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L. Petersen, T. Brennan, A. O'Neil, Cook Ef, Thomas Lee (1994)
Does Housestaff Discontinuity of Care Increase the Risk for Preventable Adverse Events?Annals of Internal Medicine, 121
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Megan Devlin, N. Kozij, A. Kiss, Lisa Richardson, B. Wong (2014)
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Opinion LESS IS MORE TEACHABLE MOMENT Failure to Cancel Tests: A Case of an Unnecessary Joint Arthrocentesis A Teachable Moment Story From the Front Lines ees often order investigations preemptively owing to Amanda E. Goldberg, MD An elderly woman with a history of choledocholithia- time pressures on call and their desire to demonstrate Department of sis presented to the emergency department with a thoroughnessintheirclinicaldecision-making. Whenour Medicine, University 3-day history of nausea and abdominal pain. She was patient developed acute monoarthritis, her medical his- of Toronto, Toronto, admitted to the general internal medicine (GIM) ser- tory, physical examination, and radiographic images Canada. vice with a diagnosis of recurrent biliary obstruction alone were sufficient to make the diagnosis of pseudo- Abi Vijenthira, MD due to microlithiasis. She underwent an endoscopic gout and exclude the possibility of septic arthritis. How- Department of retrograde cholangiopancreatogram (ERCP) 2 days ever, the on-call trainee preemptively ordered wrist ul- Medicine, University later (on a Friday), which was unsuccessful at cannu- trasonography as well. This could have been avoided by of Toronto, Toronto, lizing the common bile duct. Plans were made for a reviewing the results of the radiograph overnight with Canada. percutaneous biliary drain insertion and
JAMA Internal Medicine – American Medical Association
Published: Jun 1, 2015
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