Cases & Commentaries
Submit a Case
Do you have a case that highlights medical errors that our editors should consider? All submissions are anonymous.
Submit Case/Learn More
1 - 1 of 1
Spotlight Cases Only
OCTOBER 2007Spotlight Case
Do Not Disturb!
with commentary by F. Daniel Duffy, MD; Christine K. Cassel, MD
Following surgery, a woman on a patient-controlled analgesia pump is found to be lethargic and incoherent, with a low respiratory rate. The nurse contacted the attending physician, who dismisses the patient's symptoms and chastises the nurse for the late call.