Curing our diagnostic disorder.

Newspaper/Magazine Article

Curing our diagnostic disorder.

October 25, 2017

Laposata M. The Pathologist. September 2017;(34):18-27.

View more articles from the same authors.

Diagnostic improvement is gaining recognition as an important goal in health care. This magazine article reports on one pathologist's efforts to develop and implement an interpretation program that enables a team-based approach to diagnosis.

Free full text

Related Resources From the Same Author(s)

Deep learning is a black box, but health care won't mind.

May 10, 2017

Johns Hopkins receives $10 million to open patient safety institute.

January 30, 2005

Bias in the ER. Doctors suffer from the same cognitive distortions as the rest of us.

February 22, 2017

A lost voice.

March 1, 2017

Insulin pumps have most reported problems in FDA database.

December 5, 2018

Malnutrition in the hospital: the pharmacist’s role in prevention and treatment.

September 26, 2018

Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues.

March 18, 2015

Improving patient care through improved caregiver support.

September 13, 2017

Dennis Quaid's quest.

August 18, 2010

Medication errors affecting pediatric patients: unique challenges for this special population.

October 7, 2015

Medication errors attributed to health information technology.

March 29, 2017

Safety and Ethics in Healthcare: A Guide to Getting it Right.

October 10, 2007

Fire safety in the operating room.

October 1, 2023

Implementation of the SBAR communication technique in a tertiary center.

October 29, 2008

Pharmacy-led medication reconciliation is best practice.

October 11, 2023

Prescribing errors that cause harm.

October 5, 2016

Medication errors involving healthcare students.

March 30, 2016

Lyme disease is baffling, even to experts, but new insights are at last accumulating.

September 18, 2019

When medical error becomes personal, activism becomes painful.

September 28, 2022

'We had such trust, we feel such fools’: how shocking hospital mistakes led to our daughter’s death.

September 14, 2022

VA hospitals flooded with complaints about care.

September 27, 2017

Care transitions know-how not just for clinicians.

October 11, 2017

Daily check-in for safety: from best practice to common practice.

October 26, 2011

Malnourishment 'epidemic' plagues hospitals? Really?

October 1, 2014

How safe are compounded drugs?

October 4, 2006

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

September 20, 2023

Preventing wrong-site surgery in Minnesota: a 5-year journey.

December 19, 2012

Dying on the waitlist.

March 3, 2021

Improving Diagnostic Quality and Safety Final Report.

September 27, 2017

The key to reducing doctors' misdiagnoses.

September 20, 2017

Opioid addiction is the biggest drug epidemic in U.S. history. How'd we get here?

October 18, 2017

Pressure Injury Prevention in Hospitals Training Program.

October 18, 2017

TeamSTEPPS for Office-Based Care Version.

November 19, 2014

20 years later: to err is a leadership failure.

December 4, 2019

Why do people stop taking their meds? Cost is just one reason.

September 20, 2017

AHRQ 2011 Annual Conference.

January 30, 2005

Preventing medication errors by empowering patients.

November 18, 2015

Patient safety records: silent witness.

October 1, 2008

ISMP medication error report analysis.

April 5, 2006

Maximize benefits of IV workflow management systems by addressing workarounds and errors.

September 20, 2017

Despite technology, verbal orders persist, read back is not widespread, and errors continue.

May 31, 2017

Secret data on hospital inspections may soon become public.

May 3, 2017

Agency information collection activities: National Healthcare Safety Network (NHSN); comment request.

October 13, 2021

Small effort, big payoff...automated maximum dose alerts with hard stops.

October 2, 2013

Death and neurological devastation from intrathecal vinca alkaloids: prepared in syringes = 120; prepared in minibags = 0.

September 25, 2013

Minnesota hospitals are testing ways to reduce return trips.

October 24, 2012

FDA Advise-ERR: reported medication errors with Veklury (remdesivir) emergency use authorization.

September 23, 2020

Disrespectful behavior in healthcare: has it improved? Please take our survey!

October 21, 2021

Panel set to study safety of electronic patient data.

December 22, 2010

The antidote to medical errors.

February 3, 2010

For all the right reasons.

September 16, 2009

How many die from medical mistakes in US hospitals?

October 2, 2013

As doctors use more devices, potential for distraction grows.

December 21, 2011

Medical errors are hard for doctors to admit, but it's wise to apologize to patients.

June 5, 2013

Why are medical errors still a leading cause of death?

April 19, 2017

Maryland hospitals aren't reporting all errors and complications, experts say.

August 6, 2014

The US has a drug shortage—and people are dying.

January 21, 2015

A towel with a safety message.

February 11, 2009

Minnesota is first state with policy to stop billing after medical errors.

October 3, 2007

Hospitals learn to say sorry.

April 9, 2008

Scariest hospital risks.

September 10, 2008

Fair and Reliable Medical Justice Act.

July 13, 2005

Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm.

November 22, 2017

Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns.

December 6, 2017

Promote a culture of safety with good catch reports.

October 4, 2017

AHRQ Safety Program for Surgery.

January 24, 2018

Errors originating in hospital and health-system outpatient pharmacies.

July 19, 2017

What a new doctor learned about medical mistakes from her Mom's death.

January 23, 2013

34 ways to survive your next trip to the hospital.

May 9, 2018

The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations.

May 2, 2018

Six ways to lower errors—and unnecessary surgeries—in radiology exams.

August 21, 2019

'No one is coming': hospice patients abandoned at death's door.

November 8, 2017

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

January 9, 2008

The opioid epidemic: what can surgeons do about it?

July 19, 2017

Race and the clinical diagnosis of depression in new primary care patients.

October 25, 2011

Medication mistake kills toddler at hospital-run care facility.

June 9, 2010

First do no harm.

March 23, 2011

Broken, fragmented health-care system failed daughter who died by suicide.

March 25, 2020

Mistakes, some deadly, haunt county jails.

March 21, 2007

Answers to improved medication reconciliation lie with pharmacists.

December 12, 2007

Mother claims hospital error kept her from newborn daughter.

October 31, 2007

Hospitals win safety award for simple changes.

February 21, 2007

Tenfold errors can lead to tragedy.

September 6, 2006

Buying the wrong medicine overseas.

August 31, 2005

When missing a 'zebra' can land you in court.

March 7, 2018

In redesigned room, hospital patients may feel better already.

September 3, 2014

‘Fear of falling’: how hospitals do even more harm by keeping patients in bed.

November 6, 2019

How hepatitis probe led to clinic: old-fashioned legwork yielded clues that came together.

March 12, 2008

When Healthcare Hurts.

May 11, 2011

Doing Harm.

April 11, 2018

Black Box Thinking: Why Most People Never Learn From Their Mistakes—But Some Do.

January 13, 2016

Are second victims getting the help they need?

June 20, 2018

Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement, Third Edition.

June 22, 2016

When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer?

April 17, 2019

Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care.

September 26, 2012

Dangerous connections: health care community tackles tubing risks, small-bore connector standards.

July 11, 2012

Using patient safety science to explore strategies for improving safety in intravenous medication administration.

November 1, 2006

Examining medication errors in a tertiary hospital.

December 20, 2006

Impact of Medical Errors and Malpractice on Health Economics, Quality, and Patient Safety.

April 26, 2017

Handoff Communication.

October 4, 2017

Related Resources

Annual Perspective

Equity in Patient Safety

March 27, 2024

WebM&M Cases

The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department.

June 14, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action.

September 21, 2022

Annual Perspective

Patient Safety in the Ambulatory Care Setting

August 5, 2022

WebM&M Cases

Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures.

July 8, 2022

Patient Safety Primers

Coronavirus Disease 2019 (COVID-19) and Diagnostic Error

January 11, 2022

Bringing the clinical laboratory into the strategy to advance diagnostic excellence.

September 22, 2021

Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children.

June 30, 2021

Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review.

December 16, 2020

The slow, troubling death of the autopsy.

October 7, 2020

WebM&M Cases

Complications of ECMO During Transport

April 29, 2020

Seattle pilot’s misdiagnosis highlights challenges around coronavirus testing.

April 15, 2020

Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust.

April 15, 2020

Soft factors, smooth transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care.

March 11, 2020

Patient Safety Primers

Patient Safety 101

September 7, 2019

A mismatch made in America.

June 19, 2019

Hospitals look to computers to predict patient emergencies before they happen.

May 22, 2019

Reducing diagnostic errors worldwide through diagnostic management teams.

April 3, 2019

How one hospital improved patient safety in 10 minutes a day.

November 14, 2018

Assessing information sources to elucidate diagnostic process errors in radiologic imaging—a human factors framework.

September 5, 2018

How health care changes when algorithms start making diagnoses.

May 23, 2018

The need for closed-loop systems for management of abnormal test results.

April 25, 2018

Transgender patients and diagnostic safety: back to basics.

March 14, 2018

A systematic review of interventions to follow-up test results pending at discharge.

February 7, 2018

Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era.

December 13, 2017

ISMP survey shows provider text messaging often runs afoul of patient safety.

November 29, 2017

The new diagnostic team.

November 22, 2017

Out-of-hospital pediatric patient safety events: results of the CSI chart review.

November 15, 2017

See More About The Topic

Hospitals

Ambulatory Care

Facility and Group Administrators

Pathology and Laboratory Medicine

Diagnostic Errors