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Cases & Commentaries
- Web M&M
Michael J. Barrington, MBBS, PhD, and Yoshiaki Uda, MBBS; April 2017
An older woman admitted to the medical-surgical ward with multiple right-sided rib fractures received a paravertebral block to control the pain. After the procedure, the anesthesiologist realized that the block had been placed on the wrong side. The patient required an additional paravertebral block on the correct side, which increased her risk of complications and exposed her to additional medication.
Journal Article > Study
Robst J. Psychiatr Q. 2015;86:497-504.
Suicide is considered a never event, and addressing suicidality for patients with a mental health diagnosis became a National Patient Safety Goal in 2007. The goal mandated assessment of suicide risk in patients with a primary mental health diagnosis. This study examined the incidence of suicide after emergency department treatment among Medicaid recipients in Florida before and after the goal was introduced. Investigators found that the rate of suicide declined among patients with a mental health diagnosis compared to those with a physical health diagnosis. These observational data suggest that implementing the goal may have increased identification of suicidal patients, resulting in appropriate treatment and reduced suicide attempts. A previous WebM&M commentary discussed suicide after discharge.