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Misread of Data Slowed Response, Hurt Patient


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Misread of Data Slowed Response, Hurt Patient

By Roxane Gardner, MD, Tom A. Augello, CRICO

Related to: Clinical Guidelines, Communication, Diagnosis, Cures Act: Opening Notes, Medication, Nursing, Obstetrics, Teamwork Training

Duration: 8:21

This podcast is an episode of Case Studies. You can find other episodes and subscribe using the links to the left.


A young woman presented to Labor and Delivery at 39.6 weeks with ruptured membranes and irregular contractions; a vaginal delivery was complicated by shoulder dystocia after prolonged induction of labor, resulting in a baby with low Apgars, respiratory distress, neonatal seizures, and permanent cognitive and developmental deficits. A lack of close collaboration between the nurse midwife and the covering obstetrician was blamed for a slow response to worrisome fetal heart rate tracings.

April 17, 2013
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