Ommission | 23 | |
Diagnosis | 14 |
Missed pneumothorax on chest radiograph Delayed diagnosis of shock No diagnosis of severe dehydration and AKI
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Treatment | 9 |
Antiarrhythmics not started again, leading to arrhytmia No fluids given to hypotensive patient No treatment for hypokalaemia and hypomagnesaemia, leading to ventricular arrhythmia DVT prophylaxis not started, patient developed PE
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Commission | 17 | |
Treatment | 17 |
Opioid overdose Diuretics given to patient in shock Rapid correction hypernatremia Continued feeding of an obtunded patient, who subsequently aspirated
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