Hold the tPA.
Fagan SC. AHRQ WebM&M [serial online]. April 2005.
A patient with presumed stroke is given tPA before the results of her coagulation studies are known. Five minutes later, the lab reports that the INR was elevated—an absolute contraindication to thrombolytic therapy.
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Profiles in patient safety: medication errors in the emergency department.
Croskerry P, Shapiro M, Campbell S, et al. Acad Emerg Med. 2004;11:289-299.
Novel Drug Misuse.
Angus DC, Milbrandt EB. AHRQ WebM&M [serial online]. July 2004.
Emergency department visits for outpatient adverse drug events: demonstration for a national surveillance system.
Budnitz DS, Pollock DA, Mendelsohn AB, Weidenbach KN, McDonald AK, Annest JL. Ann Emerg Med. 2005;45:197-206.
Pregnant with Danger.
Pearlman MD, Desmond JS. WebM&M [serial online]. May 2005.
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