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April 2014
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Perspectives on Safety
National Organizations in Safety
INTERVIEW
In Conversation With… Tejal K. Gandhi, MD, MPH
Dr. Gandhi is President of the National Patient Safety Foundation and Associate Professor of Medicine at Harvard Medical School. We spoke with her about NPSF's evolving role in enhancing health care at a national level.
(.MP3 | 10.5 MB)
INTERVIEW
In Conversation With… Leah Binder, MA, MGA
Leah Binder is President and CEO of the Leapfrog Group. We spoke with her about Leapfrog's efforts to address key health policy issues and the development of the Hospital Safety Score.
(.MP3 | 9.9 MB)
Cases & Commentaries
SPOTLIGHT CASE
Despite new back pain and worsening symptoms of tingling, pain, and weakness bilaterally, in both hands and feet, a man recently diagnosed with peripheral neuropathy was not sent for further testing after repeated visits to a primary care clinic. By the time neurologists saw him, they diagnosed critical cervical cord compression, which placed the patient at risk for permanent paralysis.
Commentary by John Betjemann, MD, and S. Andrew Josephson, MD
CME/CEU credit available for this case

Following a hospitalization for Clostridium Difficile–associated diarrhea, a woman with HIV/AIDS and B-cell lymphoma was discharged with a prescription for a 14-day course of oral vancomycin solution. At her regular retail pharmacy, she was unable to obtain the medicine, and while awaiting coverage approval, she received no treatment. Her symptoms soon returned, prompting an emergency department visit where she was diagnosed with toxic megacolon.
Commentary by Paul C. Walker, PharmD, and Jerod Nagel, PharmD

Scheduled for a hip replacement, a man with AIDS presented with sciatica. The spine surgeon administered a corticosteroid injection to control his symptoms. Soon after the patient experienced sweats, abdominal pain, weight gain, elevated blood pressure, insomnia, and anxiety. He was diagnosed with Cushing syndrome due to an adverse interaction between the HIV medication and the corticosteroid.
Commentary by Charles John Gonzalez, MD
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