lunes, 31 de julio de 2017

WebM&M Cases | AHRQ Patient Safety Network

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WebM&M Cases

  • SPOTLIGHT CASE
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  • CME/CEU
Commentary by Shirley C. Paski, MD, MSc, and Jason A. Dominitz, MD, MHS
Following an uncomplicated surgery, an older man developed acute colonic pseudo-obstruction refractory to conservative management. During a decompression colonoscopy, the patient's colon was perforated.
Commentary by Sarah Doernberg, MD, MAS
A woman was discharged with instructions to complete an antibiotic course for C. difficile. The same day, the microbiology laboratory notified the patient's nurse that her blood culture grew Listeria monocytogenes, a bacterium that can cause life-threatening infection. However, the result was not communicated to the medical team prior to discharge.
Commentary by Stephen Stewart, MBChB, PhD
Hospitalized for pneumonia, a woman with a history of alcohol abuse and depression was found unconscious on the medical ward. A toxicology panel revealed her blood alcohol level was elevated at 530 mg/dL. A search of the ward revealed several empty containers of alcoholic foam sanitizer, which the patient confessed to ingesting.

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