- AACE PATIENT SAFETY EXCHANGE -

AACE Patient Safety -Case Studies

A summer misadventure; patient safety issues during vacations because of the overconfidence of the patient.
2009-09-29 15:01:56
Submitted by: By: Paul M. Rosman, DO, FACP, FACE
A 49 y/o drenched male with DM1 of 22 years duration was brought to the emergency department by his wife, who was also drenched. She saw him fall out of his 14 foot boat, into the water when he stood up to land a fish he caught. Read More

Targeting LDL-C treatment: The good, the bad, and the rated X
2009-09-02 09:01:56
Submitted by: Paul Aoun, D.O., Ph.D., Joseph P. McConnell, Ph.D., and Daniel L. Hurley, M.D.

A 47-year-old Caucasian woman was referred for evaluation and management of a markedly abnormal lipid profile (1). Significant past medical history includes primary biliary cirrhosis (PBC) diagnosed five years previously and a 30-pack year of smoking. Read More

Too Much of a Good Thing: Thyroid Cancer Suppressive Therapy and Atrial Fibrillation
2008-05-05 13:21:26
Submitted by: John Tourtelot, MD
A 63-year-old man with a distant history of thyroid cancer presented to the emergency department with complaints of chest pain, palpitations and shortness of breath. He had been losing weight over the last year, which he attributed to chemotherapy ... Read More

Post Operative Hypernatremia: A Simple but Dangerous Oversight
2008-04-25 16:48:23
Submitted by: Fred A. Williams, Jr., MD, FACP, FACE
The patient is a 63-year-old Caucasian female with a history of central diabetes insipidus following resection of a nonfunctioning pituitary macroadenoma. The patient ... Read More

Back to Basics
2008-05-02 14:29:37
Submitted by: Dr. Richard Hellman
A 48-year-old woman with insulin-dependent diabetes mellitus presents to the emergency department with right upper quadrant pain, fever, and leukocytosis, prompting admission for presumed cholangitis. Overnight, the patient ... Read More

Seizures Following Therapy for Osteoporosis
2008-04-25 13:00:25
Submitted by: Dr. Steven Petak
A 60-year-old man was seen after presenting to the emergency room with seizures. His history is notable for having had gastric bypass surgery 5 years ago for obesity. About 2 months before, he injured himself playing tennis. An x-ray did not show a ... Read More

Quick Takes
Bag of Meds
A seventyish female called EMS to her house due to a fall and can't move situation. The EMS arrived, brought her to the hospital and in doing so gathered up all prescription bottles in a plastic bag. We refer to this as the Bag'O Meds. Read More