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© 2025 Patient Safety Authority
Lessons from Event Reports
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Categories
Anesthesia
Cardiology
Communication
Electronic Health Record
Emergency Department
Equipment
Falls
Infection Prevention
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Transplant Services
Allergy Awareness Leads to Systemwide Change in Anesthesia Practice
Equipment
Anesthesia
Surgery
A patient presented to the emergency department with complaints of abdominal pain. A thorough workup identified that the patient was suffering with a hiatal hernia; the patient was admitted to the hospital with a plan for operative repair.
Patient History Alerts Keep Staff Informed and Prepared
Anesthesia
Electronic Health Record
Surgery
In some patients, anesthetics can cause a severe, sometimes lethal, reaction known as malignant hyperthermia (MH), with symptoms such as a dangerously high body temperature, rigid muscles or spasms, and a rapid heart rate.
Anesthesia