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George R. Thompson III, MD, and Abraham Verghese, MD; August 2006
A man with paraplegia was admitted to the hospital, but the admitting physician, night float resident, and daytime team all "deferred" examination of the genital area. The patient was later discovered to have life-threatening necrotizing fasciitis of this area.
Journal Article > Study
Kazaoka T, Ohtsuka K, Ueno K, Mori M. Nurse Educ Today. 2007;27:312-17.
The investigators used a simulated scenario to analyze communication problems among nursing teams that led to medication errors. They discuss the differences between student and nurse groups, concluding that as service years increase, nurses are less likely to explain and confirm medication requests.