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Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit.

Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. ISMP Medication Safety Alert! Acute Care Edition. March 21, 2013;18:1-3.

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June 10, 2018

ISMP Medication Safety Alert! Acute Care Edition. March 21, 2013;18:1-3.

This newsletter article discusses factors that contributed to the death of a patient in an ambulatory surgery center and recommends improved monitoring practices and alarm management in post-anesthesia care units.

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Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. ISMP Medication Safety Alert! Acute Care Edition. March 21, 2013;18:1-3.