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Safety Target
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- Interruptions and distractions
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- Interruptions and distractions
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Cases & Commentaries
The Hazards of Distraction: Ticking All the EHR Boxes
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- CME/CEU
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Anthony C. Easty, PhD; February 2017
A few weeks after falling and hitting her head, a woman with metastatic cancer was admitted to the hospital for observation after a brain scan showed a subdural hematoma with a midline shift. Repeat imaging showed an enlarging hematoma, which required surgical evacuation. The admitting provider had mistakenly prescribed blood thinner for venous thromboembolism prophylaxis (contraindicated in the setting of subdural hematoma) by clicking the box in the electronic health record admission order set.
Cases & Commentaries
Cognitive Overload in the ICU
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- CME/CEU
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Vimla L. Patel, PhD, and Timothy G. Buchman, PhD, MD; July/August 2016
Admitted to the intensive care unit (ICU) with acute respiratory distress syndrome due to severe pancreatitis, an older woman had a central line placed. Despite maximal treatment, the patient experienced a cardiac arrest and was resuscitated. The intensivist was also actively managing numerous other ICU patients and lacked time to consider why the patient's condition had worsened.