Mistaken Identity

This content is adapted from AHRQ WebM&M (Morbidity & Mortality Rounds on the Web) with permission from the Agency for Healthcare Research and Quality. The original commentary was written by Leslie W. Hall, MD, and was adapted for this article by Nancy J. Girard, PhD, RN, FAAN, clinical associate professor, University of Texas Health Science Center, San Antonio, TX. (Citation: Hall LW. Mistaken identity. AHRQ WebM&M [serial online]. February 2004. http://www.webmm.ahrq.gov/case.aspx?caseID187. Accessed October 25, 2009.)