Post-analytical Error in Fatal Post-Cesarean Necrotizing Fasciitis and Sepsis: A Case Study.
This is a case study of a 28 year old morbidly obese pregnant female with severe pre-eclampsia. She delivered at 32 weeks gestation by emergency cesarean section, and was discharged at three days post-surgery. The patient developed sepsis secondary to necrotizing fasciitis. She had been released fro...
| Publicado en: | Clinical Laboratory Science Vol. 29; no. 1; pp. 3 - 9 |
|---|---|
| Autores principales: | , , |
| Formato: | case study tables/charts Journal Article |
| Publicado: |
American Society for Clinical Laboratory Science
Winter2016
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=115186590&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 115186590 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0894959X IKL jtl: Clinical Laboratory Science issn: 0894959X maglogo: N pubinfo: dt: Winter2016 vid: 29 iid: 1 pid: 13703 pub: American Society for Clinical Laboratory Science place: Dundee, Michigan artinfo: ui: 115186590 115186590 115186590 10.29074/ascls.29.1.3 115186590 ppf: 3 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Post-analytical Error in Fatal Post-Cesarean Necrotizing Fasciitis and Sepsis: A Case Study. aug: au: WESLEY WILLIAMSON, THOMAS KENWRIGHT, KATHLEEN M. WILLIFORD PIFER, LINDA L. affil: Department of Clinical Laboratory Sciences, University of Tennessee Health Science Center, Memphis, TN 38163 sug: subj: Diagnostic Errors Prevention and Control Fasciitis, Necrotizing Sepsis Adult Female Pregnancy Patient Safety Obesity, Morbid Pre-Eclampsia Blood Cell Count Cesarean Section Adult: 19-44 years Female ab: This is a case study of a 28 year old morbidly obese pregnant female with severe pre-eclampsia. She delivered at 32 weeks gestation by emergency cesarean section, and was discharged at three days post-surgery. The patient developed sepsis secondary to necrotizing fasciitis. She had been released from the hospital without her final complete blood count (CBC) having been reviewed by the attending physician, although it had been available for approximately 24 hours prior to her departure. The final CBC contained persuasive data suggesting that an adverse outcome could be highly probable. Discussion as to how this ultimately lethal post-analytic error might have been avoided, and perhaps prevented in the future is undertaken. pubtype: Academic Journal doctype: case study tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|