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  1. Profiles in patient safety: confirmation bias in emergency medicine. | PSNet

    psnet.ahrq.gov/issue/profiles-patient-safety-confirmation-bias-emergency-medicine
    November 23, 2016 - September 7, 2016 WebM&M Cases To Transfer or Not to … Conversation with…Pat Croskerry, MD, PhD June 1, 2010 WebM&M Cases … Defensive Medicine: "Glowing" with Pain February 1, 2010 WebM&M Cases … Undiagnosed Vaginal Bleeding February 1, 2004 WebM&M Cases … Ruptured Heterotopic Pregnancy January 1, 2004 WebM&M Cases

  2. Paroxysmal Supraventricular Tachycardia Masquerading as Panic Attacks | PSNet

    psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks
    September 01, 2017 - For several reasons, diagnostic caution should be used in cases of this kind. … In cases like this one, avoiding gender-based error depends on clinicians’ individual efforts to factor … August 20, 2018 WebM&M Cases Unseen Perils of Urinary … May 31, 2011 View More Related Resources WebM&M Cases … A Little Shuteye July 1, 2003 WebM&M Cases

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37990/psn-pdf
    August 13, 2008 - Most surgery in wrong spot done on spine: 11 such cases found in state since 2006. … https://psnet.ahrq.gov/issue/most-surgery-wrong-spot-done-spine-11-such-cases-found-state-2006 This … https://psnet.ahrq.gov/issue/most-surgery-wrong-spot-done-spine-11-such-cases-found-state-2006

  4. Staggered Sensitivity Results | PSNet

    psnet.ahrq.gov/web-mm/staggered-sensitivity-results
    May 01, 2013 - August 6, 2014 WebM&M Cases Urinary Retention Dilemma … Lethal Vertigo June 1, 2004 WebM&M Cases … June 1, 2012 WebM&M Cases Treatment Challenges … After Discharge November 1, 2010 WebM&M Cases … October 1, 2008 WebM&M Cases Right? Left?

  5. Good Night's Sleep Gone Wrong | PSNet

    psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
    September 01, 2015 - March 29, 2023 WebM&M Cases A Stroke of Error … November 13, 2024 WebM&M Cases Crossing the Line … August 18, 2021 WebM&M Cases Suicidal Ideation in the … Results March 1, 2007 WebM&M Cases Failure … to Report March 1, 2007 WebM&M Cases Back

  6. Missing ECG and Missed Diagnosis Lead to Dangerous Delay | PSNet

    psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
    March 01, 2015 - November 13, 2024 WebM&M Cases Low on the Totem Pole … December 1, 2005 WebM&M Cases Lost in the Black … 1, 2003 View More Related Resources WebM&M Cases … A Fatal Twist in Pseudohyperkalemia December 31, 2024 WebM&M Cases … November 16, 2022 WebM&M Cases Missing a Large

  7. Mark My Tooth | PSNet

    psnet.ahrq.gov/web-mm/mark-my-tooth
    June 01, 2014 - Minimizing the Risk Most cases of wrong-site tooth extraction can be prevented by the development of … December 16, 2011 WebM&M Cases Back to Basics March … August 26, 2020 WebM&M Cases Nosy Business … December 16, 2011 WebM&M Cases Duty to Disclose Someone … March 18, 2010 WebM&M Cases Right? Left?

  8. The use of pharmaceuticals for dialysis patients. How well do we know our patients' allergies? | PSNet

    psnet.ahrq.gov/issue/use-pharmaceuticals-dialysis-patients-how-well-do-we-know-our-patients-allergies
    March 04, 2011 - March 6, 2013 WebM&M Cases Sloppy and Paste July … 1, 2012 WebM&M Cases A Painful Dilemma June … November 16, 2011 WebM&M Cases Failure to Reevaluate … December 1, 2010 WebM&M Cases Dangerous Dialysis … October 1, 2010 WebM&M Cases XL or Smaller

  9. The neurologist and patient safety. | PSNet

    psnet.ahrq.gov/issue/neurologist-and-patient-safety
    October 04, 2011 - May 29, 2019 WebM&M Cases Mismanagement of Delirium … May 1, 2016 WebM&M Cases A "Reflexive" Diagnosis … January 21, 2011 WebM&M Cases Crossing the Borderline … December 1, 2006 WebM&M Cases Physical Diagnosis … August 1, 2006 WebM&M Cases Lethal Vertigo

  10. Recommendation: Bladder Cancer in Adults: Screening | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/recommendation/bladder-cancer-in-adults-screening
    August 15, 2011 - cases in men and 18,170 cases in women), and approximately 14,330 people died of the disease (10,180 … has limited efficacy in these cases. … new cases of colorectal cancer and 49,920 deaths, 192,280 new cases of prostate cancer and 27,360 deaths … , and 11,270 new cases of cervical cancer and 4070 deaths 1 . … It also has a relatively low mortality rate relative to the incidence of new cases.

  11. Late Anemia Following Rh Disease in a Newborn | PSNet

    psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
    June 17, 2010 - The third step is judicious treatment with phototherapy (or, in rare cases, exchange transfusion) when … Hemolysis Holdup May 1, 2017 WebM&M Cases … Pathologic Mistake March 1, 2013 WebM&M Cases … 1, 2007 WebM&M Cases Pregnant With Danger … May 1, 2005 WebM&M Cases No Blood, Please May

  12. Preventable Rash | PSNet

    psnet.ahrq.gov/web-mm/preventable-rash
    October 01, 2012 - It is estimated that STD cases reported to CDC represent only 50%-80% of reportable STD infections in … Not a Miscarriage June 1, 2003 WebM&M Cases … Missed Appendicitis June 1, 2003 WebM&M Cases … The Dropped Lung May 1, 2003 WebM&M Cases … Suicidal Man With Gun May 1, 2003 WebM&M Cases

  13. Wrong Turn through Colon: Misplaced PEG | PSNet

    psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg
    May 01, 2017 - In a review of 28 such cases, 16 occurred after PEG replacement; thus, it is important to follow standard … Misplacement of percutaneously inserted gastrostomy tube into the colon: report of 6 cases and review … to Sepsis October 1, 2016 WebM&M Cases The … December 1, 2012 WebM&M Cases Peripheral IV in … (Un)Awareness September 1, 2011 WebM&M Cases

  14. Patient Identification Errors: A Systems Challenge | PSNet

    psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
    February 23, 2011 - The Cases The following four events involving five patients all involved incorrect patient identification … in a large tertiary care hospital; all cases were reported to the hospital’s patient safety committee … Together, these cases serve to highlight several important systems issues. … October 13, 2018 WebM&M Cases An Inadvertent Bolus of … August 3, 2022 WebM&M Cases CA-MRSA Skin Infections:

  15. Urinary Retention Dilemma | PSNet

    psnet.ahrq.gov/web-mm/urinary-retention-dilemma
    March 01, 2013 - March 1, 2007 WebM&M Cases Polypharmacy … , Multifarious Errors April 1, 2013 WebM&M Cases … of Prevention January 1, 2006 WebM&M Cases … PCA Overdose August 21, 2005 WebM&M Cases … Discharge Against Medical Advice May 1, 2005 WebM&M Cases

  16. Hold That Order | PSNet

    psnet.ahrq.gov/web-mm/hold-order
    December 19, 2018 - Health Records April 1, 2017 WebM&M Cases … 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

  17. Unexpected Drawbacks of Electronic Order Sets | PSNet

    psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
    December 01, 2017 - October 13, 2018 WebM&M Cases PCA Overdose August … 21, 2005 WebM&M Cases Privacy or Safety? … August 21, 2015 WebM&M Cases Good Catch in the … the Other Cheek March 1, 2012 WebM&M Cases … Leads to Sepsis October 1, 2016 WebM&M Cases

  18. "Superficial" Report Leads to "Deep" Problem | PSNet

    psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
    July 01, 2012 - May 1, 2011 WebM&M Cases Paradoxical Pulse … February 1, 2011 WebM&M Cases Reconciling Records … : Held Too Long April 1, 2010 WebM&M Cases … Eptifibatide Epilogue April 1, 2009 WebM&M Cases … Transfusion "Slip" February 1, 2004 WebM&M Cases

  19. Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and facility characteristics. | PSNet

    psnet.ahrq.gov/issue/missed-diagnoses-acute-myocardial-infarction-emergency-department-variation-patient-and
    April 08, 2018 - initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases … May 3, 2023 View More Related Resources WebM&M Cases … April 8, 2018 WebM&M Cases Missing ECG and Missed Diagnosis … June 24, 2015 WebM&M Cases Dissecting the Presentation … October 15, 2014 WebM&M Cases A Real Heartache December

  20. Transfusion Thresholds in Gastrointestinal Bleeding | PSNet

    psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
    November 26, 2014 - The presence of blood clots in the stool decreases the likelihood of upper GIB.( 9 ) However, in some cases … created to alert physicians to clinical situations to which these templates may not apply, including cases … November 26, 2014 WebM&M Cases Chemotherapy Extravasation … Language Barrier April 1, 2006 WebM&M Cases … Lethal Vertigo June 1, 2004 WebM&M Cases
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