导致不良后果的质量问题为质量改进提供了机会。
Quality problems that result in adverse outcomes provide opportunities for quality improvement.
出版信息
Int J Qual Health Care. 1996 Dec;8(6):597-8. doi: 10.1093/intqhc/8.6.597.
PMID:9007609
Abstract
Patient suffers central nervous system damage after prolonged use of metoclopramide and ranitidine hydrochloride to control gastroesophageal reflux. Treatment is complicated by poor communication among providers and omissions in history-taking.
摘要
患者在长期使用甲氧氯普胺和盐酸雷尼替丁控制胃食管反流后出现中枢神经系统损伤。治疗因医护人员之间沟通不畅和病史采集遗漏而变得复杂。
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