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Privacy Gone Awry.
Pauker SG, Pauker SP. AHRQ WebM&M [serial online]. May 2004.
Owing to privacy concerns, a nurse draws the drapes on a 3-year-old child in recovery after surgery and unfortunately does not realize the child is in distress until loud inspiratory stridor is heard.
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Resource Type
Commentary
Setting of Care
General Hospitals
Children’s Hospitals
Target Audience
Health Care Providers
Clinical Area
Pediatrics
Surgery
Safety Target
Discontinuities, Gaps, and Hand-Off Problems
Postoperative Surgical Complications
Privacy Violations
Error Types
Noncognitive Errors ("Slips & Lapses")
Latent Errors
Approach to Improving Safety
Practice Guidelines
Regulation
Provider-Patient Communication
Medical Alarm Design
Education and Training
Origin/Sponsor
Agency for Healthcare Research and Quality (AHRQ)