Studies in Patient Safety
Fall 2006 (Vol. 3, No. 3)
Ojectives
Physicians participating in this activity should be able to:
Case 1: Rethinking the Routine: Aspiration of Oral Contrast Solution with Bowel Obstruction
- Assess the risk of oral contrast in patients with suspected small bowel obstruction.
- Demonstrate knowledge of the recent guidelines from the American College of Radiology on imaging of patients with suspected small bowel obstruction.
- Summarize how high grade obstruction of the small bowel is demonstrated on radiographic findings.
Case 2: Looking Beyond the Obvious Causes of Error
- Define latent failures and active failures and the role each plays when a medication error occurs.
- Recognize that errors are caused by the combined effects of latent failures in the system and active failures by individuals.
- List reasons that punishing individuals involved in errors is harmful to the entire organization.
Case 3: Let’s Stop this “Epi”demic!—Preventing Errors with Epinephrine
- Assess the risk of inadvertent IV administration of undiluted epinephrine.
- Recognize the contributing factors to errors involving unintended IV administration of undiluted epinephrine.
- Identify strategies to prevent inadvertent IV administration of undiluted epinephrine.
Taking the test
- Read the printable PDF version of Studies in Patient Safety, Vol. 3, No. 3. (Requires Adobe Acrobat Reader).
- Take the quiz by following the link at the end of the PDF.
Accreditation and designation information
The Pennsylvania Medical Society is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The Pennsylvania Medical Society designates this educational activity for a maximum of 1.00 AMA PRA Category 1 Credit ™. Physicians should only claim credit commensurate with the extent of their participation in the educational activity.
Faculty and all others who have the ability to control the content of continuing medical education activities sponsored by the Pennsylvania Medical Society are expected to disclose to the audience whether they do or do not have any real or apparent conflict(s) of interest or other relationships related to the content of their presentation(s).
Activity Development Team
- John R. Clarke, MD - PSA Editor, Author, “Aspiration of Oral Contrast Solution with Bowel Obstruction”
- Matthew Grissinger, RPh - Author, ”Looking Beyond the Obvious Causes of Error”
- Michael J. Gaunt, PharmD - Author, “Errors with Epinephrine”
- Jeff Greenawalt - Planning Committee
The members of the Activity Development Team have no relevant financial relationships to disclose.
Enduring Material: Expires Dec. 31, 2008
Some links require Adobe Acrobat Reader. Download it for free.

Last Updated: 8/8/2008