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OVER DEZE AFLEVERING
A patient was admitted to the hospital and got three times their normal dose of phenytoin resulting in phenytoin toxicity and a long hospital stay. Analysis of the error revealed problems with hospital organization, supervision issues and having an environment that facilitates errors. Errors don’t occur simply because one clinician makes a mistake—rather they occur because the hospital system fails to prevent them.
Related article: Phenytoin Toxicity—A Significant Adverse Drug Event
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OUDE AFLEVERINGEN ZOEKEN
Zoek naar eerdere afleveringen van JAMA Performance Improvement: Do No Harm.
ANDERE AFLEVERINGEN IN DEZE PODCAST
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A resident is asked to remove a drain that was placed in the lumbar space during an operation. Having never seen this sort of drain before not having removed one, the resident proceeded to remove the catheter. Several days later, the patient complained of persistent drainage. An 11-cm segment of re…
Disclaimer: De podcast en de illustraties die op deze pagina zijn ingesloten, zijn afkomstig van JAMA Network, eigendom van de eigenaar en niet gelieerd aan of goedgekeurd door Listen Notes, Inc.
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