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Cases & Commentaries
- Web M&M
Philip Darney, MD, MSc; April 2006
A woman has an intrauterine contraceptive device placed at the time of "her period." A month later it is discovered that she is pregnant, as she had been at the time of the insertion.
Perspectives on Safety > Perspective
with commentary by Rainu Kaushal, MD MPH; Sekhar Upadhyayula, MD; David M. Gaba, MD; Lucian L. Leape, MD, Outpatient Safety, May 2006
Over the last decade, surgical operations and interventional procedures have been performed increasingly in offices with the administration of office-based anesthesia (OBA).(1) Economic considerations and convenience have driven this increase. Schultz...
Journal Article > Commentary
Shojania KG. CMAJ. 2006;174:1257-1258.
The author presents three case examples of medication error in ambulatory settings, suggests how to avoid such errors, and provides a table describing common errors during the five stages of medication administration.
Journal Article > Study
Mitchell P, Nicholson CL, Jenkins A. Acta Neurochir (Wien). 2006;148:1289-92.
The authors interviewed surgeons involved in wrong-site incidents and found that the errors of omission were primarily due to distractions in the operating environment.
Betbeze P. HealthLeaders Media. May 2, 2014.