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Cases & Commentaries
- Web M&M
Tracy Minichiello, MD; March 2005
Despite a box on the admission form warning against using blood thinners and epidural anesthesia together, a patient admitted for elective surgery receives both, and becomes permanently paralyzed.
Patient Safety Primers
Infections after surgery are common and frequently lead to hospital readmission and other adverse consequences for patients. Recent programs, including several led by the Agency for Healthcare Research and Quality, have demonstrated how hospitals can successfully prevent these infections.
Audiovisual > Audiovisual Presentation
Opioid-Induced Ventilatory Impairment (OIVI): Time for Change in the Monitoring Strategy for Postoperative PCA Patients.
Anesthesia Patient Safety Foundation. February 2014.
This video highlights a need for improved electronic monitoring of post-operative patients receiving opioids and includes footage from a multidisciplinary conference that offered patient experiences and expert insights about opioid safety.