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Elizabeth A. Howell, MD, MPP; Mark R. Chassin, MD, MPP, MPH; May 2006
A woman with a fractured right foot receives spinal anesthesia and nearly has surgery for trimalleolar fracture and dislocation of the left ankle. Only immediately prior to surgery did the team realize that the x-ray was not hers.
Journal Article > Commentary
Dzik WH. Br J Haematol. 2007;136:181-90.
The author discusses three transfusion case studies that highlight three areas where errors are most common and technologies that can be used to prevent errors in these areas.