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psnet.ahrq.gov/web-mm/bleeding-risk
November 01, 2003 - September 1, 2003
WebM&M Cases
The 2-Week Itch
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psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
December 01, 2005 - June 1, 2003
WebM&M Cases
The 2-Week Itch
April
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psnet.ahrq.gov/node/60865/psn-pdf
August 31, 2020 - We share stories formally every week about how we
fulfill our mission and values during 10-minute stand
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psnet.ahrq.gov/node/49738/psn-pdf
August 21, 2015 - Family members noted he had a week of worsening confusion and agitation.
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psnet.ahrq.gov/node/49624/psn-pdf
May 01, 2011 - He had been exposed to another child with streptococcal pharyngitis (strep throat)
the previous week
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - A ‘cold debrief’ may occur
later in the day or week and is often held in a different space than the
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psnet.ahrq.gov/Webmm/submit-case-info
August 10, 2025 - Selection Criteria and Honorarium Information
How it works
Health care professionals may submit de-identified cases that highlight medical errors or other patient
safety/quality
issues. Note that you can choose to submit cases either …
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psnet.ahrq.gov/node/73335/psn-pdf
May 26, 2021 - psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
The Case
A 4-year-old (former 33-week
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psnet.ahrq.gov/node/72589/psn-pdf
December 23, 2020 - After an
8-week delay, the patient contacted the family medicine office.
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psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - He was discharged to a skilled nursing facility one week later.
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psnet.ahrq.gov/node/49392/psn-pdf
April 01, 2003 - During the first week of hospitalization, the patient received
a total of 45 units of fresh frozen plasma
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psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
November 13, 2024 - She died peacefully in the ICU after a 3-week hospitalization.
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 2022 - The patient had two procedures during the previous week - an arteriogram followed by balloon tamponade
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psnet.ahrq.gov/node/836892/psn-pdf
April 07, 2022 - Association of Critical-Care Nurses' Essentials of Critical Care Nursing course and underwent an
eight-week
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psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
October 02, 2019 - tests to see if the patient's pancytopenia was preexisting or due to the medications; and (iv) no 12-week … Moreover, when the patient was found to have pancytopenia, interferon was decreased to every other week
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psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
March 27, 2024 - SPOTLIGHT CASE
Delayed Symptomatic Subdural Hematoma Following an Initially Normal CT Head
Citation Text:
Martin R, Shahlaie K. Delayed Symptomatic Subdural Hematoma Following an Initially Normal CT Head. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department …
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-42
September 26, 2017 - Commentary
ISMP medication error report analysis.
Citation Text:
Cohen MR, Smetzer JL. Oral Syringes: A Crucial and Economical Risk-Reduction Strategy that has Not Been Fully Utilized; Caution regarding Once-Weekly Levothyroxine; When Drug Strengths Differ by 10-Fold; Lower Colchicine Do…
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psnet.ahrq.gov/node/49704/psn-pdf
March 01, 2014 - Late Anemia Following Rh Disease in a Newborn
March 1, 2014
Newman TB, Maisels JM. Late Anemia Following Rh Disease in a Newborn. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
The Case
A full-term neonate was delivered uneventfully to an Rh-negative woman who had re…
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psnet.ahrq.gov/node/49407/psn-pdf
July 01, 2003 - Bleeding Risk
July 1, 2003
Crowther MA. Bleeding Risk. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/bleeding-risk
The Case
A frail 78-year-old woman fell at home and fractured her left hip. Her past medical history included atrial
fibrillation, hypertension, coronary artery disease, and stroke. The surgi…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.182_slideshow.ppt
September 01, 2008 - Spotlight Case July 2008
Spotlight Case
Empiric Steroids: the Good, the Bad, and the Ugly
Source and Credits
This presentation is based on the September 2008 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Edward D. Harris, Jr, MD, Stanford U…