Commentary Scandal as a sentinel event—recognizing hidden cost–quality trade-offs. Citation Text: Bloche G. Scandal as a Sentinel Event--Recognizing Hidden Cost-Quality Trade-offs. N Engl J Med. 2016;374(11):1001-3. doi:10.1056/NEJMp1502629. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL April 6, 2016 Bloche G. N Engl J Med. 2016;374(11):1001-3. View more articles from the same authors. Latent factors are known to contribute to system-level failures. This commentary discusses the Mid Staffordshire NHS Foundation Trust inquiry and the Veterans Affairs health system investigation as examples of how executive expectations to meet performance targets and insufficient safety culture led to unintended consequences and system failures. PubMed citation Free full text Related editorial Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Bloche G. Scandal as a Sentinel Event--Recognizing Hidden Cost-Quality Trade-offs. N Engl J Med. 2016;374(11):1001-3. doi:10.1056/NEJMp1502629. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Unintended harm associated with the Hospital Readmissions Reduction Program. January 16, 2019 Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. November 17, 2010 A middle ground on public accountability. March 6, 2005 Patient safety is not elective: a debate at the NPSF Patient Safety Congress. December 3, 2014 Overarching goals: a strategy for improving healthcare quality and safety? 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May 9, 2018 View More See More About The Topic Hospitals Health Care Executives and Administrators Medicine Latent Errors Error Analysis
Setting quality and safety priorities in a target-rich environment: an academic medical center's challenge. August 28, 2013
The cost of quality: an academic health center's annual costs for its quality and patient safety infrastructure. July 25, 2018
Relationship between performance measurement and accreditation: implications for quality of care and patient safety. November 2, 2005
Design and evaluation of simulation scenarios for a program introducing patient safety, teamwork, safety leadership, and simulation to healthcare leaders and managers. August 31, 2011
Cognitive bias impact on management of postoperative complications, medical error, and standard of care. November 4, 2020
Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study. February 10, 2016
Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure. November 22, 2017
Patient Safety Innovations The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation August 30, 2023
Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. June 28, 2023
Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. May 10, 2023
Events that inspired change: the importance of sharing what happened to stop it from happening again. May 3, 2023
Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems. March 29, 2023
The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. October 26, 2022
Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations to address diagnostic errors. October 12, 2022
Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. June 22, 2022
Health system leaders' role in addressing racism: time to prioritize eliminating health care disparities. February 10, 2021
The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss. June 24, 2020
Commissioning simulations to test new healthcare facilities: a proactive and innovative approach to healthcare system safety. September 11, 2019
In-hospital sequelae of injurious falls in 24 medical/surgical units in four hospitals in the United States. March 13, 2019
A decade of health information technology usability challenges and the path forward. February 13, 2019
Association of adverse effects of medical treatment with mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors study. January 30, 2019
Cranky comments: detecting clinical decision support malfunctions through free-text override reasons. January 16, 2019
A multi-stakeholder consensus-driven research agenda for better understanding and supporting the emotional impact of harmful events on patients and families. July 11, 2018
Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety. May 16, 2018