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Dependence vs. Pain
Gordon AJ. AHRQ WebM&M [serial online]. July 2008.
A man with a history of heroin use came to the hospital with abdominal pain, nausea, and vomiting. Admitted for dehydration and opiate withdrawal, he was given intravenous fluids, methadone, and morphine for abdominal pain. The patient complained of worsening pain overnight and was given more methadone. In the morning, the patient had more severe pain and tachycardia, and was found to have a perforated colon.
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Resource Type
Commentary
Setting of Care
Hospitals
Target Audience
Health Care Providers
Clinical Area
Gastroenterology
Mental Health Care (Psychiatry & Clinical Psychology)
Safety Target
Clinical Misdiagnosis
Opiates/Narcotics
Error Types
Cognitive Errors ("Mistakes")
Approach to Improving Safety
Education and Training