September 25, 2008
WebM&M Cases
Dangerous Dapsone
-
psnet.ahrq.gov/web-mm/communication-consultants
October 01, 2018 - referring physician and the consultant disagreed about the primary reason for consultation in 14% of cases … Table
Related Resources From the Same Author(s)
WebM&M Cases … Crossed Coverage
February 1, 2007
WebM&M Cases … October 1, 2008
WebM&M Cases
Failure to Latch … Antibiotics Results in Fatal Error
February 1, 2004
WebM&M Cases
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/VhSwc46MPwjDPNsgVrVm-B
June 07, 2016 - In 2014, 19 999 cases (6.3 cases per 100 000
persons) of primary and secondary syphilis were reported … per 100 000 black individuals, 7.6 cases
per 100 000 Hispanic individuals, 7.6 cases per 100 000 Ameri … , 3.5 cases per
100 000 white individuals, and 2.8 cases per 100 000 Asian
individuals.1 The southern … The case count (19 999 cases) and case rate
(6.3 cases per 100 000 persons) of primary and secondary … , the rate increased 22.7%, from
0.9 to 1.1 cases per 100 000.1 The majority of cases of primary and
-
psnet.ahrq.gov/issue/improvement-detection-wrong-patient-errors-when-radiologists-include-patient-photographs
June 13, 2015 - Regarding a Possible Artifact
June 30, 2021
WebM&M Cases … June 21, 2016
WebM&M Cases
The Fluidity of Diagnostic … March 4, 2015
WebM&M Cases
A Picture Speaks 1000 Words … September 1, 2013
WebM&M Cases
Duty to Disclose … May 1, 2011
WebM&M Cases
The Dropped Lung
May
-
psnet.ahrq.gov/issue/care-transitions-outpatient-surgery-preoperative-process-facilitators-and-obstacles
December 31, 2014 - April 3, 2024
WebM&M Cases
False Assumptions Result in … November 17, 2021
WebM&M Cases
To Dilute or Not Dilute … August 24, 2016
WebM&M Cases
Raise the Bar
May 1, … October 27, 2010
WebM&M Cases
Mark My Limb
December … 1, 2004
WebM&M Cases
Too Tight Control
May
-
psnet.ahrq.gov/web-mm/dropped-lung
February 06, 2012 - by Text: Multitasking Mishap
December 1, 2011
WebM&M Cases … May 1, 2011
WebM&M Cases
Lethal Vertigo
June … 1, 2004
WebM&M Cases
X-ray Flip
February 1 … , 2004
WebM&M Cases
Undiagnosed Vaginal Bleeding … Pain: A Missed Opportunity
January 1, 2004
WebM&M Cases
-
psnet.ahrq.gov/web-mm/refused-medication-error
November 01, 2005 - 1, 2009
WebM&M Cases
Deciphering the Code … February 1, 2006
WebM&M Cases
Premature or Overdue … October 1, 2008
WebM&M Cases
Beeline to Spine … June 1, 2007
WebM&M Cases
Discharge Fumbles … December 1, 2004
WebM&M Cases
Hard to Swallow
-
psnet.ahrq.gov/web-mm/bowel-prep
March 01, 2017 - Symptomatic hypocalcemia from oral sodium phosphate: a report of two cases. … July 25, 2011
WebM&M Cases
Hidden Mystery
March 1 … Medication
September 1, 2016
WebM&M Cases … Spinal Epidural Abscess
August 8, 2019
WebM&M Cases … Pain
July 1, 2008
WebM&M Cases
Which End Is
-
psnet.ahrq.gov/web-mm/after-visit-confusion
August 21, 2007 - Mark My Limb
December 1, 2004
WebM&M Cases … October 1, 2008
WebM&M Cases
One ACE Too Many … July 1, 2006
WebM&M Cases
Right? … May 1, 2006
WebM&M Cases
Carpe Diem (Seize the … Day)
December 1, 2004
WebM&M Cases
Lethal Cap
-
psnet.ahrq.gov/web-mm/reaction-dye
March 01, 2007 - Nosy Business
April 1, 2010
WebM&M Cases … Mark My Tooth
August 21, 2007
WebM&M Cases … Techno Trip
March 1, 2005
WebM&M Cases … September 1, 2007
WebM&M Cases
Compare and … Contrast
April 1, 2005
WebM&M Cases
Doctor
-
psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
July 01, 2017 - Most cases are related to pregnancy-related conditions such as such as the syndrome of hemolysis, elevated … Acetaminophen toxicity accounts for more cases of acute liver failure (42%) than any other in the United … Advice
May 1, 2005
WebM&M Cases
Pathologic … High-Fidelity Simulation
March 1, 2006
WebM&M Cases … Autopsy Revelation
March 1, 2004
WebM&M Cases
-
psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
August 21, 2007 - Although fatal cases are rare, they are in the news occasionally and involve patients who are ultimately … Mark My Tooth
August 21, 2007
WebM&M Cases … Back to Basics
March 1, 2007
WebM&M Cases … Insert Omission
April 1, 2006
WebM&M Cases … OR Peeping
March 1, 2004
WebM&M Cases