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11-20 of (103) items Show items per page Page of 11
< Back To Patient Safety

Patient’s Migraine History Biases Diagnosis in ED
By Margaret Janes, JD,RN, CRICO

41-year old woman had aneurysm after being discharged with migraine.

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Are We Prepared to Triage this Patient Call?
By Kathy Dwyer, MSN, RN, CRICO

Are You Safe? case study: A 9-year old died when flu-like symptoms turned out to be related to a more serious underlying condition.

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Communication Issue Leads to Retained Foreign Body
By Kathy Dwyer, MSN, RN

Following successful cranial surgery, a 54-year-old man experienced back and lower extremity pain which was ultimately diagnosed as being related to an intrathecal lumbar catheter left behind at the time of surgery eight months earlier.

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Is My Patient’s History Up to Date?
By Lisa Heard, CRICO

Are You Safe? case study: A 57-year-old male with a history of two MIs, sleep apnea, and hypertension was seen for complaints of jaw pain (8/10 severity) and chest “tightness.”

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Is My Specimen Handling Process Reliable?
By Lisa Heard, CRICO

Are You Safe? case study: A 27-year-old female was seen in office for complaints of frequency and burning on urination.

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Does My Patient Understand Why I Ordered this Test?
By Maggie Janes, CRICO

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

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Who is Responsible for Follow Up?
By Jerin Raj, CRICO

Are You Safe? case study: A 74-year-old male was advised, during a hospital stay, to see a pulmonologist for a specific opacity in his right upper lobe suspicious for carcinoma seen on a CT scan.

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Did the Specialist Change the Treatment Plan?
By Maggie Janes, CRICO

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).

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Am I Sure My Patient Got The Test I Ordered?
By Margaret Janes, CRICO

Are You Safe? case study: A 62-year-old-male with a 40-year 1-2ppd smoking history was seen in his primary care office for complaints of chest pain after hearing a rib crack.

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Should I use a Decision Support Tool?
By Barbara Szeidler, CRICO

Are You Safe? case study: During an appointment for a self-detected breast lump, a 34-year-old’s physical exam was noted as normal. The gynecologist ordered a mammogram, but did not indicate the patient’s breast complaint on the order.

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