The article states that this is even more common...nothing happens until code blue is announced, in other words the monitoring of the patient before it gets to this point....BD
High-profile medical errors such as operating on the wrong body part or receiving a mistaken dose of drugs should take a back seat to a far more common and insidious mistake, a new report reveals.
For the fifth straight year, an analysis of errors in the nation’s hospitals found that the most reported patient safety risk is a little-known but always-fatal problem called “failure to rescue.”
Before Code Blue: Who's minding the patient? - Health care- msnbc.com
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