EPL Case Studies

A 30-year-old female underwent an emergency cesarean delivery after receiving incorrect medication during her labor.

A 77-year-old with a pre-op history of abnormal EKGs died in the PACU following a cholecystectomy

Are You Safe? case study: When the plan of care changes, consent should be revisited.

A 61-year-old female with a complex medical history died after being administered contraindicated medications.

An induced labor complicated by a ruptured uterus and fetal compromise, resulted in newborn birth asphyxia and infant death.

A narrow focus and an incomplete colonoscopy missed signs of cancer.

A 71 -year-old woman suffered a stroke after stopping her anticoagulant medication.

A 40-year-old woman, G5, P3, who was admitted for premature rupture of membranes at 32 weeks reported decreased fetal activity hours before labor was induced, and a stillborn infant delivered.

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.

A patient's family filed a claim alleging a lack of proper fall precautions, failure of the nurse to report the patient's fall to his physician or the oncoming nurse, and failure to monitor the patient post fall. Learn how to mitigate these scenarios in the future.

A 39-year-old man died from internal bleeding following back surgery.

A patient who underwent a colonoscopy suffered an anoxic brain injury resulting in a permanent vegetative state.

A 56-year-old male admitted for repair of facial fractures suffered a fatal post-operative cardiac event.

A woman’s delayed follow-up on a kidney mass due to cost leads to terminal kidney cancer.

A 68-year-old male suffered from septic shock after being discharged from an inpatient setting before any action was taken on a critical lab result.

Are You Safe? case study: A patient skipped a recommended echocardiogram and then died suddenly of heart failure.

Are You Safe? case study: A 62-year-old female with a history of atrial fibrillation had her Coumadin managed by both Cardiology and her primary care physician (PCP).

A patient’s unwitnessed fall in the emergency department (ED) was not documented until the patient returned for further evaluation. Late documentation can be perceived as defensive and may make it difficult to defend care later if there is a lawsuit.

A newborn transferred from a community hospital to rule out a GI bleed suffered an IV infiltrate.