Warning: The NCBI web site requires JavaScript to function. more...
Generate a file for use with external citation management software.
Department of Anesthesiology, 1H247 Box 0048, University of Michigan Hospital, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA. freundli@med.umich.edu
In this case report, the authors present an adverse event possibly caused by miscommunication among three separate medical teams at their hospital. The authors then discuss the hospital's root cause analysis and its proposed solutions, focusing on the subsequent hospital-wide implementation of an automated electronic reminder for abnormal laboratory values that may have helped to prevent similar medical errors.
Your browsing activity is empty.
Activity recording is turned off.
Turn recording back on