{1}
##LOC[OK]##
{1}
##LOC[OK]##
##LOC[Cancel]##
{1}
##LOC[OK]##
##LOC[Cancel]##
Skip Navigation
www.ahrq.gov
search
home
whatsnew
collection
primers
glossary
newsletter
mypsnet
newsletter
The Collection
>
Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience
Conway JB, Weingart SN. AHRQ WebM&M [serial online]. May 2005.
A decade ago, two tragic medical errors rocked one of the world’s great cancer hospitals, Dana-Farber Cancer Institute (DFCI) in Boston, to its core. The errors led to considerable soul searching and, ultimately, a major change in institutional practices a...
Free full text
Related Resources
NEWSPAPER/MAGAZINE ARTICLE
Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman.
Knox RA. The Boston Globe. March 23, 1995; Metro/Region section: 1.
NEWSPAPER/MAGAZINE ARTICLE
How safe do patients feel?
Wolosin R, Vercler L, Matthews J. Patient Safety & Quality Healthcare. November/December 2005;2:40-44.
STUDY
The long road to patient safety: a status report on patient safety systems.
Longo DR, Hewett JE, Ge B, Schubert S. JAMA. 2005;294:2858-2865.
COMMENTARY
Language Barrier
Flores G. AHRQ WebM&M [serial online]. April 2006.
View all related resources...
Download:
Adobe Reader
Email
Find Related Resources by...
Resource Type
Commentary
Setting of Care
Specialty Hospitals
Target Audience
Health Care Providers
Health Care Executives and Administrators
Organizational Behaviorists
Media
Policy Makers
Patients
Clinical Area
Medical Oncology
Safety Target
Medication Errors/Preventable Adverse Drug Events
Chemotherapeutic Agents
Error Types
Latent Errors
Approach to Improving Safety
Practice Guidelines
Role of the Media
Error Reporting
Root Cause Analysis
Provider-Patient Communication
Forcing Functions
Culture of Safety