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The Challenges of Discharge Instructions
By Margaret Janes, CRICO

A diabetic patient being treated for a foot contusion suffers necrosis and requires a partial amputation.

A Discordant Provider-Patient Relationship
By Barbara Szeidler, CRICO

Even proper care can lead to lawsuits if the parties involved are not on the same page.

A Forgotten Stent
By Lisa Heard, CRICO

Patient suffers an infection when a biliary stent that should have been removed after three months is discovered still in place after 12 months.

Passive Response to Mother’s Status During Labor
By CRICO Staff

Care plan adjustments are essential during prolonged care encounters.

Poor Triage of Stroke Patient Closes Opportunity for Timely Administration of Thrombolytics
By Jock Hoffman, CRICO

An 83-year-old woman suffered a potentially avoidable permanent neurologic injury following an acute cerebrovascular accident.

Too High a Threshold for Intervention Led to Inpatient Prolonged Stay and Treatment
By Jock Hoffman, CRICO

A 36-year-old male, released from the ED after being treated for stab wounds—then later admitted for a week-long, non-operative stay—was found to have a perforated jejunum eight days after his initial ED visit, with subsequent complications and a prolonged rehabilitation.

Inconsistent Performance and Documentation of MD Orders
By Kathy Dwyer, MSN, RN, CRICO

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

Diagnosis of Aortic Dissection Delayed by Mismanagement of Imaging Orders
By Jock Hoffman, CRICO

A 60-year-old male seen in the ED for acute severe epigastric pain suffered hypoxic brain injury and spinal paraplegia after mismanagement of imaging orders delayed the diagnosis of an aortic dissection.

A Slip in Protocol Leads to a Patient Fall and a Tragic Outcome
By Lisa Heard, MSN, RN, CGRN, CPHQ, CRICO

A patient, with a known falls risk, fell during a radiology exam and died from her injuries.

Failure to Double-check Blood-product Dosing Imperils Tonsillectomy Patient
By Barbara Szeidler, RN, BS, LNC, CPHQ, CPPS, CRICO

Failure to double-check blood-product dosing imperils tonsillectomy patient.

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The Challenges of Discharge Instructions By Margaret Janes, CRICO

A Discordant Provider-Patient Relationship By Barbara Szeidler, CRICO

A Forgotten Stent By Lisa Heard, CRICO

Passive Response to Mother’s Status During Labor By CRICO Staff

Poor Triage of Stroke Patient Closes Opportunity for Timely Administration of Thrombolytics By Jock Hoffman, CRICO

Too High a Threshold for Intervention Led to Inpatient Prolonged Stay and Treatment By Jock Hoffman, CRICO

Inconsistent Performance and Documentation of MD Orders By Kathy Dwyer, MSN, RN, CRICO

Diagnosis of Aortic Dissection Delayed by Mismanagement of Imaging Orders By Jock Hoffman, CRICO

A Slip in Protocol Leads to a Patient Fall and a Tragic Outcome By Lisa Heard, MSN, RN, CGRN, CPHQ, CRICO

Failure to Double-check Blood-product Dosing Imperils Tonsillectomy Patient By Barbara Szeidler, RN, BS, LNC, CPHQ, CPPS, CRICO

The Challenges of Discharge Instructions
By Margaret Janes, CRICO

A Discordant Provider-Patient Relationship
By Barbara Szeidler, CRICO

A Forgotten Stent
By Lisa Heard, CRICO

Passive Response to Mother’s Status During Labor
By CRICO Staff

Poor Triage of Stroke Patient Closes Opportunity for Timely Administration of Thrombolytics
By Jock Hoffman, CRICO

Too High a Threshold for Intervention Led to Inpatient Prolonged Stay and Treatment
By Jock Hoffman, CRICO

Inconsistent Performance and Documentation of MD Orders
By Kathy Dwyer, MSN, RN, CRICO

Diagnosis of Aortic Dissection Delayed by Mismanagement of Imaging Orders
By Jock Hoffman, CRICO

A Slip in Protocol Leads to a Patient Fall and a Tragic Outcome
By Lisa Heard, MSN, RN, CGRN, CPHQ, CRICO

Failure to Double-check Blood-product Dosing Imperils Tonsillectomy Patient
By Barbara Szeidler, RN, BS, LNC, CPHQ, CPPS, CRICO