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Clinical Crossroads Update
March 27, 2002

A 58-Year-Old Woman Dissatisfied With Her Care, 2 Years Later

Author Affiliations

From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.

JAMA. 2002;287(12):1577. doi:10.1001/jama.287.12.1577

At a Clinical Crossroads conference held in Boston at the 23rd annual meeting of the Society of General Internal Medicine in May 2000, Jennifer Daley, MD, discussed a 58-year-old woman who related several concerns about the care she received during ambulatory, same-day knee surgery.1 The patient, Ms G, noted that the anesthetic agent used was not the one for which she had provided consent, delaying her ability to walk postoperatively; that clinicians did not heed comments about the frailties of her veins, resulting in unnecessary pain; and that staff in the recovery room area left her alone for nearly an hour without escort to meet her ride home at the entrance to the hospital. Ms G has been very satisfied with the care she has received from her internist, Dr B.