Newsletter

Missed and Delayed Diagnoses in the ED

May 31, 2014

Patient Safety Alert

Patient Safety Alert 18: Missed and Delayed Diagnoses in the ED (PDF)

The AMC PSO has recently convened Emergency Medicine Leaders to discuss patient safety issues relevant to the Emergency Department setting, yielding both an in-depth analysis of patient safety issues as well as a look at emerging technologies and new strategies to complement existing patient safety protocols.

Case Study

Participants discussed case studies, as well as emerging technologies and new strategies that are now available to complement existing patient safety protocols aimed at reducing ED adverse events.

An elderly patient presented to a regional ED with a complaint of chest discomfort, self-described as “lung pain.” [...] The patient returned to the ED a few days later and was found to have suffered a cardiac event.


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Study patient safety issues relevant to the Emergency Department setting.

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First Published – May 31, 2014
Related To: Ambulatory,  Claims,  Communication,  Diagnosis,  Documentation,  Emergency Medicine,  Medication,  Patient Safety Awareness

Patient Safety Alerts

View the whole library of these 1–2 page AMC PSO findings.



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AMC PSO

Our Patient Safety Organization convenes clinical leaders to identify and mitigate emerging risks.
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More AMC PSO Content

Publications such as whitepapers and guidelines derived from the AMC PSO convenings.

Guidance to Reduce the Risk of Retained Surgical Items

Newsletter
Patient Safety Alert Issue 33: Experts found three main categories of risk related to RSI: distractions, hand offs, and relationships/trust. Discover their strategies and best practices found to reduce risk in each of these areas.
Patient Safety Alert: Retained Surgical Objects
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    Patient Falls

    Newsletter
    Patient Safety Alert Issue 23: The AMC PSO convened a panel of nursing leaders to review recent trends, evaluate the current literature, and discuss novel interventions aimed at mitigating the risk regarding patient falls.
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    Periprocedural Management of Anticoagulation Therapy

    Newsletter
    Patient Safety Alert Issue 24: The AMC PSO recently convened to discuss this high-risk area and important patient safety issue, the contributing factors often associated with this medication event type, and the strategies to proactively mitigate this risk.
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    Non-Operating Room Anesthesia Self-Assessment Tool 

    Newsletter
    Patient Safety Alert Issue 35: This document identifies areas of vulnerability and offers a self-assessment table to help organizations evaluate existing NORA settings and identify strengths and opportunities for providing safe care.

Medication Errors and Malpractice: What a Decade of Cases Reveals About Risk Across the Care Continuum

News
Published in MPLA’s Inside Medical Liability, the article uses a decade of Candello med mal data to highlight medication error risks and the need for coordinated safeguards across every stage of care.
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