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In 2008, there was plenty of evidence that things weren't working very well in the ED at St. Vincent's Medical Center in Bridgeport, CT. The leave-without-being-seen (LWBS) rate was at 5%, the average wait time to see a physician was over two hours, patient satisfaction was in the single digits, and the hospital recorded eight serious safety events in that one year alone.
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Much attention has been given to injuries of the cervical spine, but injuries to the thoracolumbar region are actually more common. Because of the anatomy involved, these injuries are often accompanied by multiple serious injuries to other areas of the body and may be overlooked during resuscitation and stabilization.
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To have a successful lawsuit in cases of missed or delayed diagnosis, a plaintiff needs at least two things, according to Michael Blaivas, MD, professor of emergency medicine in the Department of Emergency Medicine at Northside Hospital Forsyth in Cumming, GA.
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Errors related to missed or delayed diagnoses are a frequent cause of patient injury and, as such, are an underlying cause of patient-safety-related events, according to new research from the Harrisburg-based Pennsylvania Patient Safety Authority,1 which reviewed 100 events related to diagnostic errors between June 2004 and November 2009, 23 of which originated in the ED.