Cardiac monitoring of wrong patients resulting in death
Patient Safety Monitor Alert, May 25, 2011
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The ECRI Institute Patient Safety Organization (PSO) has received reports of cardiac monitoring of the wrong patients, resulting in the deaths of unmonitored patients who experiences critical arrhythmias.
The ECRI Institute released a press release regarding the issue and is also offering a free “E-lert” download to help hospitals stem this potential problem. It’s important to ensure the telemonitor transmitter number is reconciled with the correct patient identifier when applying the monitor to the patient.
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