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John is at left and Alex is in the center. At the end of this activity, you will be able to: Describe the challenge of diagnostic error in patient safety. Alex James was a runner, like his dad. One day, he collapsed during a run and was hospitalized for five days. He went through lots of tests, but was given a clean bill of health.
Then, a month later, he collapsed again, fell into a deep coma, and died. His father wanted to know — what had gone wrong? My son was born after my wife had three miscarriages. Alex grew into an athletic young man with a passion for Big brother case study the baritone.
A call that changed lives On September 15,a call to my home in Houston changed my life forever. It was late on a Sunday evening, and it came from Dr.
He said that Alex had collapsed while running. Alex had collapsed in a similar incident a month earlier, but recovered on his own.
This time, he was down for some time, and the paramedics had to shock his heart three times to restart it. He was in a deep, unresponsive coma.
Alex never recovered from his deep coma. Three days after I drove to see him, Alex died. Words cannot capture the grief experienced by those of us who were closest to Alex — his Mama and me, his little sister, and his much younger little brother.
Our faith community and many friends held us in their hearts as we struggled through the process of burying our firstborn son and brother.
What had gone wrong?
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He had various cardiac evaluations: He was also given a cardiac catheterization, which caused a painful hematoma, and an electrophysiology test, which led him to bleed from his groin.
During his hospital follow-up visit five days after discharge, his doctor had given him a clean bill of health. A series of errors Since there was the possibility of a genetic cause of his death, I asked for his records. I received a quarter inch-thick pile at first, until I pressed for his complete record, which was three inches thick.
As I examined his records and studied cardiology literature, I discovered that his cardiologists had failed him. After his first collapse, Alex had three types of heart arrhythmia and low potassium.
Two years earlier, a guideline from the National Council on Potassium in Clinical Practice called for potassium replacement in such patients. He never received potassium replacement, even though I had told his lead cardiologist about his low potassium.
I did not know enough at the time to connect low potassium with heart arrhythmia. His cardiologists had also missed a diagnosis of acquired long QT syndrome, a treatable heart rhythm condition that sometimes requires patients to avoid exercise.
On a scale that suggests likely diagnosis for a score of 4 points or higher, Alex scored 5. A communication error was also apparent to me as I pieced together the records.
No one warned Alex not to run after the hospitalization after his first collapse. His written discharge instructions specified only that he not drive for 24 hours. This was a catastrophic oversight. In the spring after my son died, I learned of another major mistake.
A radiologist at the hospital where my son received treatment got in touch with me. To be blunt, my son was deceived into signing consent forms for his cardiac catheterization and electrophysiology test.
If his cardiologists had only recognized his need for potassium replacement, neither test would have been needed.Who is John Abraham? John is a model, Indian film actor and influential sex symbols in India.
He has inspired many young Indians on Fitness. He has put up lot of effort for one of his recent movies called Force. Analyzing the body type of John Abraham, he comes .
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Big Brother Case Study The core issue on the hands of the Big brother agency is that the volunteers are scarce and the total matches between big and little brothers have dropped by 40% over the past 2 years. There are a number of boys in the waiting list sometimes for even 2 years anticipating to be matched with a big rutadeltambor.comms Identified: .
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