Articles  |   December 2015
A Case Study From the Anesthesia Quality Institute
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Central and Peripheral Nervous Systems / Critical Care / Respiratory System / Technology / Equipment / Monitoring / Articles
Articles   |   December 2015
A Case Study From the Anesthesia Quality Institute
ASA Monitor 12 2015, Vol.79, 38-39.
ASA Monitor 12 2015, Vol.79, 38-39.
This case study is set at a university hospital and begins with a report through the internal adverse incident reporting system. A 24-year-old woman with a history of bipolar disorder presented for open reduction and internal fixation of a right femur fracture sustained when she was struck by a motor vehicle. The initial laboratory screen demonstrated serum potassium of 3.0 mEq/L at the time of admission, but the last value – just before transport to the O.R. – was 2.3 mEq/L. Only the original value was seen on the preoperative assessment in the anesthesia information management system (AIMS). The patient underwent an uneventful general anesthetic.
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