February 2012
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Perspectives on Safety
Resident Supervision and Patient Safety
INTERVIEW
In Conversation With… Lawrence Smith, MD
The founding Dean of Hofstra North Shore-LIJ School of Medicine, Dr. Smith has held numerous senior leadership positions within the field of medical education and residency training.
Listen to an audio excerpt of the interview
(.MP3 | 9.95 MB)
PERSPECTIVE
Balancing Supervision and Autonomy: An Ongoing Tension
by C. Jessica Dine, MD, MA; and Jennifer S. Myers, MD
This piece discusses how increased supervision influences the educational experience for trainees.
Cases & Commentaries
SPOTLIGHT CASE
After entering an electronic prescription for the wrong patient, the clinic nurse deleted it, assuming that would cancel the order at the pharmacy. However, the prescription went through to the pharmacy, and the patient received it.
Commentary by
Elisa W. Ashton, PharmD
CME/CEU credit available for this case
An elderly man hospitalized with multiple medical conditions decided (with his family's blessing) on a DNR/DNI order. Following treatment, the patient was discharged home. Just days later a paramedic transporting the patient to the emergency department asked the family about advanced directives and they requested that "everything be done."
Commentary by
Wendy G. Anderson, MD, MS
A pregnant woman with new onset hypertension and proteinuria was admitted to the hospital for further testing. Test results for a 24-hour urine collection were initially reported as normal in the electronic medical record, and discharge planning was begun. However, a later amended report showed the results were elevated and abnormal, confirming a diagnosis of preeclampsia.
Commentary by
Vanitha Janakiraman Mohta, MD