Crico Medical Malpractice High Risk Case Studies
Poor Communication of Doctor’s Orders Leads to Preventable Death
- Autor: Vários
- Narrador: Vários
- Editor: Podcast
- Duración: 0:10:01
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Sinopsis
When a speech and swallowing evaluation showed the patient to be at risk for aspiration, the resident documented a plan that the patient be given nothing by mouth. But the NPO order was not entered into the system, a technician attempted to feed him, and he aspirated. This was not communicated to the attending. After transfer to the ICU, he succumbed to additional morbidities, including aspiration pneumonia.