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< Back To Patient Safety

NP Misses Fatal Illness on Phone with Patient’s Dad
By Kathy Dwyer, MSN, RN, CRICO, Tom Augello, CRICO

A father called his son’s pediatrician’s office on a winter week-end night and told the nurse practitioner that his nine-year-old had not felt well for three days. The nurse fixated on flu symptoms and told the father to push ginger ale. When the father checked on the boy 12 hours after the call, he had died from diabetic ketoacidosis and his diabetes mellitus was undiagnosed until autopsy.

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Patient ID Risks & the Intersection of Electronic Health Records

The AMC PSO recently convened a multidisciplinary group of stakeholders across its membership to review and discuss strategies for safer patient identification.

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For This Patient, Opioids for Pain Resulted in Suicide, Court Settlement
By Barbara Szeidler, RN, BS, LNC, CPHQ, CPPS, CRICO, Tom A. Augello, CRICO

The patient had a history of suicidality when her psychiatrist referred her to a sleep specialist. Three weeks after the second doctor increased her oxycodone dose to treat restless leg syndrome, the patient used the drug to kill herself.

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Preparing for a Deposition

Step-by-step guide to preparing the deposition.

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Deposition: Expectations and Tips

Depositions: What to expect, typical preliminary deposition topics, and tips so you will be better prepared to answer deposition questions appropriately.

 

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Coping with Stress

A malpractice suit can be draining and you still have to worry about your current patients’ care. Make sure you are coping with the stress surrounding this unfortunate event as well as you possibly can.

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Being a defendant, tips from a judge, medication errors, and more
By Alison Anderson, Missy Padoll, Wallinda Hutson, CRICO

May 2017 Insights newsletter. See Judge Zobel’s key rules for being deposed...

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What to Expect as a Defendant

Understand phrases such as personal financial exposure, burden of proof, pleadings and tribunal.

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What is the “Standard of Care”?
By Jock Hoffman, CRICO, Tom Augello, CRICO

Learn how medical care is measured in legal cases.

 

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Culture Helped, Hurt in this Dosage Error
By Barbara Szeidler, RN, BS, LNC, CPHQ, CPPS, CRICO
Tom A. Augello, CRICO

In this case, an 8-year-old girl experienced a tenfold dosing error of clotting factor, requiring admission and observation due to increased risk of stroke. It could be said that the culture at this hospital both contributed to the error, and contributed to a good response by staff.

 

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