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Cases & Commentaries
- Web M&M
Kaveh G. Shojania, MD; March 2004
A man discharged from the ED is found unresponsive at home the next morning. Autopsy reveals a diagnosis not even considered.
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.)
Journal Article > Commentary
Rees S, Stevens L, Mikelsons D, Quam E, Darcy T. J Nurs Care Qual. 2012;27:253-257.
Web Resource > Multi-use Website
Plano, TX: Outcome Engenuity; July 2012.
Audiovisual > Audiovisual Presentation
Schiff GD. Institute for Healthcare Improvement; Journal of the American Medical Association. July 20, 2011.
Featuring an discussion with the author of a recent JAMA article, this archived webinar explored systemic causes for delays in test follow-up and offered strategies to address them.