Hidden mistakes in hospitals.

Newspaper/Magazine Article

Hidden mistakes in hospitals.

November 25, 2009

Kauffman M, Altimari D. The Hartford Courant. November 15, 2009;Final:A1.

View more articles from the same authors.

This newspaper article reports that a Connecticut law intended to make hospital errors more transparent has had the opposite effect by making it easier for hospitals to limit publicly available information on adverse events.

Free full text

Related Resources From the Same Author(s)

Still Failing the Frail.

November 28, 2018

Errors with injectable medications: unlabeled syringes are surprisingly common!

November 28, 2007

Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community.

November 28, 2012

IV push medications survey results—part 1 and part 2.

November 28, 2018

How American health care killed my father.

August 26, 2009

How to Identify and Address Unsafe Conditions Associated With Health IT.

December 18, 2013

Checking the right boxes, but failing the patient.

December 2, 2009

Advancing Patient Safety: A Decade of Evidence, Design, and Implementation.

December 9, 2009

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

October 26, 2022

Patient-Centered Care: What Does It Take?

November 21, 2007

Deaths in Acute Hospitals: Caring to the End?

November 25, 2009

Legislative Report to the General Assembly: Adverse Event Reporting.

January 16, 2013

The coronavirus pandemic’s wider health-care crisis.

July 15, 2020

AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report.

November 19, 2014

Health Care Leader Action Guide to Reduce Avoidable Readmissions.

February 10, 2010

Serious Reportable Events

December 15, 2010

STate Action on Avoidable Rehospitalizations.

August 3, 2011

Reduce medication errors through following metrics.

June 10, 2009

HealthGrades Sixth Annual Patient Safety in American Hospitals Study.

April 22, 2009

Council recommendation on patient safety, including the prevention and control of healthcare associated infections.

July 22, 2009

Physician's Guide to Patient Safety Organizations.

August 4, 2010

How safe are patients in primary care?

May 13, 2009

Medical Mistakes: Dr. Oz Talks to Actor Dennis Quaid.

March 25, 2009

Taking Charge of Your Healthcare: Your Path to Being an Empowered Patient.

July 22, 2009

Announcing 2009 Leapfrog top hospitals.

December 16, 2009

Patient Safety Essentials for Health Care. 5th ed.

April 21, 2005

The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis.

September 20, 2017

Nearly 90 major medical mistakes logged at Utah hospitals in 2008.

July 8, 2009

Avoiding errors associated with insulin therapy.

May 27, 2009

Leadership committed to safety.

September 2, 2009

Patients, beware: 731 nurses reveal what to watch out for in the hospital.

August 19, 2009

Hospitals tally their avoidable mistakes.

August 5, 2009

Safety Culture: Theory, Method and Improvement.

March 31, 2010

Leadership in Healthcare Organizations: A Guide to Joint Commission Leadership Standards.

December 16, 2009

How could this happen?

November 4, 2009

The barriers and enhancers to trust in a just culture in hospital settings: a systematic review.

August 17, 2022

Review of Patient Safety for Children and Young People.

July 1, 2009

To Err Is Human — To Delay Is Deadly.

June 3, 2009

Safe Practices for Better Healthcare–2009 Update.

March 18, 2009

Adverse Health Care Events Reporting System: What Have We Learned?

February 4, 2009

Safety in Doses.

September 16, 2009

Patients get power of fast response.

September 9, 2009

Hospitals own up to errors.

September 2, 2009

Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease.

September 9, 2009

A Patient Safety Handbook for Ambulatory Care Providers.

April 14, 2010

Fixing America's hospitals.

October 25, 2006

Jake Tapper shares harrowing story of daughter's near-fatal misdiagnosis.

December 15, 2022

The harm in pharmacy misfills.

September 30, 2009

Every Patient Tells A Story: Medical Mysteries and the Art of Diagnosis.

August 26, 2009

The Checklist Manifesto: How to Get Things Right.

January 13, 2010

How Safe Is Your Hospital?

January 6, 2010

The Fifth Discipline: The Art & Practice of The Learning Organization. Revised & Updated Edition.

March 27, 2005

Contributions by the Agency for Healthcare Research and Quality and Grantees.

April 15, 2009

Josie's Story.

September 23, 2009

Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey Report.

July 22, 2009

Whack-a-Mole: The Price We Pay For Expecting Perfection.

February 24, 2010

Disclosure and Apology: What's Missing? Advancing Programs that Support Clinicians.

December 2, 2009

Enhancing Patient Care: A Practical Guide to Improving Quality and Safety in Hospitals.

November 4, 2009

Conceptual Framework for the International Classification for Patient Safety Version 1.1. Final Technical Report January 2009.

September 6, 2006

Risky Business: Navigating a Shifting Health Care Landscape.

April 15, 2021 - April 15, 2021

Kind World #42: The Patient.

August 23, 2017

Rapid response systems.

August 19, 2022

Cause of death: sloppy doctors.

January 31, 2007

Health Care Errors and Patient Safety.

May 13, 2009

Dead by Mistake.

August 19, 2009

The Role of Hospitalists in Patient Safety.

December 2, 2009

Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens.

April 8, 2009

Commission of Inquiry on Hormone Receptor Testing.

April 1, 2009

Putting Patients First: Best Practices in Patient-Centered Care. Second Edition.

February 4, 2009

An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study.

January 6, 2010

Practicing Medicine in Difficult Times: Protecting Physicians from Malpractice Litigation.

August 13, 2008

Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up.

January 29, 2020

Drug diversion and impaired health care workers.

May 1, 2019

Developing resilience to combat nurse burnout.

July 31, 2019

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

October 24, 2012

Fatal mistakes.

March 30, 2016

Ignored, threatened, berated: after difficult childbirth experiences, new parents seek healing by speaking up.

December 4, 2019

All can be lost: the risk of putting our knowledge in the hands of machines.

December 4, 2013

Her child was stillborn at 39 weeks. She blames a system that doesn’t always listen to mothers.

November 30, 2022

Pulse oximeters and their inaccuracies will get FDA scrutiny today. What took so long?

November 9, 2022

Her husband died by suicide. She sued his pain doctors—a rare challenge over an opioid dose reduction.

December 1, 2021

Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary Report.

April 1, 2009

Tamiflu (oseltamivir) for oral suspension: potential medication errors.

October 7, 2009

Practical Patient Safety.

October 14, 2009

Managing Patients' Medicines after Discharge from Hospital.

November 11, 2009

Relenza (zanamivir) inhalation powder.

October 21, 2009

Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology.

October 21, 2009

The Basics of FMEA. 2nd ed.

March 27, 2005

Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety.

August 19, 2020

COVID-19 dominates annual list of patient safety concerns.

March 24, 2021

People with disabilities fear pandemic will worsen medical biases.

April 29, 2020

Two words can soothe patients who have been harmed: we're sorry.

March 29, 2017

Screen flashes and pop-up reminders: 'alert fatigue' spreads through medicine.

June 29, 2016

Improving Patient and Family Engagement in US Hospitals.

April 1, 2015

FDA begins inquiry after death and illness from saline bags meant for training.

January 28, 2015

Weak oversight allows lab failures to put patients at risk.

May 27, 2015

Senators threaten consequences after VA confirms 4 deaths tied to computer system tested in Spokane.

March 29, 2023

ER doctors misdiagnose patients with unusual symptoms.

January 18, 2023

Creating a Communication Coaching Structure and Support for your CRP Program.

September 12, 2022 - September 12, 2022

Patient handoffs.

June 15, 2022

Related Resources

California pharmacies are making millions of mistakes. They’re fighting to keep that secret.

September 20, 2023

Amid lack of accountability for bias in maternity care, a California family seeks justice.

August 16, 2023

Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event: systematic review of qualitative evidence.

August 2, 2023

Hospital Safety Grade.

May 3, 2023

Comparison of health care worker satisfaction before vs after implementation of a communication and optimal resolution program in acute care hospitals.

April 5, 2023

Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery.

November 9, 2022

National Healthcare Quality and Disparities Reports.

November 7, 2022

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

August 17, 2022

The evidence base for US joint commission hospital accreditation standards: cross sectional study.

July 13, 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

As a nurse faces prison for a deadly error, her colleagues worry: could I be next?

March 30, 2022

How nursing homes’ worst offenses are hidden from the public.

December 22, 2021

Patients went into the hospital for care. After testing positive there for Covid, some never came out.

November 17, 2021

Why an open disclosure procedure is and is not followed after an avoidable adverse event.

September 8, 2021

The Life and Death of Elizabeth Dixon: A Catalyst for Change.

December 9, 2020

Putting the patient in patient safety investigations: barriers and strategies for involvement.

June 3, 2020

Ensuring successful implementation of communication-and-resolution programmes.

March 18, 2020

Their kids died on the psych ward. They were far from alone, a Times investigation found.

December 18, 2019

20 Years After “To Err is Human”, Leapfrog Hospital Safety Grades Prove Transparency Can Save Lives.

November 20, 2019

How Veterans Affairs failed to stop a pathologist who misdiagnosed 3,000 cases.

September 11, 2019

Lessons learned from a death outside a hospital's doorstep.

June 26, 2019

Doctors were alarmed: would I have my children have surgery here?

June 12, 2019

FDA to end program that hid millions of reports on faulty medical devices.

May 29, 2019

Communication and Resolution After an Adverse Health Care Incident.

May 22, 2019

Understanding patient safety and quality outcome data.

March 20, 2019

Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it.

February 6, 2019

Heart Failure: The Decline of a Historic Transplant Program.

January 30, 2019

When mistakes happen.

December 19, 2018

Heartbroken.

December 12, 2018

Secret data on hospital inspections may soon become public.

May 3, 2017

See More About The Topic

Hospitals

Patients

General Internal Medicine

Hospital Medicine

Public Reporting

Hidden mistakes in hospitals.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Hidden mistakes in hospitals.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

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