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21-30 of (117) items Show items per page Page of 12
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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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Opioid Treatment for Sleep Disorder did not Consider Patient’s Overall Medication Risks
By Barbara Szeidler, RN, BS, LNC, CPHQ, CPPS, CRICO

Opioid treatment for sleep disorder did not consider patient’s overall medication risks.

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Incomplete Patient Understanding of Risks Complicates Surgery
By Kathy Dwyer, MSN, RN, CRICO

A patient undergoing elective surgery suffered severe anoxic brain injury due to complications from a pre-existing condition.

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Are We Properly Tracking Test Results and Referrals?
By Kathy Dwyer, MSN, RN, CRICO

Are You Safe? case study: Delayed diagnosis: three years after being tested for celiac disease, a delayed diagnosis is uncovered.

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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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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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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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