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  1. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure | PSNet

    psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
    March 01, 2005 - 11 emergency departments (EDs) throughout the US in August 2004, MRSA was identified in 59% of the cases … The IDSA guidelines recommend use of adjunctive antibiotic therapy after incision and drainage in cases … Preventable Rash March 1, 2005 WebM&M Cases … October 27, 2021 WebM&M Cases Pre-analytical pitfalls … Another February 1, 2011 WebM&M Cases The

  2. Missing Trauma | PSNet

    psnet.ahrq.gov/web-mm/missing-trauma
    March 03, 2011 - These cases often lead to full trauma alerts, accompanied by many mobilized resources, followed by total … March 10, 2019 View More Related Resources WebM&M Cases … Triage Time Bomb January 1, 2004 WebM&M Cases … Missed Appendicitis June 1, 2003 WebM&M Cases … May 1, 2003 WebM&M Cases The Dropped Lung May

  3. When "Psychiatric" Symptoms Are Not | PSNet

    psnet.ahrq.gov/web-mm/when-psychiatric-symptoms-are-not
    September 20, 2011 - In such cases, ongoing efforts to record an objective and complete neurologic examination need to be … July 28, 2010 WebM&M Cases Back to Basics March 1 … , 2007 WebM&M Cases Reaction to Dye September … December 1, 2006 WebM&M Cases Inadvertent … Man With Gun May 1, 2003 WebM&M Cases The

  4. Check the Anesthesia Machine | PSNet

    psnet.ahrq.gov/web-mm/check-anesthesia-machine
    August 01, 2006 - update on patient injuries from anesthesia delivery equipment that resulted in settled malpractice cases … October 19, 2022 WebM&M Cases Late Anemia Following Rh … The Forgotten Line May 1, 2012 WebM&M Cases … 1, 2004 WebM&M Cases Did We Forget Something? … September 1, 2003 WebM&M Cases Unexplained Apnea

  5. Allergy to Holter | PSNet

    psnet.ahrq.gov/web-mm/allergy-holter
    May 01, 2008 - September 28, 2022 WebM&M Cases Milliliters vs. … Considerations December 1, 2004 WebM&M Cases … Carpe Diem (Seize the Day) December 1, 2004 WebM&M Cases … Transfusion "Slip" February 1, 2004 WebM&M Cases … Patient Mix-Up February 1, 2003 WebM&M Cases

  6. Mistaken Identity | PSNet

    psnet.ahrq.gov/web-mm/mistaken-identity
    December 18, 2014 - In some cases, incorrect identification may lead primarily to provider embarrassment without any patient … In cases when a patient wristband is removed (e.g., for surgery or IV placement) or has fallen off (e.g … July 1, 2011 WebM&M Cases Say It Again June … 1, 2011 WebM&M Cases The ECG Is Not Normal … June 1, 2011 WebM&M Cases Treatment Challenges

  7. Wrong-Time Error With High-Alert Medication | PSNet

    psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
    February 01, 2014 - December 13, 2017 WebM&M Cases Failure to Reevaluate … February 14, 2017 WebM&M Cases Bowel Prep July 1, … of Medical Overuse March 1, 2017 WebM&M Cases … All in the History March 21, 2009 WebM&M Cases … May 1, 2007 WebM&M Cases Fumbled Handoff

  8. Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room | PSNet

    psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling
    February 01, 2019 - Nearly all cases (97%) were judged to be either likely or certainly preventable 8 through the use of … November 13, 2024 WebM&M Cases Hemorrhagic Shock after … July 10, 2024 WebM&M Cases “Copy and Paste” Notes … March 8, 2023 WebM&M Cases Open wider: Failure to use … November 24, 2021 WebM&M Cases To Dilute or Not Dilute

  9. Turn the Other Cheek | PSNet

    psnet.ahrq.gov/web-mm/turn-other-cheek
    October 26, 2010 - by Text: Multitasking Mishap December 1, 2011 WebM&M Cases … Pocket Syringe Swap May 1, 2011 WebM&M Cases … March 29, 2023 WebM&M Cases Delayed Diagnosis and … January 16, 2010 WebM&M Cases Right? Left? … May 1, 2006 WebM&M Cases Inadvertent Castration

  10. Profiles in patient safety: medication errors in the emergency department. | PSNet

    psnet.ahrq.gov/issue/profiles-patient-safety-medication-errors-emergency-department
    February 03, 2010 - September 12, 2011 Root cause analysis of cases involving diagnosis. … December 1, 2008 WebM&M Cases Lost in Transition … February 1, 2006 WebM&M Cases Pregnant With Danger … May 1, 2005 WebM&M Cases Hold the tPA

  11. Statistical Brief #29

    hcup-us.ahrq.gov/reports/statbriefs/sb29.jsp
    April 01, 2007 - 62.9 percent of cases with adverse effects. … (31,100 cases) Duplicative coding was noted for about 80,900 cases, that is, both an ICD-9-CM diagnosis … 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. … Thus, it is likely that ADE cases are under-identified in these data.

  12. Haste Makes Care Unsafe | PSNet

    psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
    January 07, 2015 - artery (PA) catheter insertion and monitoring was very common during anesthesia for cardiac surgical cases … Take-Home Points Pulmonary artery catheters may still be used in cardiac surgery cases, but they … June 23, 2015 WebM&M Cases Good Catch in the Operating … 1, 2012 WebM&M Cases Order Interrupted by Text … : Multitasking Mishap December 1, 2011 WebM&M Cases

  13. Don't Pick the PICC | PSNet

    psnet.ahrq.gov/web-mm/dont-pick-picc
    December 01, 2011 - Nephrology consultation may be useful in cases in which there is ambiguity about the risk of needing … December 1, 2011 WebM&M Cases Some Patients Can't … March 1, 2019 WebM&M Cases Primary Workaround, … Secondary Complication July 1, 2018 WebM&M Cases … PCA Overdose August 21, 2005 WebM&M Cases

  14. A Real Heartache | PSNet

    psnet.ahrq.gov/web-mm/real-heartache
    October 01, 2018 - Crossed Coverage February 1, 2007 WebM&M Cases … Communication With Consultants June 1, 2016 WebM&M Cases … June 26, 2019 View More Related Resources WebM&M Cases … Pregnant With Danger May 1, 2005 WebM&M Cases … The Worst Headache July 1, 2004 WebM&M Cases

  15. Residual Anesthesia: Tepid Burn | PSNet

    psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
    February 10, 2010 - June 28, 2017 WebM&M Cases Code Status vs. … Care Status December 23, 2020 WebM&M Cases … June 1, 2012 WebM&M Cases Right? Left? … 1, 2005 WebM&M Cases Privacy Gone Awry May … 1, 2004 WebM&M Cases Fumbled Handoff March

  16. Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-dimer. | PSNet

    psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
    May 01, 2005 - April 19, 2013 WebM&M Cases It's All in the Syringe … May 26, 2021 WebM&M Cases Hyponatremia Secondary … 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. CVC Placement: Speak Now or Do Not Use the Line | PSNet

    psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
    November 01, 2003 - September 27, 2016 WebM&M Cases A Pill Organizing Plight … September 1, 2016 WebM&M Cases Allergy to … Risks of Intraosseous Vascular Access August 21, 2014 WebM&M Cases … December 1, 2012 WebM&M Cases Peripheral IV in … Vaginal Bleeding February 1, 2004 WebM&M Cases

  18. Perils in Diagnosing a Stroke | PSNet

    psnet.ahrq.gov/web-mm/perils-diagnosing-stroke
    August 15, 2017 - May 28, 2014 WebM&M Cases Staggered Sensitivity Results … May 1, 2013 WebM&M Cases Total Parenteral … Nutrition, Multifarious Errors April 1, 2013 WebM&M Cases … September 20, 2011 WebM&M Cases Delirium or Dementia? … May 1, 2009 WebM&M Cases The Worst Headache

  19. Check the Bags | PSNet

    psnet.ahrq.gov/web-mm/check-bags
    January 03, 2017 - January 3, 2017 WebM&M Cases Where's the Feeding Tube … September 1, 2008 WebM&M Cases Cups of Error … January 1, 2004 WebM&M Cases Lost in the Black … Confusion July 1, 2003 WebM&M Cases Check … the Wristband July 1, 2003 WebM&M Cases The

  20. Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. | PSNet

    psnet.ahrq.gov/issue/less-more-project-reduce-number-pims-potentially-inappropriate-medications-elderly-care-ward
    September 27, 2017 - July 31, 2013 WebM&M Cases “Copy and Paste” Notes and … October 20, 2021 WebM&M Cases The “Great Pretender” ( … Syphilis) is Still Stumping Healthcare Providers May 26, 2021 WebM&M Cases … in Emergency and Primary Care Settings January 7, 2022 WebM&M Cases … February 1, 2012 WebM&M Cases Hold the tPA April
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