Man falls off surgical table; St. Joseph's Hospital sued.

Newspaper/Magazine Article

Man falls off surgical table; St. Joseph's Hospital sued.

August 4, 2010

Smith ML; Wolfe WA.

View more articles from the same authors.

This newspaper article reports on a lawsuit regarding a safety incident that led to injury and subsequent death of a patient.

Related Resources From the Same Author(s)

Reducing patient risk from prescription instruction errors—a six sigma approach.

June 18, 2008

Classifying laboratory incident reports to identify problems that jeopardize patient safety.

September 7, 2005

Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021.

October 18, 2023

Most surgery in wrong spot done on spine: 11 such cases found in state since 2006.

August 13, 2008

Hospital tells of surgery on wrong side.

July 16, 2008

Medical mistakes no longer billable: bold steps taken by state to reduce hospital errors.

July 2, 2008

Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary.

July 27, 2011

Bipartisan Consensus: The Public Wants Well-Rested Medical Residents to Help Ensure Safe Patient Care.

October 5, 2016

Demanding Medical Excellence. Doctors and Accountability in the Information Age.

March 6, 2005

Non–operating room anesthesia challenges.

June 21, 2023

These patients had to lobby for correct diabetes diagnoses. Was their race a reason?

January 17, 2024

Improving patient safety with team coordination: challenges and strategies of implementation.

August 9, 2006

Recent Evidence That Health IT Improves Patient Safety: Issue Brief.

May 13, 2015

New evidence on stemming low-value prescribing.

May 1, 2019

Emergency department crowding: the canary in the health care system.

November 3, 2021

The safety of intravenous drug delivery systems: update on current issues since the 1999 Consensus Development Conference.

March 4, 2009

Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model.

June 10, 2015

Cognitive Factors in Health Care.

October 12, 2011

Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis.

August 19, 2020

Directed peer review in surgical pathology.

September 1, 2012

Report on the Safe Use of Pick Lists in Ambulatory Care Settings.

December 7, 2016

Diagnosis: Interpreting the Shadows.

July 26, 2017

Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report.

June 29, 2016

October 3, 2018

What Do You Do If You Think You Have Been Harmed By Your Healthcare.

February 28, 2024

The Francis Report: One Year On.

February 26, 2014

Diagnostic experiences of children with attention-deficit/hyperactivity disorder.

September 30, 2015

Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014.

March 14, 2018

Trends in Potentially Preventable Inpatient Hospital Admissions and Emergency Department Visits.

May 11, 2016

Diagnostic Error: Is Overconfidence the Problem.

May 14, 2008

Best Care at Lower Cost: The Path to Continuously Learning Health Care in America.

September 19, 2012

Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR.

January 25, 2023

The Patient Safety Adoption Framework: a practical framework to bridge the know-do gap.

May 31, 2023

Safety in the NICU: preventing medication errors with computerized provider order entry.

January 9, 2008

January 11, 2017

Washington Patient Safety Coalition.

March 6, 2005

Implementing Optimal Team-Based Care to Reduce Clinician Burnout.

September 19, 2018

The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency.

September 1, 2012

Diagnostic Error in Medicine.

October 7, 2009

2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture.

June 27, 2012

Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008.

August 31, 2011

Iatrogenesis in Pediatrics.

September 20, 2017

Improving Diagnosis in Radiology—Progress and Proposals.

September 13, 2017

Medication Errors: The Nursing Experience.

March 27, 2005

My brother's keeper: must a physician disclose another's medical error and potential negligence?

January 2, 2008

WebM&M Cases

Fatal Error in Neonate: Does "Just Culture" Provide an Answer?

June 1, 2010

Lessons learned from implementing a principled approach to resolution following patient harm.

January 9, 2019

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

January 27, 2021

Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP).

December 3, 2014

Do HSMRs really measure patient safety?

August 13, 2008

Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error.

August 26, 2020

Black or 'other'? Doctors may be relying on race to make decisions about your health.

May 5, 2021

Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them.

September 21, 2022

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

March 29, 2023

The lurking danger in the “business case” for patient safety

December 18, 2019

Understanding the cognitive work of nursing in the acute care environment.

October 19, 2005

Internally-developed online adverse drug reaction and medication error reporting systems.

June 7, 2006

Quantifying discharge medication reconciliation errors at 2 pediatric hospitals.

October 27, 2021

How health systems decide to use artificial intelligence for clinical decision support.

April 6, 2022

The hidden risk of wheelchair use.

September 28, 2022

Improving Telediagnosis--a Call to Action: Final Project Findings.

October 13, 2021

Improving Education—A Key to Better Diagnostic Outcomes.

March 30, 2022

Diagnosis.

January 22, 2014

Special Issue on Prescription Drug Misuse.

September 25, 2019

Making care better in the pediatric intensive care unit.

January 30, 2019

WebM&M Cases

Mobility Lost in the ICU

October 1, 2011

WebM&M Cases

One Dose, Fifty Pills

November 1, 2005

Driving improvement in patient care: lessons from Toyota.

March 6, 2005

WebM&M Cases

Mark My Tooth

August 21, 2007

WebM&M Cases

Wandering Off the Floors: Safety and Security Risks of Patient Wandering

June 1, 2014

The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical role for subjective advocates.

July 14, 2021

Medication misadventures resulting in emergency department visits at an HMO medical center.

March 27, 2005

Call to action: addressing pediatric fall safety in ambulatory environments.

December 1, 2021

Sources of nurse-sensitive inpatient safety improvement.

December 21, 2022

I'm sorry: laws that support apologies in health care.

February 5, 2020

A call to action: next steps to advance diagnosis education in the health professions.

June 8, 2022

Reducing near miss medication events using an evidence-based approach.

July 27, 2022

Accidental iatrogenic pneumothorax in hospitalized patients.

March 15, 2006

COVID-19: an emerging threat to antibiotic stewardship in the emergency department.

October 21, 2020

Merry and McCall Smith's Errors, Medicine, and the Law. 2nd ed.

March 6, 2005

Perspective

Creation of a Medical Procedure Service to Improve Patient Safety

March 1, 2008

Diagnostic error in pediatrics: a narrative review.

March 23, 2022

Simulation study of rested versus sleep-deprived anesthesiologists.

January 9, 2005

Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm.

July 20, 2022

Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients.

December 14, 2005

Errors in breast imaging: how to reduce errors and promote a safety environment.

July 7, 2021

Adverse event reporting priorities: an integrative review.

June 29, 2022

The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event.

July 15, 2020

Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists.

October 24, 2007

A systems approach to morbidity and mortality conference.

July 28, 2010

Medication errors reported in a pediatric intensive care unit for oncologic patients.

September 14, 2011

Patient mortality during unannounced accreditation surveys at US hospitals.

April 5, 2017

Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables.

July 7, 2021

Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative.

September 2, 2020

Physicians' needs in coping with emotional stressors: the case for peer support.

March 29, 2012

Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality.

August 3, 2022

Decreasing mislabeled laboratory specimens using barcode technology and bedside printers.

February 2, 2011

Hospital computerized provider order entry adoption and quality: an examination of the United States.

January 5, 2011

Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims.

May 19, 2021

Measuring safety in older adult care homes: a scoping review of the international literature.

May 19, 2021

Related Resources

Unstoppable: this doctor has been investigated at every level of government. How is he still practicing?

August 23, 2023

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

April 19, 2023

A contemporary analysis of closed claims related to wrong site surgery.

March 29, 2023

Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years.

February 8, 2023

‘He thought what he was doing was good for people.’ Why is it so difficult to prevent unnecessary medical procedures in the U.S. health-care system?

September 1, 2021

Communication failures contributing to patient injury in anaesthesia malpractice claims.

September 1, 2021

Checking In on the Checklist.

February 5, 2020

Before mea culpa, Children’s was confident its air systems weren’t source of infection

December 11, 2019

Unprotected: broken promises in Georgia’s senior care industry.

October 23, 2019

Doctors can change opioid prescribing habits, but progress comes in small doses.

August 28, 2019

Surgeons' opioid-prescribing habits are hard to kick.

July 10, 2019

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

June 26, 2019

Death by 1,000 clicks: where electronic health records went wrong.

March 27, 2019

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

March 27, 2019

When is the surgeon too old to operate?

February 13, 2019

Insulin pumps have most reported problems in FDA database.

December 5, 2018

Surgical checklists save lives—but once in a while, they don't. Why?

May 23, 2018

Multisource evaluation of surgeon behavior is associated with malpractice claims.

April 11, 2018

Medical malpractice lawsuits involving surgical residents.

September 20, 2017

When doctors get the wrong patient.

October 5, 2016

5 cataract surgeries, 5 people blinded: what went wrong?

August 24, 2016

Clues to better health care from old malpractice lawsuits.

May 18, 2016

Surgeons must tell patients of double-booked surgeries, new guidelines say.

April 27, 2016

When a surgeon should just say 'I'm sorry'.

April 6, 2016

Making checklists work: South Carolina's statewide experiment.

February 3, 2016

Hospital checklists are meant to save lives—so why do they often fail?

August 12, 2015

Do cell phones belong in the operating room?

August 5, 2015

Surgeon Scorecard.

July 22, 2015

When should surgeons stop operating?

July 1, 2015

Risks are high at low-volume hospitals.

June 17, 2015

See More About The Topic

Operating Room

Patients

Surgery

Malpractice Litigation

Man falls off surgical table; St. Joseph's Hospital sued.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Man falls off surgical table; St. Joseph's Hospital sued.

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