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- Discontinuities, Gaps, and Hand-Off Problems
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- Quality and Safety Professionals
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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.