Narrow Results Clear All
- Communication Improvement 28
- Culture of Safety 1
Education and Training
- Students 1
- Error Reporting and Analysis 27
- Human Factors Engineering 1
- Legal and Policy Approaches 27
- Logistical Approaches 4
- Quality Improvement Strategies 18
- Research Directions 2
- Teamwork 1
- Clinical Information Systems 11
- Transparency and Accountability 2
- Device-related Complications 3
- Diagnostic Errors
- Discontinuities, Gaps, and Hand-Off Problems 11
- Fatigue and Sleep Deprivation 1
- Identification Errors 2
- Medical Complications 7
- Medication Safety 4
- Nonsurgical Procedural Complications 1
- Overtreatment 2
- Psychological and Social Complications 4
- Surgical Complications 3
- Internal Medicine 32
- Palliative Care 1
- Pharmacy 1
- Family Members and Caregivers 5
- Health Care Executives and Administrators 16
Health Care Providers
- Physicians 16
- Non-Health Care Professionals 23
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.
Journal Article > Study
Cohn F, Rudman WJ. Jt Comm J Qual Saf. 2004;30:636-646.
Journal Article > Commentary
Costich JF. Health Policy. 2006;78:8-16.
The author presents a high-profile French diagnostic error case and draws parallels from its resolution to the U.S. debate on "just" compensation for patients and families affected by medical error.
Brody H. Am Fam Physician. 2006;73:1272, 1274.
This article presents a case scenario of an unacknowledged misdiagnosis discovered through a patient's request for a second opinion. The author discusses how the colleague who discovered the mistake should address the first physician's denial of error.
Landro L. Wall Street Journal (Eastern edition). June 14, 2006:D1. [Reprinted on Post-gazette.com].
This article reports on a laboratory mix-up resulting in misdiagnosis and unneeded surgery and discusses the problem of laboratory errors.
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.
Davis R. USA Today. October 25, 2006.
This article shares stories of missed heart attack diagnoses and is accompanied by an online poll for readers to share their experiences with medical error.
Holt TE. Men's Health. November 3, 2006.
This series includes articles on "doorway diagnosis" (or a doctor's assessment of a patient before an exam begins), anesthesiologists addicted to painkillers, and medical mistakes in the emergency room.
Landro L. Wall Street Journal (Eastern edition). November 29, 2006: D1-D5. [Reprinted on Post-gazette.com].
This article describes a decision support program used by Kaiser Permanente and U.S. Veterans Administration to help minimize misdiagnosis.
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.
St. Paul, MN: Minnesota Department of Health; January 2009.
This report provides background on the Minnesota Never Events reporting initiative, tips for patients on how to receive the safest care possible, and a table of events reported by all hospitals in the state.
Borzo J. Wall Street Journal. May 23, 2005:R10.
This article discusses decision support system implementation and use, and its role in preventing physician misdiagnosis.
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.
Tarkan L. New York Times. September 14, 2008;Health section:7.
This article describes how medical errors may cause serious harm in pediatric patients and offers tips for hospitals and parents to foster safe treatment.
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.