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Anchoring Bias With Critical Implications
A 61-year-old man with a history of stroke went to his primary care physician (PCP) for burning pain and numbness in his left foot that he had experienced for one month. He showed loss of sensation in his left knee and a foot drop secondary to his prior stroke. His pulses were intact with no other abnormalities noted. The PCP diagnosed the patient’s pain and numbness as peripheral neuropathy and referred him to podiatry. The patient went to his PCP four more times and twice to urgent care with left foot pain.
Source: AORN Journal - May 25, 2016 Category: Nursing Tags: Column Source Type: research

Picking up the Cause of the Stroke
A 62-year-old man with poorly controlled diabetes was transferred to a tertiary care center from a community hospital for persistent abdominal pain and the inability to tolerate oral feedings. Before transfer, the patient underwent peripherally inserted central catheter (PICC) placement for IV pain medications, IV fluids, and parenteral nutrition. An entry chest radiograph showed the PICC was located in a persistent left-sided superior vena cava. The tertiary physicians assumed the PICC was safe to use, and the patient began receiving nutrition and fluids through the line.
Source: AORN Journal - August 31, 2017 Category: Nursing Tags: Column Source Type: research