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  • The content of case submissions is anonymous. Do not provide any personally identifiable (patient or provider) information, and do not use institution names or locations.
  • If you would like to contact the editors, send a question, comment, or suggestion, or provide feedback on this website, please contact us.
  • HIPAA Warning: Do NOT include any information in your submission that could identify the individuals involved or reveal Personal Health Information (PHI), which is a violation of HIPAA privacy rules. Any submission with such information relating to PHI is not the responsibility of AHRQ WebM&M this nor should be or any of its affiliates.
Please recommend an appropriate title for the case. (20 words maximum)
Briefly describe the patient (much as you would in a case summary) at the time of the event of interest. (250 words maximum)
Describe the nature of the error and any relevant events or contributing factors. (250 words maximum)
Briefly describe the impact of the error on the patient and state whether or not the patient was harmed at all or required increased level of care, even if only temporary. (250 words maximum)
If not noted above, briefly describe how the error was recognized. (250 words maximum)
Briefly, describe your suggestions for how providers or systems might prevent similar errors from happening in the future. (250 words maximum)

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AHRQ WebM&M is an educational journal. Please note that cases submitted to our site are not forwarded to any other reporting systems. If you believe it would be desirable (or, in the case of mandatory reporting systems, required) to report your case to another site, please do so independent of your submission to AHRQ WebM&M.

Once the case has been submitted, you will not be able to further edit the case.

AHRQ WebM&M is an educational journal. Please note that cases submitted to our site are not forwarded to any other reporting systems. If you believe it would be desirable (or, in the case of mandatory reporting systems, required) to report your case to another site, please do so independent of your submission to AHRQ WebM&M.

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