ABOUT | REGISTER | SUBMIT CASE | CME | FORUMS | ARCHIVES | LINKS | LOG IN | HOME   July 2004 Cases Specialty Case Title Commmentators Medicine Allergy to Holter Mark Williams, MD Surgery/Anesthesia Bowel Prep Douglas Nelson, MD Critical Care (Spotlight) Novel Drug Misuse Derek Angus, MD, MPH; Eric Milbrandt, MD, MPH Emer. Med. The Worst Headache Jonathan Edlow, MD Education Glucose Roller Coaster Bradley Sharpe, MD June 2004 Cases Specialty Case Title Commmentators Medicine Dangerous Dapsone Tom Bookwalter, PharmD Surgery/Anesthesia Listen To Me Darrell Campbell, Jr., MD Pediatrics (Spotlight) The Wrong Shot Thomas Gallagher, MD; Wendy Levinson, MD Emer. Med. Lethal Vertigo Joseph Furman, MD, PhD Lab. Med. The Result Stopped here Michael Astion, MD, PhD May 2004 Cases Specialty Case Title Commmentators Medicine (Spotlight) Too Tight Control Haya Rubin, MD, PhD; Vera Fajtova, MD Surgery/Anesthesia Privacy Gone Awry Stephen Pauker, MD; Susan Pauker, MD Ob/Gyn Do Me a Favor Ann Williamson, PhD, RN Clinical Ethics No Blood, Please Bryan Liang, MD, PhD, JD Hosp. Med. Missed TB Mark FitzGerald, MB; Dick Menzies, MD March 2004 Cases Specialty Case Title Commmentators Medicine (Spotlight) Crossing the Line Jeremy Feldman, MD; Michael Gould, MD, MS Surgery/Anesthesia OR Peeping Colin Mackenzie, MD Pediatrics Lethal Cap Dean Schillinger, MD Pathology Autopsy Revelation Kaveh Shojania, MD Hosp. Med. Fumbled Handoff Arpana Vidyarthi, MD February 2004 Cases Specialty Case Title Commmentators Medicine (Spotlight) Delay in Initiating Antibiotics Results in Fatal Error Lisa M. Bellini, MD Surgery/Anesthesia Environmental Safety in the OR Darren Linkin, MD Ebbing Lautenbach, MD, MPH, MSCE Ob/Gyn Undiagnosed Vaginal Bleeding Jeanne Mandelblatt, MD, MPH Emer. Med. X-ray Flip Marc J. Shapiro, MD Lab. Med. Transfusion "Slip" Harold Kaplan, MD January 2004 Cases Specialty Case Title Commmentators Medicine To Resuscitate or Not? Albert W. Wu, MD, MPH Peter J. Pronovost, MD, PhD Surgery/Anesthesia Inadvertent Castration J. Forrest Calland, MD Ob/Gyn Ruptured Heterotopic Pregnancy Marcelle I. Cedars, MD Pediatrics Triage Time Bomb Donna L. Washington, MD, MPH Emer. Med. (Spotlight) Crushing Chest Pain: A Missed Opportunity Mark Graber, MD November 2003 Cases Specialty Case Title Commmentators Medicine 40 of K Timothy S. Lesar, PharmD Surgery/Anesthesia (Spotlight) The Missing Tip Eric J. Thomas, MD, MPH Frederick A. Moore, MD Ob/Gyn Waiting Too Long Mark A. Rosen, MD Pediatrics Misread Label Bryony Dean Franklin, PhD Psychiatry Don’t Push Herbert Y. Meltzer, MD October 2003 Cases Specialty Case Title Commmentators Medicine Lost in the Black Hole Robert M. Wachter, MD Surgery/Anesthesia Charcoal Lavage of the Lungs Robert S. Wigton, MD Ob/Gyn (Spotlight) The Other Side Charles Vincent, PhD Pediatrics To LP or not LP Christopher P. Landrigan, MD, MPH Family Medicine Urine a Tough Position Tejal K. Gandhi, MD, MPH September 2003 Cases Specialty Case Title Commmentators Medicine Shake Well Elizabeth A. Flynn, PhD, RPh Surgery/Anesthesia Did We Forget Something? Verna C. Gibbs, MD Ob/Gyn Making Do Linda D. Bradley, MD Pediatrics (Spotlight) Intubation Mishap Matthew B. Weinger, MD George T. Blike, MD Nursing Check the Bags Mary Caldwell, RN, PhD, MBA Kathleen A. Dracup, RN, DNSc July 2003 Cases Specialty Case Title Commmentators Medicine Bleeding Risk Mark A. Crowther, MD, MSc Surgery/Anesthesia Check the Wristband Marilynn M. Rosenthal, PhD Ob/Gyn Feeling No Pain Marilyn Sue Bogner, PhD Pediatrics A Little Shuteye Ken J. Farion, MD Clinical Ethics (Spotlight) Code Status Confusion Bernard Lo, MD James A. Tulsky, MD June 2003 Cases Specialty Case Title Commmentators Medicine Inapt Antibiotic Use Hilary M. Babcock, MD Victoria J. Fraser, MD Surgery/Anesthesia (Spotlight) Missed Appendicitis James G. Adams, MD Ob/Gyn Not a Miscarriage Lee A. Learman, MD, PhD Pediatrics XL or Smaller? Eran Kozer, MD Psychiatry The Dangerous Detour Josh Gibson, MD David H. Taylor, MD May 2003 Cases Specialty Case Title Commmentators Medicine The Dropped Lung John E. Heffner, MD Surgery/Anesthesia Bloody BP Cuff Atul K. Madan, MD Ob/Gyn Ectopic or Not? Vanessa M. Givens, MD Gary H. Lipscomb, MD Pediatrics (Spotlight) Central Line Clot Adrienne G. Randolph, MD, MSc Psychiatry Suicidal Man with Gun Robert I. Simon, MD April 2003 Cases Specialty Case Title Commmentators Medicine (Spotlight) Another Fall Sidney T. Bogardus, Jr., MD Surgery/Anesthesia Which End is Which? Andre R. Campbell, MD Ob/Gyn Premature or Overdue? Jackie Thomas, MD Mary Hannah, MD Pediatrics Medication Overdose Rainu Kaushal, MD, MPH Psychiatry The 2-Week Itch Michael R. Cohen, RPh, MS, ScD February 2003 Cases Specialty Case Title Commmentators Medicine Patient Mix-Up Kaveh G. Shojania, MD Surgery/Anesthesia (Spotlight) Unexplained Apnea Under Anesthesia Paul Barach, MD, MPH Ob/Gyn Procedural Mishap: Learning Curve? Verna C. Gibbs, MD Lucian L. Leape, MD Pediatrics Flying Object Hits MRI John Gosbee, MD, MS Laura Lin Gosbee, MASc Psychiatry When “Psychiatric” Symptoms are Not Richard J. Goldberg, MD, MS   Produced for the Agency for Healthcare Research and Quality, by a team of editors at the University of California, San Francisco with guidance from a prominent Editorial Board and Advisory Panel. The AHRQ WebM&M site was designed and implemented by DoctorQuality. ACCESSIBILITY  |  CONTACT US  |  COPYRIGHT  |  DISCLAIMERS  |  FOIA  |  LINKING  |  PRIVACY POLICY  | TERMS & CONDITIONS  |  HELP