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Cases & Commentaries
- Web M&M
Andrew S. Dunn, MD; April 2010
An elderly woman with a history of mitral valve replacement with a mechanical prosthesis was admitted to the hospital for evaluation of abdominal pain. Although an order was written to stop her blood thinner and restart it 48 hours after the procedure, the medication was not restarted.
ISMP Medication Safety Alert! Acute Care Edition. April 8, 2010;15:1-3.