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Why do we care about accuracy?
A lawyer writes: “The plaintiff should recieve $10,000 in damages.”
Has anyone been physically harmed by this spelling error?
How about these?
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A nurse writes on a patient’s chart: “X-ray requested of the ileum.” When she means “ilium.”
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A doctor writes “qid” on coumadin prescription instead of “qd.”
The patient takes the medication 4 times a day rather than once a day . . .
. . . and dies of internal bleeding.
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Why do we care about accuracy?
A pharmacist fills a prescription for Dioval (estradiol) with Diovan (high BP).
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Don’t all doctors have messy handwriting? Who cares??
This prescription for Isordil was read by the pharmacist as Plendil.
The patient died of a heart attack.
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In the News. . .
July 2006 - Madison, WI
Nurse administers epidural anesthetic instead of penicillin to 16 year old girl.
The girl dies.
Nurse received 3 years probation/suspension for wrongful death
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In the News. . .
Nov. 2007 - Los Angeles, CADennis Quaid case
Newborn twins treated with 10,000 units/ml heparin vs. 10 units/ml
Drug company had new labels - but didn’t recall the old.
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In the News. . .
December 2007 - Nashville, TN
Prednisone overdose
(3 days of 1250mg vs 250 mg)
causes kidney transplant failure
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In the News. . .
July 2008 - Corpus Christie, TX
17 newborns overdosed with Heparin
2 die