Study Ambiguities of chronic illness management and challenges to the medical error paradigm. Citation Text: Lutfey KE, Freese J. Ambiguities of chronic illness management and challenges to the medical error paradigm. Soc Sci Med. 2007;64(2):314-25. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL November 8, 2006 Lutfey KE, Freese J. Soc Sci Med. 2007;64(2):314-25. View more articles from the same authors. The authors studied provider understanding of error in two diabetes clinics and found that medical error vocabularies used in acute illness care are mismatched when used regarding chronic illness. PubMed citation Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Lutfey KE, Freese J. Ambiguities of chronic illness management and challenges to the medical error paradigm. Soc Sci Med. 2007;64(2):314-25. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Swapping horses midstream: factors related to physicians' changing their minds about a diagnosis. July 28, 2010 How can the criminal law support the provision of quality in healthcare? April 16, 2014 Knowledge-based errors in anesthesia: a paired, controlled trial of learning and retention. March 18, 2009 Provider and patient perceptions of an external medication history function. August 5, 2015 Preventing communication errors in telephone medicine. October 12, 2005 About politeness, face, and feedback: exploring resident and faculty perceptions of how institutional feedback culture influences feedback practices. September 26, 2018 Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac hospital. November 9, 2011 Assessment of the use of patient vital sign data for preventing misidentification and medical errors. January 25, 2023 The impact of health system membership on patient safety initiatives. January 9, 2008 Risks related to patient bed safety. November 14, 2012 Cognitive error in an academic emergency department. October 10, 2018 Nurse Staffing Levels, Missed Vital Signs and Mortality in Hospitals: Retrospective Longitudinal Observational Study. December 19, 2018 Emotional safety is patient safety. February 15, 2023 mHealth and mobile medical apps: a framework to assess risk and promote safer use. March 1, 2017 Preventability of voluntarily reported or trigger tool–identified medication errors in a pediatric institution by information technology: a retrospective cohort study. June 10, 2015 Risk management in radiology departments. July 15, 2015 Computerized clinical decision support for medication prescribing and utilization in pediatrics. September 26, 2012 State sepsis mandates—a new era for regulation of hospital quality. June 21, 2017 Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. April 2, 2014 Sepsis quality in safety-net hospitals: an analysis of Medicare's SEP-1 performance measure. October 2, 2019 The effect of multidisciplinary care teams on intensive care unit mortality. March 3, 2010 Medication overdoses leading to emergency department visits among children. August 26, 2009 Compensation of chief executive officers at nonprofit US hospitals. October 30, 2013 A guide to evaluation of quality improvement and patient safety educational programs: lessons from the VA Chief Resident in Quality and Safety Program. November 28, 2018 Returning to the roots of culture: a review and re-conceptualisation of safety culture. June 5, 2013 Patient-reported safety and quality of care in outpatient oncology. February 7, 2007 Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. June 3, 2015 Patient safety in the pediatric emergency care setting. January 2, 2008 Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. April 15, 2009 Using a medical emergency team to manage anaphylactic shock. June 4, 2008 Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. January 16, 2019 A mixed method study of the merits of e-prescribing drug alerts in primary care. April 30, 2008 Patient safety indicators for England from hospital administrative data: case-control analysis and comparison with US data. November 5, 2008 How physicians think: a case-based diagnostic simulation exercise. September 16, 2020 Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. December 17, 2008 Rural nurses' safeguarding work: reembodying patient safety. June 15, 2011 Effective communication with primary care providers. October 1, 2014 Guidelines in Practice: prevention of unintentionally retained surgical items. December 7, 2022 'I'm smiling under here': Masks, plexiglass and questions the norm as hospitals lure patients back in COVID-19 era. June 17, 2020 A framework for classifying factors that contribute to error in the emergency department. March 6, 2005 Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency department. April 7, 2010 Defining and studying errors in surgical care: a systematic review. August 17, 2022 Excess mortality caused by medical injury. November 8, 2006 Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project. February 27, 2013 What is the value and impact of quality and safety teams? A scoping review. November 16, 2011 Intravenous smart pumps: usability issues, intravenous medication administration error, and patient safety. July 11, 2018 Integrating knowledge-based resources into the electronic health record: history, current status, and role of librarians. August 29, 2007 Is employee discipline the solution for patient safety? January 4, 2006 Impact of a comprehensive safety initiative on patient-controlled analgesia errors. January 12, 2011 Clostridium Difficile infection in the United States: a national study assessing preventive practices used and perceptions of practice evidence. May 20, 2015 Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. October 24, 2018 ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: a meta-analysis. May 3, 2017 Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors. August 31, 2011 Patient safety and quality improvement education: a cross-sectional study of medical students' preferences and attitudes. April 24, 2013 Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care. March 27, 2013 Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an interrupted time series. September 5, 2012 What US hospitals are currently doing to prevent common device-associated infections: results from a national survey. May 8, 2019 Incidence of clinically relevant medication errors in the era of electronically prepopulated medication reconciliation forms: a retrospective chart review. May 17, 2017 Diagnostic errors in the pediatric and neonatal ICU: a systematic review. March 4, 2015 Analysis and prioritization of near-miss adverse events in a radiology department. May 11, 2011 Checklists change communication about key elements of patient care. October 10, 2012 Knowledge-based information to improve the quality of patient care. February 25, 2009 Quality improvement to decrease specimen mislabeling in transfusion medicine. September 20, 2006 Profiles in patient safety: authority gradients in medical error. March 6, 2005 Human factors and simulation in emergency medicine. March 21, 2018 A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. February 28, 2007 Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement. October 13, 2010 Choice, transparency, coordination, and quality among direct-to-consumer telemedicine websites and apps treating skin disease. June 1, 2016 Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. January 25, 2006 Medication errors in the home: a multisite study of children with cancer. May 15, 2013 Effect of point-of-care computer reminders on physician behaviour: a systematic review. March 24, 2010 Impact of implementing alerts about medication black-box warnings in electronic health records. January 19, 2011 Focused ethnography of diagnosis in academic medical centers. May 9, 2018 Electronic health records in ambulatory care- a national survey of physicians. June 25, 2008 The disclosure of unanticipated outcomes of care and medical errors: what does this mean for anesthesiologists? June 29, 2011 Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. March 20, 2013 Medication administration errors: understanding the issues. April 26, 2006 A secondary care nursing perspective on medication administration safety. September 26, 2007 Addressing medication errors - the role of undergraduate nurse education. August 2, 2006 Liability associated with obstetric anesthesia: a closed claims analysis. January 21, 2009 Safe practices for copy and paste in the EHR. Systematic review, recommendations, and novel model for health IT collaboration. February 8, 2017 Parent preferences for medical error disclosure: a qualitative study. February 1, 2017 Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1). May 5, 2021 Psychological safety in intensive care unit rounding teams. July 21, 2021 Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. May 28, 2008 Medication errors in acute cardiovascular and stroke patients. A scientific statement from the American Heart Association. April 7, 2010 A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus. March 26, 2014 Unprofessional workplace conduct...defining and defusing it. October 26, 2016 In-facility delirium programs as a patient safety strategy: a systematic review. March 13, 2013 Building an ambulatory safety program at an academic health system. May 15, 2019 Flow accuracy of IV smart pumps outside of patient rooms during COVID-19. February 24, 2021 Assessing diagnostic performance. February 14, 2024 Examining medication errors in a tertiary hospital. December 20, 2006 Patient safety: through the eyes of your peers. July 5, 2006 Is consent required for publication of medical errors? November 9, 2005 A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: what works for whom and why? December 2, 2020 The effects of on-screen, point of care computer reminders on processes and outcomes of care. September 2, 2009 Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. November 5, 2014 Electronic health records, communication, and data sharing: challenges and opportunities for improving the diagnostic process. August 14, 2019 Surgical team behaviors and patient outcomes. October 1, 2008 View More Related Resources These patients had to lobby for correct diabetes diagnoses. Was their race a reason? January 17, 2024 Annual Perspective Improving Diagnostic Safety and Quality April 26, 2023 WebM&M Cases Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue. March 29, 2023 Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening program in an urban emergency department in the US. February 22, 2023 Reducing potential errors associated with insulin administration: an integrative review. December 14, 2022 Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review. October 5, 2022 WebM&M Cases Delayed Diagnosis of Mesenteric Ischemia August 31, 2022 Review of medication error sources associated with inpatient subcutaneous insulin: recommendations for safe and cost-effective dispensing practices. August 24, 2022 Routine multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases of severe maternal morbidity. March 30, 2022 Adverse glycemic events and critical emergencies. December 15, 2021 Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident reporters' views. November 24, 2021 Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients. September 22, 2021 Epidemiology of healthcare harm in New Zealand general practice: a retrospective records review study. July 28, 2021 Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment. July 14, 2021 Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices. June 30, 2021 Outpatient insulin-related adverse events due to mix-up errors: findings from two national surveillance systems, United States, 2012-2017. March 24, 2021 Reaching the summit of discharge summaries: a quality improvement project. March 3, 2021 Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. February 3, 2021 Missing the near miss: recognizing valuable learning opportunities in radiation oncology. December 16, 2020 Safe use of the EHR by medical scribes: a qualitative study. November 18, 2020 Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. November 4, 2020 Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. November 4, 2020 FDA advises health care professionals and patients about insulin pen packaging and dispensing. October 28, 2020 Variability in collection and use of race/ethnicity and language data in 93 pediatric hospitals. October 14, 2020 Association of implementation and social network factors with patient safety culture in medical homes: a coincidence analysis. September 2, 2020 Communication through the electronic health record: frequency and implications of free text orders. July 29, 2020 A machine learning approach to reclassifying miscellaneous patient safety event reports. July 29, 2020 Patient feedback for safety improvement in primary care: results from a feasibility study. July 29, 2020 Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial. July 29, 2020 A description of medical malpractice claims involving advanced practice providers. July 15, 2020 View More See More About The Topic Ambulatory Clinic or Office Quality and Safety Professionals Endocrinology Quality Improvement Strategies Error Analysis
Swapping horses midstream: factors related to physicians' changing their minds about a diagnosis. July 28, 2010
Knowledge-based errors in anesthesia: a paired, controlled trial of learning and retention. March 18, 2009
About politeness, face, and feedback: exploring resident and faculty perceptions of how institutional feedback culture influences feedback practices. September 26, 2018
Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac hospital. November 9, 2011
Assessment of the use of patient vital sign data for preventing misidentification and medical errors. January 25, 2023
Nurse Staffing Levels, Missed Vital Signs and Mortality in Hospitals: Retrospective Longitudinal Observational Study. December 19, 2018
Preventability of voluntarily reported or trigger tool–identified medication errors in a pediatric institution by information technology: a retrospective cohort study. June 10, 2015
Computerized clinical decision support for medication prescribing and utilization in pediatrics. September 26, 2012
Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. April 2, 2014
Sepsis quality in safety-net hospitals: an analysis of Medicare's SEP-1 performance measure. October 2, 2019
A guide to evaluation of quality improvement and patient safety educational programs: lessons from the VA Chief Resident in Quality and Safety Program. November 28, 2018
Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. June 3, 2015
Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. April 15, 2009
Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. January 16, 2019
Patient safety indicators for England from hospital administrative data: case-control analysis and comparison with US data. November 5, 2008
Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. December 17, 2008
'I'm smiling under here': Masks, plexiglass and questions the norm as hospitals lure patients back in COVID-19 era. June 17, 2020
A framework for classifying factors that contribute to error in the emergency department. March 6, 2005
Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency department. April 7, 2010
Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project. February 27, 2013
Intravenous smart pumps: usability issues, intravenous medication administration error, and patient safety. July 11, 2018
Integrating knowledge-based resources into the electronic health record: history, current status, and role of librarians. August 29, 2007
Clostridium Difficile infection in the United States: a national study assessing preventive practices used and perceptions of practice evidence. May 20, 2015
Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. October 24, 2018
ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: a meta-analysis. May 3, 2017
Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors. August 31, 2011
Patient safety and quality improvement education: a cross-sectional study of medical students' preferences and attitudes. April 24, 2013
Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care. March 27, 2013
Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an interrupted time series. September 5, 2012
What US hospitals are currently doing to prevent common device-associated infections: results from a national survey. May 8, 2019
Incidence of clinically relevant medication errors in the era of electronically prepopulated medication reconciliation forms: a retrospective chart review. May 17, 2017
A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. February 28, 2007
Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement. October 13, 2010
Choice, transparency, coordination, and quality among direct-to-consumer telemedicine websites and apps treating skin disease. June 1, 2016
Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. January 25, 2006
Effect of point-of-care computer reminders on physician behaviour: a systematic review. March 24, 2010
Impact of implementing alerts about medication black-box warnings in electronic health records. January 19, 2011
The disclosure of unanticipated outcomes of care and medical errors: what does this mean for anesthesiologists? June 29, 2011
Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. March 20, 2013
Safe practices for copy and paste in the EHR. Systematic review, recommendations, and novel model for health IT collaboration. February 8, 2017
Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1). May 5, 2021
Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. May 28, 2008
Medication errors in acute cardiovascular and stroke patients. A scientific statement from the American Heart Association. April 7, 2010
A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus. March 26, 2014
A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: what works for whom and why? December 2, 2020
The effects of on-screen, point of care computer reminders on processes and outcomes of care. September 2, 2009
Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. November 5, 2014
Electronic health records, communication, and data sharing: challenges and opportunities for improving the diagnostic process. August 14, 2019
These patients had to lobby for correct diabetes diagnoses. Was their race a reason? January 17, 2024
WebM&M Cases Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue. March 29, 2023
Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening program in an urban emergency department in the US. February 22, 2023
Reducing potential errors associated with insulin administration: an integrative review. December 14, 2022
Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review. October 5, 2022
Review of medication error sources associated with inpatient subcutaneous insulin: recommendations for safe and cost-effective dispensing practices. August 24, 2022
Routine multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases of severe maternal morbidity. March 30, 2022
Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident reporters' views. November 24, 2021
Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients. September 22, 2021
Epidemiology of healthcare harm in New Zealand general practice: a retrospective records review study. July 28, 2021
Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment. July 14, 2021
Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices. June 30, 2021
Outpatient insulin-related adverse events due to mix-up errors: findings from two national surveillance systems, United States, 2012-2017. March 24, 2021
Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. February 3, 2021
Missing the near miss: recognizing valuable learning opportunities in radiation oncology. December 16, 2020
Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. November 4, 2020
Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. November 4, 2020
FDA advises health care professionals and patients about insulin pen packaging and dispensing. October 28, 2020
Variability in collection and use of race/ethnicity and language data in 93 pediatric hospitals. October 14, 2020
Association of implementation and social network factors with patient safety culture in medical homes: a coincidence analysis. September 2, 2020
Communication through the electronic health record: frequency and implications of free text orders. July 29, 2020
A machine learning approach to reclassifying miscellaneous patient safety event reports. July 29, 2020
Patient feedback for safety improvement in primary care: results from a feasibility study. July 29, 2020
Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial. July 29, 2020