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1 - 13 of 13
Aschwanden C. Wired Magazine. January 10, 2020.
The unintended consequences of artificial intelligence (AI) in healthcare continue to generate clinician concern. This magazine piece examines the potential diagnostic improvements to be realized from AI while cautioning about its premature use generating overdiagnosis and overtreatment.
Shah NA, Jue J, Mackey TK. Ann Surg. 2020;271:431-433.
Collecting real-time audio, video, and system data enables identification of process vulnerabilities. This commentary discusses the current state of black box approaches to collect surgical procedure data in situ and highlights challenges to its effective use and implementation to improve surgical safety.
ISMP Medication Safety Alert! Acute Care Edition. February 14, 2019;24.
Reporting on the criminal indictment of a nurse involved in the death of a patient, this newsletter article reviews factors that contributed to the failure, urges leadership to modify the use of blame tactics in response to medical mistakes, and highlights guidelines to prevent similar incidents.
Sathya C. CNN. August 22, 2014.
This news article reports on the development a surgical black box, which includes using cameras and microphones to record procedures, as a way to track weaknesses in techniques and processes while providing real-time feedback to surgeons and enabling timely intervention to reduce complications in surgery.
Admitted to the hospital with right-hip and left-arm fractures, an elderly woman remained on the same bed from the emergency department for nearly 16 hours and developed a moderate-sized, stage 2 pressure ulcer.
Grant M. AARP The Magazine. September/October 2010;53:48-51,90-91.
This article highlights how a medication error inspired Dennis Quaid to promote patient safety and chronicles his efforts to reduce harm in health care.
Elder NC, McEwen TR, Flach J, et al. Fam Med. 2010;42:327-33.
Electronic health records (EHRs) hold great promise for improving patient safety, but remain underutilized, especially in ambulatory care settings. Failure to appropriately follow up on abnormal test results is a common ambulatory care safety problem, and has been implicated in malpractice lawsuits arising from missed or delayed diagnoses. In this study conducted at eight family medicine clinics, those with an EHR documented clinician and patient notification of abnormal test results and clear follow-up plans more often than those with paper charts. However, even in clinics using EHRs, more than one-third of abnormal results had no follow-up plan documented. This finding corroborates prior research that clinician notification alone does not ensure timely and complete follow-up of test results.