© Springer-Verlag London 2014Philip F. Stahel and Cyril Mauffrey (eds.)Patient Safety in Surgery10.1007/978-1-4471-4369-7_4 4. Diagnostic Errors E. Mark Hammerberg1 (1) Department of Orthopaedics, Denver Health Medical Center, 777 Bannock Street, Denver, CO 80204, USA E. Mark Hammerberg Email:…
Category Element Situation awareness Gathering information Understanding information Projecting and anticipating future state Decision making Considering options Selecting and communicating option Implementing and reviewing decisions Leadership Setting and maintaining standards…
Grades Definition I Any deviation from the normal postoperative course without the need for pharmacological treatment or surgical, endoscopic and radiological interventions Allowed therapeutic regimens are: drugs as antiemetics, antipyretics,…
Patient related factors Presence of multiple injuries Unconsciousness Intubation Intoxication/drugs Language barrier Examiner related factors Inexperience Presence of life-threatening injuries Time-pressure Incomplete examination Technical errors The introduction of Advanced Trauma…
Fig. 1 Rouleaux formation. Blood smear from a 56-year-old male with a 5.1 g/dL IgG monoclonal protein showing increased red cell rouleaux formation; × 50 Fig. 2 Plasma cell leukemia. Blood smear…
Fig. 1 Monoclonal gammopathy of undetermined significance, new diagnosis. After selective gating to include viable cells and exclude doublets, plasma cells are gated based on their bright CD38 and dimmer…
Fig. 1 a Karyogram of a cell from a patient with hyperdiploid plasma cell myeloma. Chromosomal gains, and loss of one X chromosome, are indicated by arrows. b Chromosome pairs…
, Christopher VandenBussche2 and Syed A. Hoda3 (1) CBL Path, Rye Brook, NY, USA (2) Department of Pathology, Johns Hopkins University Department of Pathology, Baltimore, MD, USA (3) New York Presbyterian Hospital Weill…
, Christopher VandenBussche2 and Syed A. Hoda3 (1) CBL Path, Rye Brook, NY, USA (2) Department of Pathology, Johns Hopkins University Department of Pathology, Baltimore, MD, USA (3) New York Presbyterian Hospital Weill…
, Christopher VandenBussche2 and Syed A. Hoda3 (1) CBL Path, Rye Brook, NY, USA (2) Department of Pathology, Johns Hopkins University Department of Pathology, Baltimore, MD, USA (3) New York Presbyterian Hospital Weill…
