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psnet.ahrq.gov/web-mm/inflicting-confusion
August 04, 2021 - August 31, 2022
WebM&M Cases
Anemia and Delayed Colon … Cancer Diagnosis
August 10, 2019
WebM&M Cases
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - The community had an understanding that testing to prevent colon cancer was important. … You notice that I changed the language there from “colorectal cancer” to “colon cancer.” … When we actually worked with a group of community members , they said “colon cancer” screening. … We don’t use the word “rectal” at the dinner table, so can we just call it colon cancer? … People were coming in saying, “I’m here to get tested to prevent colon cancer.”
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psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
April 03, 2024 - hospital with abdominal pain and diagnosed with a bowel obstruction, secondary to a new diagnosis of colon … cancer. … She underwent an uncomplicated surgical resection of the colon cancer with relief of the obstruction.
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psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
November 26, 2014 - Related Resources
WebM&M Cases
Anemia and Delayed Colon … Cancer Diagnosis
August 10, 2019
WebM&M Cases
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psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling
February 01, 2019 - The Case
A 48-year-old man with colon cancer was booked for laparotomy and sigmoid colectomy. … Society of Anesthesiologists physical status classification of level III due to serious nature of his colon … cancer. 1 An intravenous (IV) cannula was inserted for preoperative fluids while the patient was in
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psnet.ahrq.gov/node/49687/psn-pdf
August 21, 2013 - Postoperative medical complications are the main cause of early death after emergency surgery for colonic … cancer.
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psnet.ahrq.gov/issue/nursing-and-physician-attire-possible-source-nosocomial-infections
July 01, 2016 - Study
Nursing and physician attire as possible source of nosocomial infections.
Citation Text:
Wiener-Well Y, Galuty M, Rudensky B, et al. Nursing and physician attire as possible source of nosocomial infections. Am J Infect Control. 2011;39(7):555-9. doi:10.1016/j.ajic.2010.12.016.
…
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psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
March 30, 2022 - He was found to have colon cancer with metastases to the liver.
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psnet.ahrq.gov/node/838900/psn-pdf
October 27, 2022 - Fecal Contamination of the Peritoneum from
Laparoscopic Trocar Injury: A Routine Operation Goes
Wrong.
October 27, 2022
Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine
Operation Goes Wrong. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/fecal-contamination-…
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psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
June 24, 2010 - Methicillin-Resistant Staphylococcus aureus
Gary A. Noskin, MD | April 1, 2008
View more articles from the same authors.
Citation Text:
Noskin GA. Methicillin-Resistant Staphylococcus aureus. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qua…
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psnet.ahrq.gov/web-mm/emergency-error
January 18, 2013 - Postoperative medical complications are the main cause of early death after emergency surgery for colonic … cancer.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.323_slideshow.ppt
May 01, 2014 - admitted with abdominal pain and diagnosed with a bowel obstruction secondary to a new diagnosis of colon … cancer.
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - SPOTLIGHT CASE
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong.
Citation Text:
Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong.. PSNet [internet]. Rockville (MD): Agency fo…
-
psnet.ahrq.gov/node/49708/psn-pdf
May 01, 2014 - hospital with abdominal pain and
diagnosed with a bowel obstruction, secondary to a new diagnosis of colon … cancer. … She underwent an
uncomplicated surgical resection of the colon cancer with relief of the obstruction
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psnet.ahrq.gov/web-mm/workaround-error
October 30, 2024 - The Case A retired 81-year-old physician with metastatic colon cancer was admitted to an acute care
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psnet.ahrq.gov/sites/default/files/2022-10/trocar_injury_final.pdf
January 01, 2022 - Spotlight
Spotlight
Fecal Contamination of the Peritoneum from
Laparoscopic Trocar Injury: A Routine
Operation Goes Wrong
Source and Credits
• This presentation is based on the October 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary…
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psnet.ahrq.gov/node/49503/psn-pdf
February 01, 2006 - //psnet.ahrq.gov/web-mm/workaround-error
The Case
A retired 81-year-old physician with metastatic colon … cancer was admitted to an acute care hospital with
pneumonia and congestive heart failure (CHF).
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psnet.ahrq.gov/web-mm/dont-use-port-insert-picc
December 22, 2018 - Don't Use That Port: Insert a PICC
Citation Text:
Ilan R. Don't Use That Port: Insert a PICC. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…
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psnet.ahrq.gov/node/49686/psn-pdf
May 01, 2013 - Don't Use That Port: Insert a PICC
May 1, 2013
Ilan R. Don't Use That Port: Insert a PICC. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/dont-use-port-insert-picc
The Case
A 48-year-old woman receiving neoadjuvant therapy for breast cancer was admitted to the hospital with
fever and abdominal pain. A comp…
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psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
January 01, 2023 - Microsoft PowerPoint - Spotlight Case_A Missed Bowel Perforation - SLIDES_FINAL.pptx
Spotlight
A Missed Bowel Perforation – the Importance of
Diagnostic Reasoning
Source and Credits
• This presentation is based on the September 2023 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/web…