A Mid-Summer Fog
Braddock CH. AHRQ WebM&M [serial online]. November 2008.
A woman with diabetes is admitted to a teaching hospital in July. An intern, who received training at a hospital where only paper orders were used, mistakenly chose the wrong form for the insulin order. As a result, the insulin dose was not adjusted for the patient's NPO (nothing by mouth) status, and she became unresponsive.
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Sick and Pregnant
El-Ibiary S. AHRQ WebM&M [serial online]. November 2008.
In Conversation with…Eric G. Poon, MD, MPH
AHRQ WebM&M [serial online]. September 2008.
Uncomfortable prescribing decisions in hospitals: the impact of teamwork.
Lewis PJ, Tully MP. J R Soc Med. 2009;102:481-488.
Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents.
Mookherjee S, Vidyarthi AR, Ranji SR, Maselli J, Wachter RM, Baron RB. J Gen Intern Med. 2010;25:1097-1101.
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