When you attend Morbidity & Mortality or Quality Improvement (QI) Conferences, the cases presented often have teaching points, which revolve around potentially avoidable errors. Subtle and not-too-subtle clues often reveal themselves along the way, which could have been detected sooner. This ALiEM QI Series, hosted by Dr. Steven Polevoi (UCSF EM Medical and QI Director), was created to help you become a better detective in finding these clues early in the patient’s course.
“Learn from the mistakes of others. You can’t live long enough to make them all yourself.” – Eleanor Roosevelt
The cases in this series are very loosely based on an aggregate pool of known patient cases from around the country over the past decade, although the lessons are timeless.
If you have cases to contribute, please Contact Us.