Narrow Results Clear All
- Communication Improvement 18
- Culture of Safety 1
Education and Training
- Students 1
- Error Reporting and Analysis 16
- Human Factors Engineering 1
- Legal and Policy Approaches 21
- Logistical Approaches 2
- Quality Improvement Strategies 14
- Research Directions 1
- Teamwork 1
- Technologic Approaches 8
- Transparency and Accountability 3
- Device-related Complications 1
- Diagnostic Errors
- Discontinuities, Gaps, and Hand-Off Problems 8
- Identification Errors 1
- Medical Complications 4
- Medication Safety 1
- Psychological and Social Complications 2
- Surgical Complications 1
- Internal Medicine 24
- Palliative Care 1
Search results for ""
Cases & Commentaries
- Web M&M
Tejal K. Gandhi, MD, MPH; October 2003
Switched urine specimens lead to a patient receiving the wrong answer about her pregnancy test.
Cases & Commentaries
- Spotlight Case
- Web M&M
Elizabeth B. Lamont, MD, MS; September 2004
Following hernia repair surgery, an elderly woman is incidentally found to have a mass in her neck. Expecting the worst, the treating physician recommends palliative care and withdrawal of mechanical ventilation, before biopsy results are in.
Stout D. New York Times. June 17, 2006;National desk:9.
This article reports on the investigation following the death of New York Times reporter David E. Rosenbaum. The investigation uncovered a range of failures in emergency care and is described in a report available via the link below.
Zimmerman R. Wall Street Journal. February 6, 2007:A1.
This article reports on a mother's campaign to educate parents about kernicterus and to make bilirubin tests standard for all newborns.
Groopman J. The New Yorker. January 29, 2007;47:36-41.
The author discusses how heuristics can lead to errors in physician judgement and decision making.
Breast Cancer Services in Trafford and North Manchester. An Investigation Into The Circumstances Surrounding A Serious Clinical Incident In Symptomatic Breast Services – The Baker Report.
Baker M. Manchester, England: NHS North West; February 2007.
This report shares findings from an investigation into individual and system failures that contributed to a radiologist misreading mammograms for a 2-year period.
"The Colbert Report." Comedy Central. March 19, 2007.
Stephen Colbert interviews Dr. Jerome Groopman about diagnostic errors in medicine and his new book, "How Doctors Think."
Sanders L. New York Times Magazine. April 22, 2007:28, 30.
A physician shares her experience with failing to diagnose a patient's prostate problems.
Donaghue E. USA Today. September 5, 2007.
This article discusses how diagnostic decision-support systems can assist physicians in correctly diagnosing patients.
Rein L. Washington Post. July 21, 2009:E1.
This news article reports on Washington, DC–area initiatives to track preventable patient injury and discusses strategies to hold hospitals accountable to reduce the number of avoidable incidents.
Price M. Monitor. January 2010;41:50.
This feature article explains how cognitive errors contribute to medical mistakes and describes ways to lessen their occurrence.
Eban K. Self Magazine. November 2011.
This magazine article reports on cases in which outsourcing the interpretation of radiology tests contributed to patient harm.
Sanders L. New York Times Magazine. March 18, 2012.
This interactive magazine feature takes readers through the decision-making process in a case involving diagnostic error.
Dwyer J. New York Times. July 11, 2012:A15.
This newspaper article reports on gaps in communication and a missed sepsis diagnosis that led to a patient's death.
Web Resource > Multi-use Website
Tanya and Phil Barnett.
This Web site includes a video chronicling how an undiagnosed heart condition led to a teenager's death and offers tips for patients to prevent medical errors.
Dwyer J. New York Times. October 25, 2012.
Ackerman T. Houston Chronicle. November 23, 2012.
This newspaper article describes challenges that may precipitate underdiagnosis or misdiagnosis of Alzheimer disease and conditions with similar presenting symptoms.
Agnvall E. AARP. November 16, 2012.
Spiegel A. Morning Edition. National Public Radio. February 11, 2013.