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. Copy Citation Format: DOIGoogle ScholarBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) The Research on Adverse Drug Events and Reports (RADAR) project. May 18, 2005 Optimizing Pediatric Patient Safety in the Emergency Care Setting. October 19, 2022 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 The effect of clinician feedback interventions on opioid prescribing. April 27, 2022 Retained surgical items: a problem yet to be solved. October 31, 2012 A randomized trial of a multifactorial strategy to prevent serious fall injuries. July 29, 2020 A patient reported approach to identify medical errors and improve patient safety in the emergency department. 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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
Do physicians know when their diagnoses are correct? Implications for decision support and error reduction. September 7, 2005
The impact of the 80-hour resident workweek on surgical residents and attending surgeons. July 12, 2006
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
Effects of an integrated clinical information system on medication safety in a multi-hospital setting. October 17, 2007
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
Effect of reducing interns' work hours on serious medical errors in intensive care units. March 27, 2005
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
Delay or avoidance of medical care because of COVID-19-related concerns--United States, June 2020. October 7, 2020
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
Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. May 17, 2017
How to perform a root cause analysis for workup and future prevention of medical errors: a review. October 19, 2016
Primary care physician communication at hospital discharge reduces medication discrepancies. December 18, 2013
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
The medical student as a patient: attitudes towards involvement in the quality and safety of health care. October 30, 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
Transformative learning in a professional development course aimed at addressing disruptive physician behavior: a composite case study. January 23, 2013
Learning from lawsuits: using malpractice claims data to develop care transitions planning tools. August 31, 2016
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
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
Relationship between preventability of death after coronary artery bypass graft surgery and all-cause risk-adjusted mortality rates. July 9, 2008
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The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice. January 10, 2007
E-prescribing, efficiency, quality: lessons from the computerization of UK family practice. September 20, 2006
Extended work duration and the risk of self-reported percutaneous injuries in interns. September 6, 2006
Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment elevation acute coronary syndromes. January 11, 2006
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
Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. October 25, 2023
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
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Veterans Health Administration response to the COVID-19 crisis: surveillance to action. October 26, 2022
National improvements in resident physician-reported patient safety after limiting first-year resident physicians' extended duration work shifts: a pooled analysis of prospective cohort studies. May 25, 2022
Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years. February 8, 2023
A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. January 11, 2023
Conceptual and practical challenges associated with understanding patient safety within community-based mental health services. December 7, 2022
Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study. April 26, 2023
How to do no harm: empowering local leaders to make care safer in low-resource settings. March 3, 2021
First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality. March 3, 2021
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
Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical center. October 21, 2020
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