Commentary Exploring the harmful effects of health care. Citation Text: Kilo CM. Exploring the Harmful Effects of Health Care. JAMA. 2009;302(1). doi:10.1001/jama.2009.957. Copy Citation Format: DOIGoogle ScholarBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL July 8, 2009 Kilo CM. JAMA. 2009;302(1). View more articles from the same authors. This commentary examines the aggregate harm that could result from health care and suggests that the full potential impact of harm should be considered in reform efforts. Available at PubMed citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Kilo CM. Exploring the Harmful Effects of Health Care. JAMA. 2009;302(1). doi:10.1001/jama.2009.957. 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Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016 March 3, 2017
Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. May 18, 2022
A patient reported approach to identify medical errors and improve patient safety in the emergency department. November 23, 2016
Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval. September 24, 2014
The impact of the 80-hour resident workweek on surgical residents and attending surgeons. July 12, 2006
Do physicians know when their diagnoses are correct? Implications for decision support and error reduction. September 7, 2005
Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. August 30, 2023
Incidence and severity of medication reconciliation discrepancies in trauma patients. August 16, 2023
Implementation of the World Health Organization Trauma Care Checklist Program in 11 centers across multiple economic strata: effect on care process measures. November 30, 2016
Electronic patient identification for sample labeling reduces wrong blood in tube errors. March 20, 2019
Do remote community telepharmacies have higher medication error rates than traditional community pharmacies? Evidence from the North Dakota Telepharmacy Project. September 21, 2011
The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care. August 24, 2005
Effects of an integrated clinical information system on medication safety in a multi-hospital setting. October 17, 2007
Effect of reducing interns' work hours on serious medical errors in intensive care units. March 27, 2005
The effects of three consecutive 12-hour shifts on cognition, sleepiness, and domains of nursing performance in day and night shift nurses: a quasi-experimental study. October 20, 2021
Delay or avoidance of medical care because of COVID-19-related concerns--United States, June 2020. October 7, 2020
Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. November 16, 2022
Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases. May 3, 2023
Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. May 17, 2017
Influence of doctor–patient conversations on behaviours of patients presenting to primary care with new or persistent symptoms: a video observation study. August 14, 2019
Potentially inappropriate prescribing in older patients discharged from acute care hospitals to residential aged care facilities. October 29, 2014
Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. August 13, 2014
A comprehensive obstetric patient safety program reduces liability claims and payments. June 25, 2014
Facilitation of surgical innovation: is it possible to speed the introduction of new technology while simultaneously improving patient safety? April 24, 2019
A comprehensive obstetrics patient safety program improves safety climate and culture. April 20, 2011
Learning from lawsuits: using malpractice claims data to develop care transitions planning tools. August 31, 2016
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Transformative learning in a professional development course aimed at addressing disruptive physician behavior: a composite case study. January 23, 2013
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Adoption of electronic health records grows rapidly, but fewer than half of US hospitals had at least a basic system in 2012. July 24, 2013
An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery. October 24, 2012
Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors. September 5, 2012
How to perform a root cause analysis for workup and future prevention of medical errors: a review. October 19, 2016
Implementing standardized operating room briefings and debriefings at a large regional medical center. August 5, 2009
Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences. April 29, 2009
Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment elevation acute coronary syndromes. January 11, 2006
Relationship between preventability of death after coronary artery bypass graft surgery and all-cause risk-adjusted mortality rates. July 9, 2008
The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice. January 10, 2007
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Effect of delays in the 2-week-wait cancer referral pathway during the COVID-19 pandemic on cancer survival in the UK: a modelling study. August 19, 2020
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Surgical patient safety officers in the United States: negotiating contradictions between compliance and workplace transformation. February 24, 2021
Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions. December 16, 2020
Moving beyond the weekend effect: how can we best target interventions to improve patient care? June 30, 2021
Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration. November 24, 2021
Should electronic differential diagnosis support be used early or late in the diagnostic process? A multicentre experimental study of Isabel. October 27, 2021
Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical center. October 21, 2020
Association of differences in treatment intensification, missed visits, and scheduled follow-up interval with racial or ethnic disparities in blood pressure control. December 22, 2021
A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported. July 22, 2020
Cumulative effect of flexible duty-hour policies on resident outcomes: long-term follow-up results from the FIRST trial. July 15, 2020
Veterans Health Administration response to the COVID-19 crisis: surveillance to action. October 26, 2022
Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. October 25, 2023
Classification of health information technology safety events in a pediatric tertiary care hospital. June 7, 2023
Toward the translation of systems thinking methods in patient safety practice: assessing the validity of Net-HARMS and AcciMap. February 1, 2023
An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences. January 20, 2021
Applied use of safety event occurrence control charts of harm and non-harm events: a case study. July 20, 2016
Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. July 20, 2016
Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. May 4, 2016
Assessing distractors and teamwork during surgery: developing an event-based method for direct observation. October 29, 2014
Analysis of adverse events associated with adult moderate procedural sedation outside the operating room. October 1, 2014
Exploring safety systems for dispensing in community pharmacies: focusing on how staff relate to organizational components. September 17, 2014
Development and validation of the Johns Hopkins Disruptive Clinician Behavior Survey. August 27, 2014
Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. August 13, 2014
Diagnostic error in children presenting with acute medical illness to a community hospital. July 30, 2014
Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists. February 26, 2014