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Cases & Commentaries: SEPTEMBER 2008

Medicine

Surgery

Hospital Medicine

	Empiric Steroids: the Good, the Bad, and the Ugly SPOTLIGHT CASE For fear of exacerbating underlying disease processes, certain comorbidities should preclude the use of steroids. Three case examples illustrate appropriate indications and contraindications for using glucocorticoids.
	Commentary by Edward D. Harris, Jr., MD
	CME/CEU available

	Failure to Latch After several pediatric visits, parents of a newborn with low output and weight loss contact a lactation consultant, who discovered that ankyloglossia (tongue-tie) was preventing the infant from receiving adequate intake from breastfeeding.
	Commentary by Mitch Rodriguez, MD, MBA; Rebecca Mannel, BS, IBCLC; Donna Frye, RN, MN

	Where’s the Feeding Tube? A boy was receiving enteral feedings while recovering from a traumatic brain injury. The nasojejunal tube migrated to the gastric area, and the patient developed pneumonia, likely due to aspiration.
	Commentary by Norma A. Metheny, RN, PhD; Kathleen L. Meert, MD


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Perspectives on Safety

	This month: Bar Coding for Medication Safety

	•	In Conversation with... Eric G. Poon, MD, MPH Listen to podcast (.MP3 \| 2.4 MB \| 5:08)

	•	The Role of Bar Coding and Smart Pumps in Safety Jeffrey M. Rothschild MD, MPH; Carol Keohane, RN, BSN

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Patient Safety Network

What's New: Key information is often omitted during housestaff sign-outs, with significant adverse patient safety consequences.

Visit AHRQ PSNet for more patient safety news and information

Did You Know?

Surgeons experienced 50% fewer positioning errors with laparoscopic procedure equipment when they used a structured checklist.

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