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psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing
December 02, 2020 - Pain
July 1, 2008
Learning from errors: analysis of medication order voiding
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psnet.ahrq.gov/web-mm/do-not-disturb
February 03, 2011 - continuous positive airway pressure) is placed on morphine PCA (patient-controlled anesthesia) pump for pain
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psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hypertensive-emergency
May 01, 2018 - March 21, 2009
WebM&M Cases
Crushing Chest Pain
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psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
January 13, 2010 - , 2022
WebM&M Cases
Delayed Evaluation of Abdominal Pain
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psnet.ahrq.gov/web-mm/isolated-clot-real-error
December 01, 2013 - Hand
May 1, 2007
WebM&M Cases
Crushing Chest Pain
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psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
October 28, 2020 - homelessness, injection drug use, and mental health concerns presented to the ED with nausea, and left thumb pain
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psnet.ahrq.gov/web-mm/time-death
January 03, 2017 - WebM&M Cases
Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain
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psnet.ahrq.gov/node/49611/psn-pdf
October 01, 2010 - The Deadly Duo
October 1, 2010
Maldonado JR. The Deadly Duo. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/deadly-duo
The Case
A 29-year-old man with a history of depression and possible psychosis was found unconscious and
unresponsive at home and was brought to the emergency department. He was tachycardi…
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psnet.ahrq.gov/node/33688/psn-pdf
October 01, 2009 - In Conversation with... Charles Ornstein
October 1, 2009
In Conversation with.. Charles Ornstein . PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/conversation-charles-ornstein
Editor's note: Charles Ornstein is a senior reporter at ProPublica, a nonprofit news organization in New
York. Formerly with th…
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psnet.ahrq.gov/node/49681/psn-pdf
April 01, 2013 - Overnight, the boy complained of worsening abdominal pain, which was treated with increased
doses of
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psnet.ahrq.gov/node/33831/psn-pdf
April 01, 2017 - of providing no-benefit health care services, like antibiotics for cold
or imaging for simple back pain
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psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
September 25, 2019 - evidence-based approach – for acute idiopathic pancreatitis, including appropriate fluid resuscitation and pain
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psnet.ahrq.gov/node/73553/psn-pdf
July 28, 2021 - heart attack); teach the public how to react when a possible bad event is occurring (if
you have chest pain
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psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
September 01, 2004 - of metastatic colon cancer and known malignant ascites was admitted to the hospital with abdominal pain
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psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed
June 01, 2017 - Overdose as a Patient Safety Problem
May 22, 2017
Prognosis of undiagnosed chest pain
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psnet.ahrq.gov/web-mm/all-history
February 28, 2011 - that the patient's shortness of breath had been very acute in onset and had been associated with chest pain
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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - polysubstance abuse presented to the emergency department (ED) of Hospital Y late in the evening with pain
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psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
June 01, 2004 - 2011
WebM&M Cases
Defensive Medicine: "Glowing" with Pain
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psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
June 28, 2023 - osteoarthritis and supraventricular tachycardia was admitted with a 3-day history of left-sided chest pain
-
psnet.ahrq.gov/web-mm/deadly-duo
April 28, 2021 - The Deadly Duo
Citation Text:
Maldonado JR. The Deadly Duo. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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