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Cameron M. St. John's, NL: Government of Newfoundland and Labrador; 2009. ISBN: 978551463537.
This government report investigated certain laboratory tests conducted from 1997 to 2005 in Newfoundland and Labrador. The investigation revealed test result errors and failure to notify patients, as well as a lack of oversight. The report makes numerous recommendations with respect to ethics, standards of care, and disclosure of medical errors and adverse events. (Click on the volume titles on the cover page to view the full report.)
Kingston-Riechers J, Ospina M, Jonsson E, Childs P, McLeod L, Maxted JM. Edmondton, AB, Canada: Canadian Patient Safety Institute; 2010. ISBN: 9781926541273.
This report analyzed patient safety in Canadian primary care practice to identify themes, priorities, gaps in research, and opportunities for improvement.
Journal Article > Study
Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults.
Scobie A. Int J Qual Health Care. 2011;23:182-186.
Improving patient safety in the ambulatory setting requires the development of new care models, greater utilization of information technology, and a focus on patient factors such as health literacy. Current health policy reform often debates the virtues of international care delivery models as a driver for change. Building on past Commonwealth Fund reports, this study surveyed patients with self-reported chronic disease in eight countries to identify risk factors associated with self-reported errors. Investigators found that errors were associated with a number of factors, including a patient's age, education level, and prescription drug use. The three risk factors with the greatest relationship to errors were experiencing a care coordination problem, having seen four or more doctors within the past 2 years, and having used the emergency department in the last 2 years. The authors advocate for improved sharing of clinical information (e.g., electronic health records) and specific policy and practices designed to improve care coordination.
Journal Article > Commentary
Schiff GD, Martin SA, Eidelman DH, et al. Ann Intern Med. 2018;169:643-645.
Safe diagnosis is a complex challenge that requires multidisciplinary approaches to achieve lasting improvement. The authors worked with a multidisciplinary panel to build a 10-element framework outlining steps that support conservative diagnosis as an approach to reducing overdiagnosis and overtreatment.