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Brain Damage Follows Inattention to Newborn’s Jaundice
By Annette Roberts, CRICO

All newborns should be examined in the first few days following discharge to further assess the baby’s condition. Relying on office staff to handle a mother’s medical concerns risks leaving her and her baby’s needs unmet.

 

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A Failure to Document Patient’s Refusal
By Jennifer Vuu Sanchez, CRICO

Ensure that you document any instances of a patient’s refusal to follow recommendations. Also, find some best practices on how to further educate a patient to follow up with important tests.

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Rare Stroke Risk not Discussed Prior to Anticoagulation Suspension
By Melissa A. DeMayo, CRICO

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

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Unit Ill-prepared for Labor and Delivery Complications
By Jennifer Vuu Sanchez, CRICO

A maternal early warning system (MEWS) to facilitate timely recognition, evaluation, and treatment for obstetrical patients developing critical conditions can make the difference between life and death.

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Post Catheterization Death after Anticoagulation not Restarted
By Jennifer Vuu Sanchez, CRICO

A 65-year-old woman suffered a stroke and died after her anticoagulation medication was not restarted following a cardiac catheterization procedure.

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Is the Procedure Being Performed What the Patient Consented To?
By Jennifer Vuu Sanchez, CRICO

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

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Gaps in Clinical Workup Lead to Young Patient’s Missed Colorectal Cancer
By Melissa DeMayo, CRICO

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

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Deactivated Bed Alarm
By Jennifer Vuu Sanchez, CRICO

In this case, the patient’s fall and injury was determined to be preventable.

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Breast Cancer Treatment Delayed 15 Months by Mishandled Radiology Report
By Melissa A. DeMayo, CRICO

Lack of a closed-loop system for tracking orders and results exposes critical diagnostic information to being lost.

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Narrow Focus Fogs Opportunity for Timely PE Diagnosis
By Melissa A. DeMayo, CRICO

Did family medicine physicians, a nurse, a radiologist, and a cardiologist fail to diagnose pulmonary embolism?

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