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psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
July 08, 2022 - selected a jug of dialysis liquid rather than a polyethylene glycol solution commonly used to clean the colon
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psnet.ahrq.gov/web-mm/bloody-bp-cuff
June 21, 2016 - Bloody BP Cuff
Citation Text:
Madan AK. Bloody BP Cuff. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
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…
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psnet.ahrq.gov/node/49398/psn-pdf
May 01, 2003 - Bloody BP Cuff
May 1, 2003
Madan AK. Bloody BP Cuff. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/bloody-bp-cuff
The Case
Patient #1, a 28-year-old male, was a trauma patient following a motor vehicle collision into a cement pillar.
Patient #1 was in the trauma bay with massive injuries and profuse bleed…
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psnet.ahrq.gov/web-mm/around-block
March 04, 2020 - Around the Block
Citation Text:
Minichiello T. Around the Block. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/web-mm/undetected-foreign-object
April 24, 2018 - Surgery Associate Professor of Surgery, Mayo Clinic College of Medicine Consultant, Division of Colon
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psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue
October 01, 2015 - computed tomography scan was suggestive of toxic megacolon (marked dilation and inflammation of the colon
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psnet.ahrq.gov/web-mm/communication-error-closed-icu
July 01, 2016 - March 19, 2018
WebM&M Cases
Wrong Turn through Colon:
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psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
January 29, 2020 - Delayed Recognition of a Positive Blood Culture
Citation Text:
Doernberg S. Delayed Recognition of a Positive Blood Culture. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/node/33771/psn-pdf
August 22, 2014 - tracking systems for things that we know can fall through the cracks—things like abnormal pap
smears, colon
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psnet.ahrq.gov/web-mm/peripheral-iv-too-long
September 15, 2011 - December 1, 2012
WebM&M Cases
Wrong Turn through Colon
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psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
April 01, 2008 - Related Resources
WebM&M Cases
Anemia and Delayed Colon
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psnet.ahrq.gov/node/49799/psn-pdf
July 01, 2017 - Delayed Recognition of a Positive Blood Culture
July 1, 2017
Doernberg S. Delayed Recognition of a Positive Blood Culture. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
The Case
A 58-year-old woman with metastatic breast cancer recently treated with immunosuppress…
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psnet.ahrq.gov/node/49771/psn-pdf
July 01, 2016 - The Case
A 60-year-old woman with a history of metastatic colon cancer and known malignant ascites was
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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - recovering well may experience an initial seminal complication (such as an anastomotic leak after colon
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psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
January 01, 2025 - Colonoscopy after CT diagnosis of diverticulitis to exclude colon cancer: a systematic literature review
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psnet.ahrq.gov/node/866261/psn-pdf
July 10, 2024 - Dis Colon Rectum.
2019;62(10):1150-1152.
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psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
January 31, 2024 - March 1, 2013
WebM&M Cases
Wrong Turn through Colon
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psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
September 01, 2004 - The Case
A 60-year-old woman with a history of metastatic colon cancer and known malignant ascites
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psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
August 02, 2015 - are recovering well may experience an initial seminal complication (such as an anastomotic leak after colon
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psnet.ahrq.gov/node/867672/psn-pdf
February 26, 2025 - Colonoscopy after CT diagnosis of diverticulitis to exclude colon
cancer: a systematic literature review