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June 2014
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Perspectives on Safety
Patient Advocacy
INTERVIEW
In Conversation With… Dave deBronkart
Dave deBronkart, known as e-Patient Dave, is a co-founder and co-chair of the Society for Participatory Medicine and coauthor of Let Patients Help: A Patient Engagement Handbook. We spoke with him about engaging patients in their care and allowing patients to access their medical records.
(.MP3 | 11.0 MB)
PERSPECTIVE
Patient Advocacy in Patient Safety: Have Things Changed?
by Helen Haskell, MA
This piece describes the evolution of the patient advocacy movement, including the events that spurred it, resulting reforms, and the impact of online access to medical information.
Cases & Commentaries
SPOTLIGHT CASE
Hospitalized for alcohol withdrawal, an elderly man was feeling "cooped up" by hospital day 6 and left the floor without informing any providers. An hour later upon return to his room, he complained of new arm pain. While off hospital grounds, the patient had fallen and broken his arm.
Commentary by Thomas A. Smith, CHPA, CPP
CME/CEU credit available for this case

A man admitted to the hospital for his first seizure was found to have been taking up to 10 tablets of 10 mg zolpidem per night (an unsafe dose) to fall asleep and had recently run out. The instructions on the medication label had stated: "If ineffective, take another."
Commentary by Michael Wolf, PhD, MPH

Following removal of a central venous catheter placed during his admission for a prolonged course of intravenous antibiotics, a young man with a history of Behçet disease was discharged from the hospital. Shortly thereafter, he presented to the emergency department with acute onset shortness of breath and a "whistling sound" coming from his neck. Diagnosed with air embolism, he was admitted to the ICU.
Commentary by Michelle Feil, MSN, RN
Photograph of doctor using a computer
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