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Sick and Pregnant
El-Ibiary S. AHRQ WebM&M [serial online]. November 2008.
A pregnant woman with asthma was admitted to the hospital with respiratory distress. Although the emergency department providers noted that she was pregnant, this information was not conveyed to the floor. On admission, the patient was given an antibiotic that could have been dangerous.
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Resource Type
Commentary
Setting of Care
Hospitals
Target Audience
Health Care Providers
Quality and Safety Professionals
Information Professionals
Clinical Area
Emergency Medicine
Obstetrics
Safety Target
Discontinuities, Gaps, and Hand-Off Problems
Ordering/Prescribing Errors
Look-Alike, Sound-Alike Drugs
Error Types
Active Errors
Approach to Improving Safety
Patient Self-Management
Communication between Providers
Computerized Adverse Event Detection
Computerized Provider Order Entry (CPOE)
Computerized Decision Support
Patient Education