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Safety Events Related to Assessment and Management of OHCA Patients (N = 35)
| Type of Problem | Cases (n, %) |
|---|---|
|
| |
| Assessment | |
|
| |
| Failure to monitor pulse oxygenation | 1 (3) |
|
| |
| Delay in determining cardiac rhythm | 2 (6) |
|
| |
| Failure to check glucose | 15 (43) |
|
| |
| Arrest Algorithm | |
|
| |
| Airway before epinephrine | 10 (29) |
|
| |
| Medication given but not indicated | |
| Atropine | 8 (23) |
| Bicarbonate | 1 (3) |
| Vasopressin | 1 (3) |
|
| |
| Neonatal Resuscitation Program algorithm not used but indicated (wrong algorithm) | 4 (11) |
