Clinician Resources Listing

A Lifetime of RiskBy Debbie LaValley, BSN, RN, CRICO

January 28, 2013

A 30-year-old woman with history of childhood splenectomy suffered a life-threatening infection.

Multiple Missed Steps Delay Breast Cancer DiagnosisBy Maureen Burns-Johnson, BSN, RN, CRICO

January 28, 2013

Two years after her initial complaint of a breast lump, a 36-year-old patient with a positive family history of breast cancer was herself diagnosed with metastatic cancer.

Patient Unaware of PSA Testing, Then CancerBy Jessica Bradley, MPH, CRICO

May 14, 2012

A 52-year-old man was diagnosed with prostate cancer three years after a panel of lab results showed an elevated PSA that the patient never saw and his PCP inadequately followed.

Test Delay Blamed for Woman’s Colon Cancer DeathBy Maureen Burns-Johnson, BSN, RN, CRICO

April 26, 2012

A 46-year-old whose constipation and rectal bleeding continued across several office visits was eventually diagnosed with ovarian and metastatic colon cancer, leading to her death five months later.

Response to Air Embolism Good, But Prevention LackingBy Kathy Dwyer, MSN, RN, CRICO

April 16, 2012

A 55-year-old male suffered neurologic deficits secondary to an air embolism during a stent-assisted coiling procedure for a cerebral aneurysm.

Young Man Dies from Flu After ED DischargeBy Debbie LaValley, BSN, RN, CRICO

April 12, 2012

Twelve hours after being discharged from the ED, an 18-year-old male was readmitted, with influenza. Two days later, he died from severe sepsis and multi-organ failure.

Loss of High PSA Result Blamed for Fatal CancerBy Jessica Bradley, MPH, CRICO

April 11, 2012

A 52-year-old male developed metastatic prostate cancer a year after highly elevated PSA test values were reported to the physician’s office but never followed or reported to the patient. CONTINUE READING >

Blindness From Undiluted InjectionBy Christine Allen, BSN, RN, CCM, CRICO

April 11, 2012

A 50-year-old patient received an undiluted intraocular injection, resulting in left eye blindness.

Mistaken Assumptions After Surgical ComplicationBy Kathy Dwyer, MSN, RN, CRICO

February 7, 2012

After surgical complications left a 60-year-old male partially blind, members of the care team not present during his kidney surgery documented assumptions that the surgeon had mistakenly stapled the aorta.

Boy Dies After Call to NP for Flu SymptomsBy Debbie LaValley, BSN, RN, CRICO

February 1, 2012

After his father sought overnight advice regarding his son’s flu-like symptoms from a nurse practitioner covering for his pediatrician, the nine-year-old boy died at home from complications linked to (undiagnosed) diabetes mellitus.

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A Lifetime of Risk

Multiple Missed Steps Delay Breast Cancer Diagnosis

Patient Unaware of PSA Testing, Then Cancer

Test Delay Blamed for Woman’s Colon Cancer Death

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