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The "Customer" Is Always Right
Sehgal NL. AHRQ WebM&M [serial online]. February 2007.
A parent brings her 18-month-old into the clinic with multiple complaints, including rash, diarrhea, and concern for fracture due to a fall. The child is sent home with a diagnosis of viral syndrome. Later, still concerned about her child's gait, the mother takes her to the ED, where an x-ray reveals a fractured tibia.
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Commentary
Target Audience
Physicians
Clinical Area
Emergency Medicine
Primary Care
Pediatrics
Safety Target
Clinical Misdiagnosis
Error Types
Noncognitive Errors ("Slips & Lapses")
Cognitive Errors ("Mistakes")
Approach to Improving Safety
Provider-Patient Communication