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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.
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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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