Failure to notify reportable test results: significance in medical malpractice.

Brian D. Gale; Dana P. Bissett-Siegel; Steven J. Davidson; David C. Juran

Study

Failure to notify reportable test results: significance in medical malpractice.

December 21, 2011

Gale BD, Bissett-Siegel DP, Davidson SJ, et al. J Am Coll Radiol. 2011;8(11):776-9.

View more articles from the same authors.

This analysis of closed malpractice claims over an 18-year period identified more than 300 cases of malpractice attributable to failure to communicate test results in a timely fashion. The incidence of such errors appeared to increase over the time period studied.

PubMed citation

Available at

Related news article

Related Resources From the Same Author(s)

Exploring the causes of COPD misdiagnosis in primary care: a mixed methods study.

April 10, 2024

What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety.

June 12, 2019

Perioperative patient safety: correct patient, correct surgery, correct side--a multifaceted, cross-organizational, interventional study.

August 8, 2007

Effect of a real-time pediatric ICU safety bundle dashboard on quality improvement measures.

September 2, 2015

Sleep quality and fatigue among prehospital providers.

April 7, 2010

The influence of 'Tall Man' lettering on errors of visual perception in the recognition of written drug names.

March 16, 2011

Patient outcomes after the introduction of statewide ICU nurse staffing regulations.

September 26, 2018

Interpretive error in radiology.

March 1, 2017

A systems approach to patient-centered care.

January 3, 2007

The active components of effective training in obstetric emergencies.

June 10, 2009

In patient safety efforts, pharmacists gain new prominence.

January 23, 2019

Patient education to prevent falls among older hospital inpatients: a randomized controlled trial.

December 1, 2010

Systemic error in radiology.

August 9, 2017

A team training program using human factors to enhance patient safety.

December 19, 2007

Surgical management and outcomes of 165 colonoscopic perforations from a single institution.

August 6, 2008

Communication errors in radiology—pitfalls and how to avoid them.

August 1, 2018

Severe staffing and personal protective equipment shortages faced by nursing homes during the COVID-19 pandemic.

September 16, 2020

Patient safety: where to aim when zero harm is not the target-a case for learning and resilience.

August 31, 2022

Medication errors with antituberculosis therapy in an inpatient, academic setting: forgotten but not gone.

February 10, 2016

Prevalence, nature, severity and risk factors for prescribing errors in hospital inpatients: prospective study in 20 UK hospitals.

August 26, 2015

Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges and opportunities.

August 10, 2022

Alliance between society and medicine: the public's stake in medical professionalism.

August 15, 2007

Reducing prescribing errors in hospitalized children on the ketogenic diet.

February 24, 2021

Patient safety: mindful, meaningful, and fulfilling.

October 19, 2005

Database construction for improving patient safety by examining pathology errors.

September 28, 2005

Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance.

March 16, 2022

A piece of my mind. Mentorship malpractice.

April 20, 2016

Identifying patients with sepsis on the hospital wards.

June 7, 2017

Health plan members' views about disclosure of medical errors.

March 6, 2005

Computerized surveillance of adverse drug events in hospital patients.

March 27, 2005

Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs.

December 7, 2005

Development of a Web-based surgical booking and informed consent system to reduce the potential for error and improve communication.

February 26, 2014

The July effect: an analysis of never events in the nationwide inpatient sample.

April 15, 2015

Variation in caregiver perceptions of teamwork climate in labor and delivery units.

July 5, 2006

More to teamwork than knowledge, skill and attitude.

September 1, 2010

Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality.

March 27, 2005

Transforming healthcare: a safety imperative.

December 9, 2009

Diagnosis is a team sport—partnering with allied health professionals to reduce diagnostic errors: a case study on the role of a vestibular therapist in diagnosing dizziness.

July 27, 2016

Management reasoning: beyond the diagnosis.

May 23, 2018

Current and emerging infectious risks of blood transfusions.

March 27, 2005

The impact of critical event checklists on medical management and teamwork during simulated crises in a surgical daycare facility.

June 28, 2017

Diagnostic error in the pediatric hospital: a narrative review.

February 9, 2022

Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester Patient Safety Assessment Framework.

December 21, 2005

Abbreviation use decreases effective clinical communication and can compromise patient safety.

October 4, 2023

Impact of the initial response to COVID-19 on long-term care for people with intellectual disability: an interrupted time series analysis of incident reports.

October 14, 2020

Failures in the respectful care of critically ill patients.

October 10, 2018

Patient safety: where is nursing education?

March 14, 2007

Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study.

September 14, 2016

The Research on Adverse Drug Events and Reports (RADAR) project.

May 18, 2005

Discussing harm-causing errors with patients: an ethics primer for plastic surgeons.

June 11, 2014

Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and influencing factors.

April 21, 2010

The effect of facility complexity on perceptions of safety climate in the operating room: size matters.

June 16, 2010

Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program.

September 14, 2011

Reliability of verbal handoff assessment and handoff quality before and after implementation of a resident handoff bundle.

June 22, 2016

Human factors in anaesthetic practice: insights from a task analysis.

March 19, 2008

Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-quality and safety considerations.

February 1, 2023

Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days.

June 17, 2020

Time for prefilled syringes - everywhere.

March 13, 2024

Implementing medication reconciliation in outpatient pediatrics.

December 14, 2011

The effects of electrode misplacement on clinicians' interpretation of the standard 12-lead electrocardiogram.

November 7, 2012

A prevalence study of errors in opioid prescribing in a large teaching hospital.

August 10, 2011

Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system.

August 13, 2014

Motivational influences on anaesthetists' use of practice guidelines.

May 13, 2009

Unintended doses in radiotherapy—over, under and outside?

April 18, 2018

Language barriers and understanding of hospital discharge instructions.

May 16, 2012

Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review.

November 15, 2006

Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician order entry systems.

April 19, 2006

Preventable errors in the operating room: retained foreign bodies after surgery--part I.

July 25, 2007

Psychometric properties of the Hospital Survey on Patient Safety Culture: findings from the UK.

May 5, 2010

Cognitive errors detected in anaesthesiology: a literature review and pilot study.

January 25, 2012

Simulation study of rested versus sleep-deprived anesthesiologists.

January 9, 2005

Reducing central line–associated bloodstream infections in North Carolina NICUs.

February 26, 2014

Inappropriate preinjury warfarin use in trauma patients: a call for a safety initiative.

May 18, 2016

Patterns of nurse–physician communication and agreement on the plan of care.

June 9, 2010

Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES).

October 31, 2012

The published literature on handoffs in hospitals: deficiencies identified in an extensive review.

May 5, 2010

Medication reconciliation in the emergency department: opportunities for workflow redesign.

December 15, 2010

Significant and sustained reduction in chemotherapy errors through improvement science.

April 5, 2017

Automated adverse event detection collaborative: electronic adverse event identification, classification, and corrective actions across academic pediatric institutions.

December 18, 2013

Consumer rankings and health care: toward validation and transparency.

October 12, 2016

Seasoned surgeons assessed in a laparoscopic surgical crisis.

May 13, 2009

Adherence to Surgical Care Improvement Project measures and the association with postoperative infections.

June 30, 2010

Association between implementation of a medical team training program and surgical mortality.

October 20, 2010

Association between implementation of a medical team training program and surgical morbidity.

January 4, 2012

Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey.

March 3, 2021

A national assessment on patient safety curricula in undergraduate medical education: results from the 2012 clerkship directors in internal medicine survey.

April 8, 2020

Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence rate for patient safety indicators: results from 66 Georgia hospitals.

October 10, 2007

Impact of organizational leadership on physician burnout and satisfaction.

February 3, 2016

Do staffing levels predict missed nursing care?

June 29, 2011

Staff perceptions of quality of care: an observational study of the NHS Staff Survey in hospitals in England.

April 17, 2013

A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response system.

December 16, 2009

I-PASS, a mnemonic to standardize verbal handoffs.

April 11, 2012

Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system.

February 20, 2008

Pharmacist staffing, technology use, and implementation of medication safety practices in rural hospitals.

October 25, 2006

A randomised controlled trial of the effect of continuous electronic physiological monitoring on the adverse event rate in high risk medical and surgical patients.

December 6, 2006

Cost implications of actual and potential adverse events prevented by interventions of a critical care pharmacist.

December 5, 2007

Variation in emergency medical services workplace safety culture.

November 10, 2010

Effective followership: a standardized algorithm to resolve clinical conflicts and improve teamwork.

August 12, 2015

Unplanned return to theater: a quality of care and risk management index?

May 27, 2015

What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories.

December 21, 2005

Related Resources

Annual Perspective

Equity in Patient Safety

March 27, 2024

Perspective

Patient Safety in Office-Based Care Settings

January 31, 2024

Interview

In Conversation with...Richard Ricciardi about Office-Based Patient Safety

January 31, 2024

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Factors associated with diagnostic error: an analysis of closed medical malpractice claims.

April 19, 2023

Trial and error: learning from malpractice claims in childhood surgery.

August 24, 2022

Factors associated with malpractice claim payout: an analysis of closed emergency department claims.

July 13, 2022

Frequency and nature of communication and handoff failures in medical malpractice claims.

April 6, 2022

A Conversation Among Stakeholders on Medical Malpractice.

April 6, 2022

Patient safety assurance in the age of defensive medicine: a review.

March 2, 2022

Communication failures contributing to patient injury in anaesthesia malpractice claims.

September 1, 2021

Implicit bias in stroke care: a recurring old problem in the rising incidence of young stroke.

January 27, 2021

Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives.

November 25, 2020

Evidence that nurses need to participate in diagnosis: lessons from malpractice claims.

April 29, 2020

Body of evidence: do autopsy findings impact medical malpractice claim outcomes?

April 29, 2020

Annual Perspective

Patient Safety in Primary Care

February 21, 2020

What is an ethically informed approach to managing patient safety risk during discharge planning?

January 20, 2020

Error Reduction and Prevention in Surgical Pathology, Second Edition.

August 28, 2019

Missed diagnosis of cancer in primary care: insights from malpractice claims data.

August 7, 2019

"Sorry" is never enough: how state apology laws fail to reduce medical malpractice liability risk.

April 24, 2019

Reducing diagnostic errors worldwide through diagnostic management teams.

April 3, 2019

Changes in practice among physicians with malpractice claims.

April 3, 2019

Endorsements of surgeon punishment and patient compensation in rested and sleep-restricted individuals.

March 27, 2019

Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error.

March 27, 2019

Trends in anesthesia-related liability and lessons learned.

March 6, 2019

Association of emotional intelligence with malpractice claims: a review.

February 13, 2019

Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors.

October 24, 2018

Curing our diagnostic disorder.

October 25, 2017

Clinician perspectives on the management of abnormal subcritical tests in an urban academic safety-net health care system.

October 4, 2017

Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study.

October 5, 2016

See More About The Topic

Physicians

Risk Managers

Pathology and Laboratory Medicine

Diagnostic Errors

Discontinuities, Gaps, and Hand-Off Problems

Failure to notify reportable test results: significance in medical malpractice.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Failure to notify reportable test results: significance in medical malpractice.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site