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Cases & Commentaries
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Ben-Tzion Karsh, PhD; March 2011
A patient requiring orthopedic follow-up after an emergency department visit missed his appointment, and a secretary canceled the referral in the electronic medical record to minimize black marks on the hospital’s 30-day referral quality scorecard. Because the primary physician did not receive notice of the cancellation, follow-up was delayed.
Cohen ML. Med Econ. 2005 Sep 16;82:45-46, 48.
This brief article explains how to prepare an outpatient clinic code cart to respond to in-office emergencies.
Journal Article > Commentary
Cohen MR. Hosp Pharm. 2008;43:696–698.
This monthly selection of medication error reports describes a case of misidentifying home medications for a hospitalized patient, how character space limitations in medication administration records may cause medication errors, and fatal misuse of a fentanyl patch on a child.