Commentary Iatrogenic delirium and coma: a "near miss." Citation Text: Dunn WF, Adams SC, Adams RW. Iatrogenic delirium and coma: a "near miss". Chest. 2008;133(5):1217-20. doi:10.1378/chest.08-0471. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL May 21, 2008 Dunn WF, Adams SC, Adams RW. Chest. 2008;133(5):1217-20. View more articles from the same authors. This case report describes how diagnostic and medication errors led to a temporary coma. The article features the views of both the patient and her husband, and an accompanying editorial discusses disclosing errors to patients. PubMed citation Free full text Related editorial Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Dunn WF, Adams SC, Adams RW. Iatrogenic delirium and coma: a "near miss". Chest. 2008;133(5):1217-20. doi:10.1378/chest.08-0471. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) The heart of darkness: the impact of perceived mistakes on physicians. March 6, 2005 A piece of my mind. Coping with fallibility. March 6, 2005 Investigating patient safety culture across a health system: multilevel modelling of differences associated with service types and staff demographics. July 25, 2012 Another look at medical error. March 6, 2005 Measuring hospital-acquired complications associated with low-value care. March 6, 2019 Simulation, mastery learning and healthcare. March 1, 2017 Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper. April 21, 2021 Rapid response teams: what's the latest? March 14, 2018 Sleep and circadian misalignment for the hospitalist: a review. 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Investigating patient safety culture across a health system: multilevel modelling of differences associated with service types and staff demographics. July 25, 2012
Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper. April 21, 2021
Best practices: an electronic drug alert program to improve safety in an accountable care environment. July 1, 2015
Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations. March 10, 2010
Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems. April 8, 2015
Standard practices for computerized clinical decision support in community hospitals: a national survey. July 11, 2012
Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems. December 13, 2006
Addressing the elephant in the room: a shame resilience seminar for medical students. August 28, 2019
Medicare's decision to withhold payment for hospital errors: the devil is in the details. January 30, 2008
User-centered collaborative design and development of an inpatient safety dashboard. September 20, 2017
Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions. December 12, 2007
Implementation and spread of a simple and effective way to improve the accuracy of medicines reconciliation on discharge: a hospital-based quality improvement project and success story. September 11, 2019
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Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. March 22, 2017
From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. March 2, 2016
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Meaningful use of health information technology and declines in in-hospital adverse drug events. March 8, 2017
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The Veterans Affairs National Quality Scholars Program: a model for interprofessional education in quality and safety. August 22, 2012
Enhancing the effectiveness of team debriefings in medical simulation: more best practices. March 11, 2015
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Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure. November 22, 2017
The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study. August 24, 2022
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The surgical safety checklist and teamwork coaching tools: a study of inter-rater reliability. July 30, 2014
Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. October 26, 2022
Case not closed: prescription errors 12 years after computerized physician order entry implementation. January 31, 2018
Organizational response to known medical errors: does peer review protection impede improvement? May 30, 2018
The effects of hospital-physician financial integration on adverse incident rate: an agency theory perspective. October 21, 2020
Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. November 9, 2005
Clinical faculty: taking the lead in teaching quality improvement and patient safety. October 8, 2014
Interview In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity March 27, 2024
WebM&M Cases I Just Want to Go Home: Understanding Delirium’s Impact on Treatment Preferences March 27, 2024
Patient safety indicators during the initial COVID-19 pandemic surge in the United States. March 27, 2024
Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a medical record review across nine Swiss hospitals. January 10, 2024
Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic review. May 3, 2023
WebM&M Cases Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation March 15, 2023
Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital. September 14, 2022
Adverse event reviews in healthcare: what matters to patients and their family? A qualitative study exploring the perspective of patients and family. June 1, 2022
Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care. May 11, 2022
'More than words' - interpersonal communication, cognitive bias and diagnostic errors. August 11, 2021
Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. April 21, 2021
Patient Safety Innovations Hospital at Home℠ Care Reduces Costs, Readmissions, and Complications and Enhances Satisfaction for Elderly Patients. April 7, 2021
Pediatric clinician comfort discussing diagnostic errors for improving patient safety: a survey. April 22, 2020
Communicating with patients about diagnostic errors in breast cancer care: providers' attitudes, experiences, and advice January 22, 2020
Disclosure of harmful medical error to patients: a review with recommendations for pathologists. February 7, 2018