Farewell to a cancer that never was.

Jeff Lyon

Commentary

Farewell to a cancer that never was.

May 31, 2017

Lyon J. JAMA. 2017;317(18):1824-1825.

View more articles from the same authors.

Overdiagnosis can result in financial, psychological, and physical harm for patients. This commentary discusses the reclassification of a subtype of thyroid cancer as a nonmalignancy and the impact changing guidelines can have on patients.

PubMed citation

Available at

Related journal article

Related website

Related Resources From the Same Author(s)

Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector.

June 10, 2009

Should patients have a role in patient safety? A safety engineering view.

April 25, 2007

Eight-year experience with a neurosurgical checklist.

August 18, 2010

Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices.

April 18, 2018

Risk management, or just a different risk?

September 6, 2006

Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity, mortality, and safety.

November 13, 2013

Time-out and checklists: a survey of rural and urban operating room personnel.

April 12, 2017

The pursuit of better diagnostic performance: a human factors perspective.

June 19, 2013

A national survey of safe practice with epidural analgesia in obstetric units.

May 7, 2008

Health care governance for quality and safety: the new agenda.

June 20, 2007

A salutary tale of mistaken identity in testicular cancer.

September 27, 2006

Near misses: paradoxical realities in everyday clinical practice.

February 11, 2009

Patient safety: learning from the aviation industry.

January 24, 2007

Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication orders.

September 20, 2006

Patient safety: moving the bar in prison health care standards.

October 13, 2010

Health care providers’ negative implicit attitudes and stereotypes of American Indians.

March 31, 2021

Impact of nursing on hospital patient mortality: a focused review and related policy implications.

February 22, 2006

Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in the current opioid epidemic.

October 1, 2014

Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices.

October 28, 2020

Learning from near misses: from quick fixes to closing off the Swiss-cheese holes.

March 7, 2012

The mixed blessings of smart infusion devices and health care IT.

October 8, 2014

Catching and correcting near misses: the collective vigilance and individual accountability trade-off.

April 11, 2012

Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative.

August 2, 2023

Clinical impact associated with corrected results in clinical microbiology testing.

June 22, 2005

Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool.

September 27, 2023

The effect of automated alerts on provider ordering behavior in an outpatient setting.

September 21, 2005

What near misses tell us about risk and safety in mental health care.

November 30, 2011

Reducing retained foreign objects in the operating room: a quality improvement initiative.

December 20, 2023

Medication errors involving patient-controlled analgesia.

March 5, 2008

The rate and costs attributable to intravenous patient-controlled analgesia errors.

April 29, 2009

Safe medication prescribing: training and experience of medical students and housestaff at a large teaching hospital.

July 13, 2005

Characterising ICU–ward handoffs at three academic medical centres: process and perceptions.

March 20, 2019

Enhancing the effectiveness of team debriefings in medical simulation: more best practices.

March 11, 2015

On the ball: leadership for patient safety and learning in critical care.

August 12, 2009

The effects of a 'discharge time-out' on the quality of hospital discharge summaries.

May 30, 2012

Effects of the I-PASS nursing handoff bundle on communication quality and workflow.

August 9, 2017

Association of resident fatigue and distress with perceived medical errors.

September 30, 2009

Microanalysis of video from the operating room: an underused approach to patient safety research.

June 28, 2017

Effect of noise on auditory processing in the operating room.

May 29, 2013

Applicability of Healthcare Failure Mode and Effects Analysis to healthcare epidemiology: evaluation of the sterilization and use of surgical instruments.

September 21, 2005

Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members.

September 4, 2013

Development of a multicomponent intervention to decrease racial bias among healthcare staff.

July 27, 2022

Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation.

August 5, 2020

What are the critical success factors for team training in health care?

August 5, 2009

The effect of an organizational network for patient safety on safety event reporting.

August 28, 2013

Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes.

June 22, 2011

Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014.

January 13, 2016

Medication reconciliation improvement utilizing process redesign and clinical decision support.

January 29, 2020

The anatomy of health care team training and the state of practice: a critical review.

October 20, 2010

Impact of organizational leadership on physician burnout and satisfaction.

February 3, 2016

Support from hospital to home for elders: a randomized trial.

October 15, 2014

Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry.

January 24, 2024

Integrating implementation science in a quality and patient safety improvement learning collaborative: essential ingredients and impact.

April 19, 2023

Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures.

September 21, 2011

Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study.

September 6, 2006

Pharmacist medication assessments in a surgical preadmission clinic.

June 13, 2007

Does teamwork improve performance in the operating room? A multilevel evaluation.

March 3, 2010

New legal protections for reporting patient errors under the Patient Safety and Quality Improvement Act: a review of the medical literature and analysis.

September 1, 2010

"SWARMing" to improve patient care: a novel approach to root cause analysis.

November 4, 2015

Burnout and satisfaction with work-life balance among US physicians relative to the general US population.

September 12, 2012

Inpatient housestaff discontinuity of care and patient adverse events.

April 27, 2016

Burnout and medical errors among American surgeons.

December 9, 2009

Implications of the failure to identify high-risk electrocardiogram findings for the quality of care of patients with acute myocardial infarction: results of the Emergency Department Quality in Myocardial Infarction (EDQMI) study.

November 8, 2006

Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention toolkit.

August 9, 2017

Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study.

June 6, 2018

Special report: suicidal ideation among American surgeons.

February 2, 2011

Patients' concerns about medical errors during hospitalization.

January 3, 2007

Association of a surgical task during training with team skill acquisition among surgical residents: the missing piece in multidisciplinary team training.

June 7, 2017

Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure.

March 9, 2022

Patient concerns about medical errors in emergency departments.

March 6, 2005

Improving emergency medicine clinician awareness of prehospital-administered medications.

August 9, 2023

Impact of COVID-19 on inpatient clinical emergencies: a single-center experience.

June 9, 2021

Improving patient safety in intensive care units in Michigan.

June 25, 2008

Quality and safety implications of emergency department information systems.

July 17, 2013

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

May 18, 2005

Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial.

July 18, 2012

To do no harm - and the most good - with AI in health care.

March 13, 2024

Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement.

July 28, 2021

Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19.

April 12, 2023

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

Related Resources

Annual Perspective

Equity in Patient Safety

March 27, 2024

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Quality and Safety Considerations in Intensity Modulated Radiation Therapy: An ASTRO Safety White Paper Update.

May 17, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Early diagnosis of cancer: systems approach to support clinicians in primary care.

April 5, 2023

Interview

In Conversation with... Ellen Deutsch, MD, MS, FACS, FAAP, FSSH, CPPS

December 14, 2022

Perspective

Resilient Healthcare and the Safety-I and Safety-II Frameworks

December 14, 2022

A perfect storm averted: flawed systems, a dropped ball, and cognitive biases delay a critical diagnosis.

November 2, 2022

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

March 16, 2022

Achieving Excellence in Cancer Diagnosis: Proceedings of a Workshop—in Brief.

October 5, 2021 - October 6, 2021

Tolerance of uncertainty and the practice of emergency medicine.

July 15, 2020

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

June 10, 2020

Global oncology pharmacy response to COVID-19 pandemic: medication access and safety.

June 10, 2020

Recommendations of individualized medical treatment and common adverse events management for lung cancer patients during the outbreak of COVID-19 epidemic.

May 13, 2020

Communicating with patients about diagnostic errors in breast cancer care: providers' attitudes, experiences, and advice

January 22, 2020

Safety in office-based anesthesia: an updated review of the literature from 2016 to 2019

December 4, 2019

Patient Safety Primers

Patient Safety 101

September 7, 2019

Preventing errors with high-risk medications.

August 28, 2019

Managing the risks of direct oral anticoagulants.

August 7, 2019

Chasing zero harm in radiation oncology: using pre-treatment peer review.

May 22, 2019

No shortcuts to safer opioid prescribing.

May 8, 2019

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

May 8, 2019

Defining, estimating, and communicating overdiagnosis in cancer screening.

June 27, 2018

Accuracy of skin cancer diagnosis by physician assistants compared with dermatologists in a large health care system.

May 2, 2018

General internists in pursuit of diagnostic excellence in primary care: a #ProudtobeGIM thread that unites us all.

April 18, 2018

Unintended doses in radiotherapy—over, under and outside?

April 18, 2018

Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient care in Japan: a retrospective study.

March 28, 2018

Transgender patients and diagnostic safety: back to basics.

March 14, 2018

Implementation of diagnostic pauses in the ambulatory setting.

February 14, 2018

Diagnostic error in pediatric cancer.

January 17, 2018

See More About The Topic

Ambulatory Care

Health Care Providers

Medical Oncology

Diagnostic Errors

Active Errors

Farewell to a cancer that never was.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Patient Safety 101

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Farewell to a cancer that never was.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Patient Safety 101

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