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Search results for "Book/Report"
Manchester, UK: General Medical Council; June 2019.
Finding the appropriate balance between assigning criminality and accountability for tragic preventable patient harm is difficult. Summarizing a high-profile case in the United Kingdom that involved the death of a pediatric patient, misdiagnosis, and a senior pediatric trainee, this report explores elements of the criminality and accountability debate across the system and discusses policy, judicial, and individual components of a fair and just response to adverse events to keep organizations, clinicians, and patients safe.
Cortese D, Abbott P, Chassin M, Lyon GM III, Riley WJ. Dallas, TX: Texas Health Resources Leadership; 2015.
Delayed diagnosis of infectious disease can negatively affect patients, care teams, and public health. Challenges surrounding diagnosis of the first Ebola case in the United States highlighted deficits in disaster preparedness. Reviewing insights from a panel analysis of this well-known and highly publicized case of Ebola, this report underscores the need to improve information transfer and emergency department safety culture to enhance diagnostic and infection prevention processes. A previous WebM&M commentary discussed the utility of simulation training to ensure provider competency when caring for patients potentially infected with Ebola.
Improving Diagnosis: Teenage Cancer Trust Report on Improving the Diagnostic Experience of Young People With Cancer.
London, England: Teenage Cancer Trust; 2013.
This report spotlights challenges to early diagnosis of cancer in pediatrics and offers guidance for clinicians and families to improve care for these patients.
Cork, Ireland: Health Information and Quality Authority; March 21, 2008.
This report analyzes the findings of a diagnostic error investigation and provides numerous recommendations to improve standards for treating symptomatic breast disease.
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.
Dallas, TX: Susan G. Komen Breast Cancer Foundation; June 2006.
This report illustrates weaknesses in current pathology practice of breast cancer diagnosis and suggests improvements for reliability and effectiveness.