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Cases & Commentaries
- Spotlight Case
- Web M&M
Jesse M. Pines, MD, MBA, MSCE; January 2009
An elderly man, recently discharged from one hospital after having his automated internal cardioverter-defibrillator (AICD) replaced, is taken to another hospital when his AICD misfires multiple times.
Journal Article > Study
Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest.
Lammers RL, Willoughby-Byrwa M, Fales WD. Simul Healthc. 2014;9:174-183.
Simulations of prehospital pediatric cardiopulmonary arrest uncovered many potential errors. Most notably, medication errors related to the correct weight-based dosing of epinephrine were common. This mistake can have serious consequences and warrants further efforts to mitigate this risk.