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Discharged Blindly
Iezzoni LI. AHRQ WebM&M [serial online]. December 2005.
 
A man is discharged home with injections and written instructions on how to administer his medications. However, the nurse and pharmacist did not notice that he was blind.
 
icon indicating hyperlink to external website Free full text

 
Resource Type:  Journal Article > Commentary

Setting of Care:  Hospitals

Target Audience:  Health Care Providers

Clinical Area:  Medicine > Internal Medicine > Geriatrics

   Medicine > Ophthalmology

Safety Target:  Medication Safety > Medication Errors/Preventable Adverse Drug Events > Administration Errors

Error Types:  Active Errors

   Latent Errors

Approach to Improving Safety:  Quality Improvement Strategies > Patient Self-Management

   Communication Improvement > Provider-Patient Communication

   Education and Training > Patient Education
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