CRICO CRICO home

Advanced Search

  • Topic
  • Specialty
  • Content Type

RESET SEARCH CRITERIA
spacer

Live Event in November

CRICO Guidelines by Topics

spacer podcast_home_button

11-20 of (35) items Show items per page Page of 4
< Back To Patient Safety

Equipment Failure During Nephrectomy Leads to Vision Loss & Renal Failure

Doctor found innocent in procedure resulting in patient vision loss and renal failure.

CONTINUE READING >

Response to Air Embolism Good, But Prevention Lacking
By Kathy Dwyer, MSN, RN, CRICO

A 55-year-old male suffered neurologic deficits secondary to an air embolism during a stent-assisted coiling procedure for a cerebral aneurysm. 

CONTINUE READING >

Mistaken Assumptions After Surgical Complication
By Kathy Dwyer, MSN, RN, CRICO

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.

CONTINUE READING >

Unresolved Symptoms and Delayed Colon Cancer Diagnosis
By Jessica Bradley, MPH

A 36-year old female patient was seen in the ER for complaints of abdominal pain and rectal bleeding. Two years later she was diagnosed with metastatic colon cancer.

CONTINUE READING >

Shared Decision making Missing in Ablation Procedure
By Debbie LaValley, BSN, RN

A 38-year-old female with supra-ventricular tachycardia sought surgical treatment so she could stop taking medication, in hopes of having another child. During an ablation procedure, she developed a complete heart block, resulting in placement of a permanent pacemaker and continuation of medications.

CONTINUE READING >

Cancer, Death After Mistakenly Told Biopsy Normal
By Christine Allen, BSN, RN, CCM

A 53-year-old woman died from endometrial cancer after a biopsy report indicating insufficient tissue for diagnosis was mistakenly relayed to her as “normal.” 

CONTINUE READING >

Unexpected Surgical Complication, Lack of Empathy Triggers a Lawsuit
By Kathy Dwyer, MSN, RN, CRICO

A 52-year-old male underwent a laparoscopic adrenalectomy and sustained an injury to the inferior vena cava, which was recognized promptly and repaired successfully. The patient recovered from his injuries and filed a lawsuit, partly due to his perception that the surgeon failed to adequately explain the risks, lacked empathy, and was unwilling to fully explain what happened.

CONTINUE READING >

Pre-op Findings Could Have Prevented Extra Surgeries
By Ann Doherty, RN, CRICO

A young woman underwent two unnecessary procedures when x-ray findings of an additional calcified stone in the common bile duct two days prior to her scheduled cholecystectomy were never communicated to the attending surgeon.

CONTINUE READING >

Delay in Postop Hematoma Diagnosis Causes Paralysis
By Kathy Dwyer, MSN, RN, CRICO

This case was complicated by the disconnect between what was documented and subsequent testimony by two physicians who recall different versions of a discussion.

CONTINUE READING >

Late X-ray Review Slowed Infection DX
By Kathy Dwyer, MSN, RN, CRICO

The patient’s course following her total hysterectomy was complicated by a bowel perforation, requiring a colon resection and a colostomy.

CONTINUE READING >
11-20 of (35) items Page of 4