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  1. The Worst Headache | PSNet

    psnet.ahrq.gov/web-mm/worst-headache
    July 01, 2016 - April 8, 2018 WebM&M Cases Neurological Red Flags: A … Critical Opportunity Lost March 1, 2015 WebM&M Cases … July 8, 2022 WebM&M Cases Dangers of Missing an … Pregnant With Danger May 1, 2005 WebM&M Cases … Lethal Vertigo June 1, 2004 WebM&M Cases

  2. HCUP Statistical Brief #29: Adverse Drug Events in U.S. Hospitals, 2004 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb29.pdf
    April 01, 2007 - 62.9 percent of cases with adverse effects. … cases) Duplicative coding was noted for about 80,900 cases, that is, both an ICD-9-CM diagnosis code … Three states had fewer than one percent of cases with ADEs. … The remaining states ranged from 1.4 percent to 5.6 percent cases with ADEs. … For 13,300 cases with neuropathy and dermatitis ADEs, a specific cause cannot be determined.

  3. Implicit bias in stroke care: a recurring old problem in the rising incidence of young stroke. | PSNet

    psnet.ahrq.gov/issue/implicit-bias-stroke-care-recurring-old-problem-rising-incidence-young-stroke
    June 08, 2010 - January 23, 2013 View More Related Resources WebM&M Cases … May 29, 2024 WebM&M Cases Under Pressure: Delayed … June 3, 2010 WebM&M Cases Lost in Transition February … 1, 2006 WebM&M Cases Deciphering the Code … February 1, 2006 WebM&M Cases Crushing Chest Pain

  4. The nature and causes of unintended events reported at ten emergency departments. | PSNet

    psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-ten-emergency-departments
    February 20, 2013 - Critical Radiology Alert Process October 30, 2024 WebM&M Cases … June 1, 2010 WebM&M Cases Medication Reconciliation … Pitfalls February 1, 2010 WebM&M Cases Do … October 1, 2007 WebM&M Cases Caution, Interrupted … September 1, 2004 WebM&M Cases Delay in Initiating

  5. Empiric Steroids: the Good, the Bad, and the Ugly | PSNet

    psnet.ahrq.gov/web-mm/empiric-steroids-good-bad-and-ugly
    June 01, 2015 - The principal message for this and other cases is that glucocorticoids (don't use the term "corticosteroids … February 1, 2010 WebM&M Cases All in the History … March 21, 2009 WebM&M Cases Dangerous Shift … November 1, 2008 WebM&M Cases Where's the … of the Matter June 1, 2005 WebM&M Cases A

  6. Pseudo-obstruction But a Real Perforation | PSNet

    psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
    April 01, 2015 - March 9, 2016 WebM&M Cases Chemotherapy Administration … Safety Standards September 1, 2018 WebM&M Cases … March 29, 2023 WebM&M Cases Respiratory Distress … after Neck Surgery: Two Cases of Postoperative Cervical Hematoma. … February 1, 2023 WebM&M Cases Delayed Diagnosis

  7. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? | PSNet

    psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
    March 01, 2004 - Hospitals need safety indicators that identify cases that will prove on investigation to involve true … Another concern is that culprit quality problems in cases such as the present one may be undetectable … A methodology for targeting hospital cases for quality of care record reviews. … November 28, 2012 WebM&M Cases Comanagement: Who's in … July 1, 2008 WebM&M Cases Do Not Disturb!

  8. Errors in Sepsis Management | PSNet

    psnet.ahrq.gov/web-mm/errors-sepsis-management
    November 03, 2015 - before the initiation of antibiotics), treating with appropriate broad-spectrum antibiotics, and in cases … November 3, 2015 WebM&M Cases Premature Closure: Was … November 25, 2020 WebM&M Cases The Inside of a … Time Out May 1, 2008 WebM&M Cases One ACE Too … To LP or Not LP October 1, 2003 WebM&M Cases

  9. A "Reflexive" Diagnosis in Primary Care | PSNet

    psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
    April 01, 2008 - not present in 81.1% of index visits and that practitioners copied and pasted prior notes in 7.4% of cases … Tables Related Resources From the Same Author(s) WebM&M Cases … The Forgotten Drip April 1, 2008 WebM&M Cases … EMS Perils from Hospital Overcrowding August 31, 2022 WebM&M Cases … The Worst Headache July 1, 2004 WebM&M Cases

  10. Transfer Troubles | PSNet

    psnet.ahrq.gov/web-mm/transfer-troubles
    December 29, 2014 - In other reported cases, documentation has been illegible or contained inadequate or incomplete patient … August 1, 2009 WebM&M Cases To Transfer or Not … December 1, 2006 WebM&M Cases A Stroke of … Heterotopic Pregnancy January 1, 2004 WebM&M Cases … Making Do September 1, 2003 WebM&M Cases

  11. The Wet Read | PSNet

    psnet.ahrq.gov/web-mm/wet-read
    October 01, 2017 - rate of major discrepancies that may alter patient care ranges from less than 1% to around 2.3% of cases … It would, however, be very difficult to provide this level of review for all cases because home access … These cases must be reviewed early enough in the day to provide the referring physicians comfort that … 1, 2007 WebM&M Cases Right? … September 1, 2004 WebM&M Cases The Dropped

  12. Quality Measures for Colonoscopy (pdf file)

    digital.ahrq.gov/sites/default/files/docs/resource/Logan_QMforColonoscopy_Fields_v4.pdf
    December 12, 2008 - Proportion of cases with documentation of ASA class COUNT total procedures in time period; of these … Number (%) of cases with current use of oral anticoagulants documented (including none) COUNT total … Number of cases with indication of rectal bleeding COUNT Indications > "Hematochezia"; b. … Of cases with finding of colonic polyp and polyp NOT removed, number (%) where biopsy is performed … Of these, number (%) of cases where perforation or bleeding requiring intervention during endoscopy

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43818/psn-pdf
    January 21, 2015 - examined the characteristics of medical negligence claims in otolaryngology (ear, nose, and throat) cases … Researchers reviewed 65 closed cases that resulted in payouts and found that surgical complications … were implicated in 50 of the cases.

  14. Dual Therapy Debacle | PSNet

    psnet.ahrq.gov/web-mm/dual-therapy-debacle
    February 01, 2007 - June 16, 2019 WebM&M Cases What Happened on Telemetry … April 1, 2019 WebM&M Cases Baffled by Botulinum … Records November 1, 2010 WebM&M Cases Bad … Writing, Wrong Medication April 1, 2010 WebM&M Cases … Crossed Coverage February 1, 2007 WebM&M Cases

  15. To Resuscitate or Not? | PSNet

    psnet.ahrq.gov/web-mm/resuscitate-or-not
    November 01, 2011 - .′( 2 ) In some cases, our reactions to our errors may alter usual clinical decision-making. … June 21, 2016 View More Related Resources WebM&M Cases … The Other Side October 1, 2003 WebM&M Cases … Check the Bags September 1, 2003 WebM&M Cases … July 1, 2003 WebM&M Cases Not a Miscarriage

  16. Medication Overdose | PSNet

    psnet.ahrq.gov/web-mm/medication-overdose
    September 01, 2011 - August 1, 2009 WebM&M Cases DRESSed for Failure … September 30, 2020 WebM&M Cases Life-Threatening Infant … Overdose of Sodium Chloride May 27, 2020 WebM&M Cases … Epilogue April 1, 2009 WebM&M Cases Sick and … Dapsone June 1, 2004 WebM&M Cases Too Tight

  17. Chemotherapy Administration Safety Standards | PSNet

    psnet.ahrq.gov/web-mm/chemotherapy-administration-safety-standards
    March 30, 2016 - March 30, 2016 WebM&M Cases Are You Mrs. A? … Issue of Identification Over Telephone October 1, 2013 WebM&M Cases … Pseudo-obstruction But a Real Perforation July 1, 2017 WebM&M Cases … December 23, 2016 WebM&M Cases Nonsustained Ventricular … Citrate Mix-Up May 1, 2006 WebM&M Cases

  18. Rapid Mis-St(r)ep | PSNet

    psnet.ahrq.gov/web-mm/rapid-mis-strep
    February 01, 2004 - Fasciitis August 21, 2014 WebM&M Cases A Real … January 14, 2011 WebM&M Cases Pregnant With Danger … May 1, 2005 WebM&M Cases The Worst Headache … July 1, 2004 WebM&M Cases Crushing Chest Pain: … A Missed Opportunity January 1, 2004 WebM&M Cases

  19. A "Weak" Response | PSNet

    psnet.ahrq.gov/web-mm/weak-response
    February 24, 2011 - Yet in some cases, vital signs are available to us, if we look for them. … August 1, 2006 WebM&M Cases Undiagnosed Vaginal … a Tough Position October 1, 2003 WebM&M Cases … Missed Appendicitis June 1, 2003 WebM&M Cases … Suicidal Man With Gun May 1, 2003 WebM&M Cases

  20. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications | PSNet

    psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
    February 01, 2004 - Cases where there are simple lapses in the system are heart wrenching because the errors are so clear … Prior malpractice cases do not provide specific guidance, applicable to all circumstances, regarding … However, a general, common-sense principle can be deduced from review of a number of such cases, plus … related cases involving patients who do not appear for an important scheduled follow-up appointment … I am unaware of any malpractice cases that have addressed the Internet specifically, but future juries
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