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Harvard study:
44,000 to 98,000 die
from Medical Errors.
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Medical Errors
– How Many?
– What types?
– Wrong Side
Surgery
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– Reducing Errors
Malpractice Info
– Malpractice Explained
– Reducing Lawsuits
– Agencies Concerned
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– Articles
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Malpractice Explained
Agencies Concerned with Safer Medical Care
How to Decrease Lawsuits
Miscellaneous links
Medical algorithms: Medal.org.NICE (UK).
Nurses Protection Group - links on malpractice avoidance for from provider of nursing malpractice insurance.
Introduction to DataBank - Hartford Courant - Reports by State . State Ranking . Links to State Regulators
questionabledoctors.org - 13 states have online versions of their lists of disciplined doctors.
citehealth.com Rating Health Care Providers
Articles
- Improving Safety with Information Technology
DW Bates, M.D., and A A Gawande, M.D., M.P.H.
New Engl J Med 2003 June 19 348(25):2526-34
This
important article identifies areas in which readily available
technology can reduce errors by as much as 80%. No less important are
the 59 references discussing ways in which technology can reduce
medical errors.
- Residents' Suggestions for Reducing Errors in Teaching Hospitals
NEJM 348(9):851-855 February 27, 2003
K.G.M. Volpp, M.D., Ph.D. D. Grande, M.D.
The authors identify 8 areas of concern and discuss changes that are necessary to avoid needess patient morbidity and morality.
- Mammogram Team Learns From Its Errors
New York Times, June 28, 2002
Kaiser Permanente radiologist improves accuracy by firing doctors who have high error rates -
the result was 1/3 fewer cancers missed.
- Report: National health-Care System Woefully Lacking; Tangled Maze: Institute Recommends
an Overhaul to Bring 21st-Century Care to Patients
Telegraph Herald (Dubuque, IA); March 2, 2001, Pg. a2
U.S.
scientists have developed highly effective treatments for many diseases
but too many Americans get inadequate, outdated or even unsafe therapy
instead because the nation's health-care system is a tangled maze, the
Institute of Medicine said in a scathing report Thursday.
- Reporting and Prevention of Medical Errors
Prepared Statement of Lucian L. Leape, M.D. Harvard School
of Public Health Subject Before the Senate Committee on Health, Education, Labor and Pensions; May 24, 2001
- Reporting medical errors and adverse events; Research Corner.
AORN Journal April 1, 2002 ; JCAHO
call for Safety
- VA tries to learn from its mistakes;
Hospitals focusing on errors, not blame, to revolutionize care
The Baltimore Sun December 22, 2001; Baltimore VA reports progress in decreasing medical errors.
- Harvard Prof Urges Hospitals to Spot, Curb Bad Doctors
The Boston Herald March 30, 2001
Every hospital has doctors whose performance is a concern, said Dr. Lucian L. Leape, professor
at the Harvard School of Public Health. We do have problem doctors. Everybody has witnessed it.
But everybody insists it is someone else's problem. It's a major issue and hospitals have to take the
primary responsibility.
- Hospital Patient Safety Information Gives Consumers the Power To Make More Informed Health Care Choices;
Leapfrog Group Unveils First Results of Unique Survey: Initial Focus on Six Regions including
Atlanta, California, East Tennessee, Minnesota, St Louis, and Seattle-Tacoma-Everett
http://www.leapfroggroup.org
- Curtail Health Workers' Hours to Save Lives, Senators Urged
Chicago Tribune, February 2, 2000, Pg. 7
An expert on medical mistakes, which kill as many as 98,000 Americans every year, called last
week for limiting the notoriously long hours medical personnel work.
- 10 Common Prescribing Errors
Consultant; 41(6) p. 766 May 1, 2001
Sound-alike Drugs; Lack of Drug Knowledge; Dose Calculation Errors; Decimal Point
Misplacement; Wrong Dosage Form; Wrong Frequency; Use of Abbreviations; Drug Interactions;
Renal Insufficiency; Incomplete Patient History.
http://www.usp.org/reporting/review/qr66.pdf
.1000 name pairs that have been confused
on prescriptions have been identified.
- Pharmacist participation on physician rounds and adverse drug events in the intensive care unit.
Leape LL, et al. JAMA. 1999; 282(3):267-270.
In group with Senior pharmacist participating in ICU rounds,
The rate of preventable ordering Adverse Drug Events decreased by 66% from
10.4 per 1000 patient-days before the intervention to 3.5 after the intervention.
- Patient-safety awards abound, but do they represent real progress in the fight against
medical errors, or are they just for show?
Modern Healthcare; April 22, 2002, Monday
Part of the initial step in making progress is understanding that
there's a problem. Now we know there's a problem.
- Reducing Errors in Health Care: Translating Research Into Practice
- In search of safety:
Nursing Economics January 1, 2002
- Building an Electronic Network of Care; Group Seeks to Cut Medical Errors by Sharing
Information
While Guarding Privacy
Washington Post, December 12, 2001
- State awarded $4.5m to fight medical errors.
The Boston Herald October 30, 2001; NEWS; Pg. 016
The three-year project will seek more information about how errors
occur and about how patients, doctors, hospital officials and others
can make the system safer.
- Paths to reducing medical injury:
professional liability and discipline vs. patient safety -- and the need for a third way.
Journal of Law, Medicine & Ethics September 22, 2001; Pg. 369
- Health Care Quality and How to Achieve It
Comments by Kenneth Shine, M.D. President of the Institue of Medicine
- Oops, Wrong Patient: Journal Takes On Medical Mistakes
The New York Times June 18, 2002
The patient had been on the operating table for an hour. Doctors had made an incision in her
groin, punctured an artery, threaded in a tube and snaked it up into her heart. Now they were
stimulating her heart electrically, to test for abnormal rhythms. The phone rang: it was a
doctor from another department. What, he asked, were they doing with his patient? There was
nothing wrong with her heart.
- Annals of Internal Medicine series highlights case reports of errors to focus on what can be done
to reduce injuries.
- To err is human: How to prevent medical errors.
Patient Care June 15, 2001; Pg. 95
Links - Medical Errors and Preventing Medical Errors
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