Newspaper/Magazine Article At VA hospital, a rogue cancer unit. Citation Text: Bogdanich W. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL July 1, 2009 Bogdanich W. View more articles from the same authors. Flawed safety standards, including a lack of peer review and oversight, led to a series of errors in a cancer unit at a Philadelphia Veterans Affairs hospital. Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Bogdanich W. Copy Citation Related Resources From the Same Author(s) Radiation offers new cures, and ways to do harm. February 3, 2010 A pinpoint beam strays invisibly, harming instead of healing. January 12, 2011 The human factor. November 5, 2014 Family matters: pharmacy mix-ups. August 13, 2014 Do doctors understand test results? July 23, 2014 Investigation: dangers of medical recovery rooms. February 20, 2013 Opioid addiction is the biggest drug epidemic in U.S. history. How'd we get here? October 18, 2017 Disclosing unanticipated outcomes to patients: the art and practice. September 12, 2007 Harm to Healing - Partnering with Patients Who Have Been Harmed. August 1, 2012 Origin of Adverse Drug Events in US Hospitals, 2011. October 9, 2013 Coronavirus strains hospitals, cancer patients face treatment delays, uncertainty. April 15, 2020 Organisational Failure: An Exploratory Study in the Steel Industry and Medical Domain. March 6, 2005 Merry and McCall Smith's Errors, Medicine, and the Law. 2nd ed. March 6, 2005 Patient safety in the NICU: a comprehensive review. July 6, 2011 Confusion—specimen mix-up in dermatopathology and measures to prevent and detect it. February 26, 2014 What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour. September 21, 2022 Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units. September 23, 2020 Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. February 27, 2008 Pediatric prehospital medication dosing errors: a national survey of paramedics. March 29, 2017 WebM&M Cases Near Miss with Bedside Medications November 1, 2011 WebM&M Cases Medication Reconciliation Victory After an Avoidable Error March 21, 2009 WebM&M Cases Mistaken Identity October 1, 2008 WebM&M Cases Beeline to Spine June 1, 2007 WebM&M Cases The Wrong Channel September 1, 2005 WebM&M Cases Transition to Nowhere April 1, 2015 WebM&M Cases Death by PCA February 1, 2013 WebM&M Cases E-prescribing: E for error? February 1, 2012 WebM&M Cases Discharge Against Medical Advice May 1, 2005 Perspective Relationships Between Physician Professional Satisfaction and Patient Safety February 1, 2016 Perspective Human Factors Engineering Can Teach You How to Be Surprised Again November 1, 2006 Perspective Removing Insult from Injury—Disclosing Adverse Events February 1, 2006 The effects of hospital-physician financial integration on adverse incident rate: an agency theory perspective. October 21, 2020 Preventing medication mistakes. May 16, 2012 WebM&M Cases Eptifibatide Epilogue April 1, 2009 WebM&M Cases To Resuscitate or Not? January 1, 2004 Perspective The Role of Patient-facing Technologies to Empower Patients and Improve Safety November 1, 2017 Gap assessment of hospitals' adoption of the just culture principles. December 14, 2011 WebM&M Cases Routine Goes Awry June 1, 2011 WebM&M Cases Monitoring Fetal Health January 1, 2015 WebM&M Cases Flying Object Hits MRI February 1, 2003 Perspective Workplace Safety in Health Care January 1, 2017 Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the core issue. February 21, 2024 Management of drug shortages in the perioperative setting. February 6, 2013 WebM&M Cases Departure From Central Line Ritual May 1, 2015 Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. February 13, 2019 Improving the Reliability of Health Care. February 8, 2006 Hospital Survey on Patient Safety Culture: 2016 User Comparative Database Report. May 11, 2016 AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report. November 19, 2014 Engagement of leadership in quality improvement initiatives: executive quality improvement survey results. July 11, 2007 Patient Safety Innovations Journal Article Study Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings. November 16, 2022 Re-Engineered Discharge (RED) Toolkit. March 27, 2013 Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report. July 22, 2015 Hospital Medication Errors Commonplace. August 23, 2006 Improving Patient Safety in Laboratory Medicine. October 9, 2013 Medical Office Survey on Patient Safety Culture: 2014 User Comparative Database Report. June 25, 2014 Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care. October 24, 2018 Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety. September 28, 2005 Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications. May 8, 2019 Opioid Stewardship. April 25, 2018 Critical Thinking. June 1, 2011 Risk, Safety and Reliability Special Issue. May 20, 2009 Towards an International Classification for Patient Safety. February 4, 2009 Deprescribing Guidelines: Special Section on Symposium Results. June 26, 2019 Quality and Safety Education for Nurses. June 13, 2007 The Failure Issue. April 6, 2011 Quality Improvement. November 15, 2017 Special Issue on Falls. March 2, 2016 Contributions from Ergonomics and Human Factors. November 17, 2010 Do HSMRs really measure patient safety? August 13, 2008 The 2015 John M. Eisenberg Patient Safety and Quality Awards. May 25, 2016 Supplement on Deepening our Understanding of Quality in Australia (DUQuA). March 11, 2020 Patient Safety. December 19, 2007 Healthcare-Associated Infections. July 22, 2009 Patient Safety Papers 6. May 2, 2012 AMIA Annual Symposium Proceedings: 2011. January 25, 2012 Burnout in Healthcare. September 24, 2014 Mistakes We Make in Dialysis. August 3, 2016 Patient Safety in Obstetrics and Gynecology. May 29, 2019 Special Section: Patient Safety. May 24, 2006 Special Issue on Health Literacy. October 24, 2007 Quality Improvement in Neurosurgery. April 15, 2015 Patient Safety and Quality Improvement. January 23, 2019 Health IT and Clinical Decision Support Systems. November 12, 2014 Patient Safety. May 1, 2019 Infection Control in the Intensive Care Unit. August 25, 2010 Quality, Value, and Patient Safety in Orthopedic Surgery. October 24, 2018 LINNEAUS Collaboration on Patient Safety in Primary Care. September 23, 2015 Special Issue on Teamwork. May 1, 2013 Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. December 14, 2016 Elderly Falls. February 1, 2012 Clinical Handover: Critical Communications. June 10, 2009 Quality and Safety in Medicine. December 9, 2009 Health Literacy Research: Current Status and Future Directions. November 24, 2010 Patient Safety and Adverse Events. September 23, 2009 Proceedings from the European Handover Research Collaborative. December 5, 2012 Language Barriers in Health Care. February 6, 2008 Special Issue on Medication Safety. July 31, 2019 From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons. November 5, 2014 Patient Safety. August 19, 2020 Patient Safety. November 21, 2018 View More Related Resources Annual Perspective Equity in Patient Safety March 27, 2024 Interview In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0 February 28, 2024 Interview In Conversation with... Cheryl Jones about Addressing Workplace Violence and Creating a Safer Workplace October 31, 2023 Perspectives on Safety Addressing Workplace Violence and Creating a Safer Workplace October 31, 2023 Patient Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer July 31, 2023 Serious Reportable Events in Massachusetts. May 22, 2023 Patient Safety Authority Annual Reports. May 1, 2023 Annual Perspective Improving Diagnostic Safety and Quality April 26, 2023 Using A.I. to detect breast cancer that doctors miss. March 15, 2023 FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. August 20, 2021 Errors in breast imaging: how to reduce errors and promote a safety environment. July 7, 2021 A night in the hospital, from both ends of the stethoscope. January 20, 2021 Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional study. December 16, 2020 Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. November 18, 2020 The role of cognitive bias in breast radiology diagnostic and judgment errors. May 27, 2020 Your diagnosis was wrong. Could doctor bias have been a factor? December 11, 2019 Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. September 18, 2019 Chasing zero harm in radiation oncology: using pre-treatment peer review. May 22, 2019 Patient Safety. May 22, 2019 A factorial survey on safety behavior providing opportunities to improve safety. December 5, 2018 A surgeon so bad it was criminal. October 10, 2018 Report faults Children's Hospital for medication errors. June 6, 2018 Misdiagnoses: a hidden risk of genetic testing. November 16, 2016 Healthcare professional and patient codesign and validation of a mechanism for service users to feedback patient safety experiences following a care transfer: a qualitative study. October 5, 2016 Risks are high at low-volume hospitals. June 17, 2015 Radiation Oncology Incident Learning System. January 14, 2015 Surgical 'black box' could reduce errors. September 10, 2014 To make hospitals less deadly, a dose of data. December 18, 2013 Medical errors leave devastating impact on families, professionals. May 15, 2013 Improving team performance during the preprocedure time-out in pediatric interventional radiology. August 29, 2012 View More See More About The Topic General Hospitals Patients Medical Oncology Radiology Surgical Complications View More
Confusion—specimen mix-up in dermatopathology and measures to prevent and detect it. February 26, 2014
What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour. September 21, 2022
Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units. September 23, 2020
Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. February 27, 2008
Perspective Relationships Between Physician Professional Satisfaction and Patient Safety February 1, 2016
The effects of hospital-physician financial integration on adverse incident rate: an agency theory perspective. October 21, 2020
Perspective The Role of Patient-facing Technologies to Empower Patients and Improve Safety November 1, 2017
Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the core issue. February 21, 2024
Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. February 13, 2019
AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report. November 19, 2014
Engagement of leadership in quality improvement initiatives: executive quality improvement survey results. July 11, 2007
Patient Safety Innovations Journal Article Study Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings. November 16, 2022
Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report. July 22, 2015
Medical Office Survey on Patient Safety Culture: 2014 User Comparative Database Report. June 25, 2014
Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care. October 24, 2018
Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety. September 28, 2005
Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications. May 8, 2019
Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. December 14, 2016
Interview In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0 February 28, 2024
Interview In Conversation with... Cheryl Jones about Addressing Workplace Violence and Creating a Safer Workplace October 31, 2023
Patient Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer July 31, 2023
FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. August 20, 2021
Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional study. December 16, 2020
Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. November 18, 2020
Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. September 18, 2019
Healthcare professional and patient codesign and validation of a mechanism for service users to feedback patient safety experiences following a care transfer: a qualitative study. October 5, 2016
Improving team performance during the preprocedure time-out in pediatric interventional radiology. August 29, 2012