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- Device-related Complications 1
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Search results for "Health Care Executives and Administrators"
- Health Care Executives and Administrators
- Pediatric Gastroenterology
Journal Article > Commentary
Graber ML, Berg D, Jerde W, Kibort P, Olson APJ, Parkash V. Diagnosis (Berl). 2018;5:257-266.
This commentary provides a clinical review of a missed diagnosis of Epstein-Barr virus infection that was identified via autopsy and summarizes contributing factors to the incident with an emphasis on the role of cognitive bias. The piece includes the perspectives of the patient's family and from the organization regarding what happened and what could have been done to prevent this outcome. This discussion is the first in a series of diagnostic error case presentations to be published in this journal.
ISMP Medication Safety Alert! Acute Care Edition. April 8, 2010;15:1-3.
Cases & Commentaries
- Web M&M
Dorrie K. Fontaine, RN, PhD; October 2009
A toddler admitted for severe dehydration requires a femoral IV. The anesthesiologist ignores a nurse's reminder that hospital policy requires monitoring if a child is to receive sedation in the unit. When the nurse attempts to stop the procedure, the anesthesiologist throws the needle to the floor.