Skip Navigation
The Collection >
Lost in Transition AHRQ WebM&M icon
Beach C. AHRQ WebM&M [serial online]. Febuary 2006.
A woman comes to the ED with mental status changes. Although numerous tests are run and she is admitted, a critical test result fails to reach the medicine team in time to save the patient's life.
Free full text icon indicating hyperlink to external website
white box
Related Resources
COMMENTARY
Autopsy Revelation.
Shojania KG. AHRQ WebM&M [serial online]. March 2004.
COMMENTARY
Delay in Initiating Antibiotics Leads to Fatal Error.
Bellini LM. AHRQ WebM&M [serial online]. February 2004.
COMMENTARY
Pregnant with Danger.
Pearlman MD, Desmond JS. WebM&M [serial online]. May 2005.
STUDY
Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ?
Hobgood C, Weiner B, Tamayo-Sarver JH. Acad Emerg Med. 2006;13:443-451.
View all related resources...
white box
Download: Adobe Reader   email icon Email
tan box
Find Related Resources by...
Resource Type   
style=
Setting of Care  
style=
Target Audience  
style=
Clinical Area  
style=
Safety Target  
style=
Error Types  
style=
Approach to Improving Safety  
white box