-
psnet.ahrq.gov/web-mm/nonsustained-ventricular-tachycardia-after-acute-coronary-syndromes-recognizing-high-risk
September 20, 2011 - September 1, 2004
WebM&M Cases
Unintended Consequences
-
psnet.ahrq.gov/web-mm/hold-tpa
July 29, 2020 - Luckily, she did not suffer any obvious or immediate consequences, but the administration of tPA to a
-
psnet.ahrq.gov/node/846935/psn-pdf
March 29, 2023 - for perinatal
mental health are important because untreated mental health problems can have serious consequences
-
psnet.ahrq.gov/web-mm/troubling-amine
September 01, 2003 - Some unintended consequences of information technology in health care: the nature of patient care information
-
psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
June 24, 2020 - one in which remaining colleagues can feel free to report their own mistakes without fear of undue consequences
-
psnet.ahrq.gov/web-mm/back-basics
July 13, 2010 - If not recognized or anticipated, DKA carries the potential for lethal consequences.( 1,2 ) A key error
-
psnet.ahrq.gov/node/865418/psn-pdf
March 27, 2024 - Therefore, losing access to IT systems and to the data contained
in these systems has dire consequences
-
psnet.ahrq.gov/web-mm/missed-tb
March 03, 2010 - by the relatively infrequent occurrence of TB as a cause of respiratory failure, along with the dire consequences
-
psnet.ahrq.gov/web-mm/flying-object-hits-mri
September 01, 2005 - training and videos that explicitly illustrate the hazards and highlight the potential catastrophic consequences
-
psnet.ahrq.gov/node/33689/psn-pdf
October 01, 2009 - (Go to table citation in the text)
Error Site Year Description and Consequences
An 18-year-old woman
-
psnet.ahrq.gov/node/49476/psn-pdf
March 02, 2005 - epidural and 1 in 220,000 for spinal
anesthetics.(7) Even though the complication is unusual, the consequences—often
-
psnet.ahrq.gov/node/49473/psn-pdf
March 01, 2005 - The patient awakened without event and
suffered no adverse consequences from the error.
-
psnet.ahrq.gov/node/33666/psn-pdf
October 01, 2008 - There are some potential unintended consequences of identifying a patient who is colonized with MRSA.
-
psnet.ahrq.gov/node/49595/psn-pdf
December 01, 2009 - period of change will be marked in years, and the transition may bring about confusion
and unexpected consequences
-
psnet.ahrq.gov/node/865467/psn-pdf
March 27, 2024 - or surrogate) ideally should be
able to understand the choices being considered, assess the likely consequences
-
psnet.ahrq.gov/node/49782/psn-pdf
January 01, 2017 - The consequences in either case—local tissue injury with the use of peripheral vasopressors, or prolonged
-
psnet.ahrq.gov/node/49456/psn-pdf
July 12, 2004 - Fortunately, this patient did not suffer any long-term consequences.
-
psnet.ahrq.gov/node/33698/psn-pdf
August 01, 2010 - Decoding it so that people understood the human element of
it, making sure they understood what the consequences
-
psnet.ahrq.gov/node/49398/psn-pdf
May 01, 2003 - problems of profiling and stigma,
these “eyeball tests” proved highly inaccurate, sometimes with serious consequences
-
psnet.ahrq.gov/node/49587/psn-pdf
May 01, 2009 - In adults, failure to
diagnosis such injuries early carries dire clinical consequences with significant