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EHR Error Exacerbates Adverse Event during IHT

This case study was made available to MIEC through our partnership with CRICO. It was written by Jeffrey Timperi, CRICO Description Failure to monitor a patient's physiological status and lack of standard operating procedures during intra-hospital transport resulted in the death of a 60-year old female. Key Lessons Standardizing transport and documentation processes amongst providers limits confusion. Hospital transporters need to follow a standard operating procedure for checking patient oxygen tank levels. An entry error by a clinician to a patient's electronic health record exacerbated the patient's adverse event during an intra-hospital transport. Clinical Sequence A 60-year-old female with a...

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