AHRQ’s May Issue of Web M&M Examines Patients’ Role in Identifying Cancer Treatment Error

The May issue of AHRQ Web M&M features a Spotlight Case describing how a 48-year-old man hospitalized for a chemotherapy protocol to treat metastatic penile cancer identified a medical error that would have increased his treatment regimen from 3 days to 5 days. Before the additional dose was administered, the patient asked to speak with the oncology team, which identified the incorrect chemotherapy regimen. The patient and the oncology team discussed the incorrect order, and the patient was released from the hospital with no adverse consequences. A commentary on the case is provided by Joseph O. Jacobson, M.D., MSc., associate clinical professor of medicine at Harvard Medical School, and Saul N. Weingart, M.D, Ph.D., associate professor of medicine at Harvard Medical School. The Perspectives on Safety feature section features an interview with Ashish K. Jha, M.D., Ph.D., professor of health policy and management at Harvard School of Public Health. Physicians and nurses can receive free CME, CEU, or training certification by taking the Spotlight Quiz. Select to read the current issue of AHRQ Web M&M. 

AHRQ WebM&M: Morbidity and Mortality Rounds on the Web