10 medical errors that changed the standard of care.

Image/Poster

10 medical errors that changed the standard of care.

February 15, 2012

Bialek BB. Medscape Today. January 18, 2012.

View more articles from the same authors.

This slide set presents medical errors that led to changes in practice standards.

Free full text

Related Resources From the Same Author(s)

Anesthesia outside of the OR: cause for patient safety concerns?

January 25, 2023

Addressing intimate partner violence and helping to protect patients.

February 2, 2022

Catching deadly drug mistakes.

January 27, 2010

Prescribing errors that cause harm.

October 5, 2016

Far more could be done to stop the deadly bacteria C. diff.

August 29, 2012

Nursing homes cited 1,000 times for medication errors.

August 27, 2014

Medical errors still claiming many lives.

May 18, 2005

Preventing medication errors by empowering patients.

November 18, 2015

Preventing high-alert medication errors in hospital patients.

May 27, 2015

Will false diagnosis cost Minnesota girl her life?

January 18, 2012

Raising and Acting on Concerns about Patient Safety.

January 12, 2012

Patient Safety Resource Center.

March 6, 2005

The War on Error: Common Diagnostic Errors.

March 8, 2017

Safety in the NICU: preventing medical errors.

March 28, 2007

Scalia's death and the value of autopsy: a teachable moment.

April 6, 2016

Cancer diagnoses delayed among prisoners in Washington state.

May 26, 2021

Hospital Incident Reporting Systems Do Not Capture Most Patient Harm.

January 18, 2012

COVID-19 dominates annual list of patient safety concerns.

March 24, 2021

COVID-19 exposes potential gaps in PPE training, effectiveness.

April 22, 2020

Avoiding errors associated with insulin therapy.

May 27, 2009

Battling the obstetric malpractice crisis: improving patient safety, part 1.

November 16, 2005

Is misdiagnosis inevitable?

April 13, 2016

When missing a 'zebra' can land you in court.

March 7, 2018

Petty, dangerous, disruptive doctors: watch out!

August 12, 2015

Seven (potentially) deadly prescribing errors.

November 11, 2015

Pharmacy mixes up prescriptions.

February 16, 2011

Hospitals will still have to share safety data publicly—CMS will publish scorecard of avoidable patient harm after all.

August 17, 2022

When a heart attack goes undiagnosed.

November 8, 2006

Amid COVID-19, discipline against bad doctors plummets; more medical errors may slip through cracks.

September 16, 2020

Nursing homes fined for COVID infection control lapses.

December 9, 2020

Open Notes shines light on errors in patient medical records — will the new rule lead to a flood of correction requests?

September 29, 2021

UCSD, doc who overdosed in hospital bathroom face lawsuits.

March 4, 2020

Nurses seek to reduce long hours and fatigue.

February 11, 2015

Medical errors kill thousands of people each year. But are hospitals getting any safer?

May 17, 2023

Mothers face broken addiction treatment system.

April 12, 2023

Anesthesiologist group says hospitals can prevent fatal errors like Vanderbilt's.

June 15, 2022

CMS proposal to suppress hospital safety data angers advocates — agency says COVID disruptions, staff shortages hamper ability to fairly score poor performers.

June 1, 2022

Will prosecuting medical errors lead to a culture of silence?

April 6, 2022

When we're all responsible for a patient's death, no one is.

November 24, 2021

For doctors, diagnosing gets a technological boost.

September 19, 2007

Doctors must stop tuning out Black women. It happened to me, as a pregnant OB-GYN.

April 26, 2023

Nurse Vaught sentenced for deadly medical error.

May 25, 2022

Patients should know who's operating, surgeons say.

April 20, 2022

Thousands of doctors practicing despite errors, misconduct.

August 28, 2013

Deadly Deliveries.

August 8, 2018

Patient Safety: Committing to Learn and Acting to Improve.

January 15, 2014

Dying for Care.

March 30, 2022

Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals.

January 11, 2023

Paramedics turn to expired drugs due to shortages.

July 25, 2012

Do medical inpatients who report poor service quality experience more adverse events and medical errors?

February 13, 2008

Improving Patient and Worker Safety—Opportunities for Synergy, Collaboration and Innovation.

December 19, 2012

Most adverse events at hospitals still go unreported.

August 22, 2012

Is the FDA to blame for drug shortages?

August 8, 2012

Patient Safety and Satisfaction: The State of American Hospitals.

June 6, 2012

Organ donor's surgery death sparks questions.

April 18, 2012

Patient Safety Article Collection.

August 18, 2021

Dirty surgical tools put patients at risk.

March 7, 2012

How to Make Your Hospital Stay Safer and Cheaper: A Checklist.

November 7, 2012

IBM's Watson is learning its way to saving lives.

October 24, 2012

How-to Guide: Prevent Obstetrical Adverse Events.

October 24, 2012

Patient Safety Measures: Complications.

January 30, 2005

UTMC nurse tossed out kidney, ruined it. National experts say error is rare.

September 5, 2012

National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report.

June 27, 2012

Using Safety Cases in Industry and Healthcare.

February 13, 2013

Medicare study finds teaching hospitals have higher risk of complications; findings disputed.

February 29, 2012

Death of a boy prompts new medical efforts nationwide.

November 7, 2012

Computer viruses are "rampant" on medical devices in hospitals.

October 31, 2012

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2012.

September 26, 2012

2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine.

September 26, 2012

How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations.

August 8, 2012

Surfing the Healthcare Tsunami: Bring Your Best Board.

May 16, 2012

COVID-19 Content. ISMP Medication Safety Alert!

January 14, 2021

Racial and ethnic disparities in obstetric and gynecologic care and role of implicit biases.

May 18, 2023

Association of display of patient photographs in the electronic health record with wrong-patient order entry errors.

December 2, 2020

Drug shortages persist in US, harming care.

November 28, 2012

Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems.

October 31, 2012

Minnesota hospitals are testing ways to reduce return trips.

October 24, 2012

AHRQ patient safety project reduces bloodstream infections by 40 percent.

September 19, 2012

An infection, unnoticed, turns unstoppable.

July 25, 2012

2013 John M. Eisenberg Patient Safety and Quality Award Recipients Announced.

January 29, 2014

2010 John M. Eisenberg Patient Safety and Quality Award Recipients.

January 19, 2011

The cost of quality: an academic health center's annual costs for its quality and patient safety infrastructure.

July 25, 2018

‘Largest maternity scandal in NHS history’: Dozens of mothers and babies died on wards of hospital trust, leaked report reveals

December 18, 2019

Malnourishment 'epidemic' plagues hospitals? Really?

October 1, 2014

Rethinking hospital restraints.

September 3, 2014

‘They can’t ignore us any more’: five women on long Covid and medical misogyny.

October 26, 2022

How safe are compounded drugs?

October 4, 2006

Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care.

September 26, 2012

Preventing medication mistakes.

May 16, 2012

Meeting the Joint Commission's 2013 National Patient Safety Goals.

November 10, 2010

Failure and rescue.

July 11, 2012

What a new doctor learned about medical mistakes from her Mom's death.

January 23, 2013

Home medical device safety tops ECRI'S list of healthcare technology.

February 15, 2023

Cause of death: sloppy doctors.

January 31, 2007

Dying on the waitlist.

March 3, 2021

Anatomy of a medical device recall: How defective products can slip through an outdated system.

October 27, 2021

Preventing errors with high-risk medications.

August 28, 2019

In a culture of disrespect, patients lose out.

July 31, 2013

Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues.

March 18, 2015

When should surgeons stop operating?

July 1, 2015

Related Resources

ISMP Survey on High-Alert Medications in Acute Care Settings.

September 11, 2023

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Serious Reportable Events in Massachusetts.

May 22, 2023

Impact of patient safety climate on infection prevention practices and healthcare worker and patient outcomes.

May 10, 2023

Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers.

January 18, 2023

Estimation of breast cancer overdiagnosis in a U.S. breast screening cohort.

March 16, 2022

Prevalence, contributory factors and severity of medication errors associated with direct-acting oral anticoagulants in adult patients: a systematic review and meta-analysis.

January 12, 2022

Intersystem medical error discovery: a document analysis of ethical guidelines.

January 12, 2022

A standardized formulary to reduce pediatric medication dosing errors: a mixed methods study.

October 6, 2021

Association between in-clinic opioid administration and discharge opioid prescription in urgent care: a retrospective cohort study.

February 17, 2021

An effective intervention: limiting opioid prescribing as a means of reducing opioid analgesic misuse, and overdose deaths.

September 23, 2020

Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event".

August 5, 2020

Indication-specific opioid prescribing for US patients with Medicaid or private Insurance, 2017

June 10, 2020

ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps.

March 4, 2020

Better care for surgical patients: recognizing and responding to the unexpected to save lives.

January 29, 2020

Suicidal patient slips through the cracks.

December 4, 2019

Patient Safety Primers

Opioid Safety

September 7, 2019

Managing the risks of direct oral anticoagulants.

August 7, 2019

Deprescribing Guidelines: Special Section on Symposium Results.

June 26, 2019

Independent double checks: worth the effort if used judiciously and properly.

June 19, 2019

Opioid medication discontinuation and risk of adverse opioid-related health care events.

June 12, 2019

May 15, 2019

Reducing avoidable medication-related harm: what will it take?

May 8, 2019

FDA identifies harm reported from sudden discontinuation of opioid pain medicines and requires label changes to guide prescribers on gradual, individualized tapering.

April 17, 2019

Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report.

April 3, 2019

Advancing the Safety of Acute Pain Management.

March 27, 2019

FactFinders.

February 27, 2019

Defining minimum necessary anticoagulation-related communication at discharge: Consensus of the Care Transitions Task Force of the New York State Anticoagulation Coalition.

November 7, 2018

ASHP guidelines on managing drug product shortages.

August 15, 2018

Speak Up video posters.

March 29, 2018

See More About The Topic

Health Care Providers

Medicine

Practice Guidelines