Nursing Case Studies
- EHR Error Exacerbates Adverse Event During Intra-hospital Transport
Standardizing transport and documentation processes amongst providers limits confusion. Also, insure hospital transporters follow a standard operating procedure for check patient oxygen tank levels.
- Missteps Before and After Patient Fall
A patient’s family filed a claim alleging a lack of proper fall precautions, failure of the nurse to report the patient’s fall to his physician or the oncoming nurse, and failure to monitor the patient post fall.
- Brain Damage Follows Inattention to Newborn’s Jaundice
All newborns should be examined in the first few days following discharge to further assess the baby's condition. Relying on office staff to handle a mother's medical concerns risks leaving her and her baby’s needs unmet.
“The verdict in this tragic case will have a chilling effect on the culture of safety in health care”
Robyn Begley, DNP, RN
American Hospital Association
Icing the Patient Safety Movement
Related To: Claims, Disclosure Apology, Medication, Nursing, Patient Safety Awareness, Surgery
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Word to the Wise: Misuse of Language in Clinical Communication Causes Harm
We invited two physicians who authored a JAMA Perspective on the topic to explain what worries them and what doesn't, when it comes to the misuse of words in medicine.