Narrow Results Clear All
- Communication Improvement 10
- Education and Training 2
- Error Reporting and Analysis 5
- Human Factors Engineering 1
- Legal and Policy Approaches 8
- Logistical Approaches 2
- Policies and Operations 2
- Quality Improvement Strategies 9
- Specialization of Care 2
- Technologic Approaches 5
- Transparency and Accountability 1
- Diagnostic Errors 11
- Discontinuities, Gaps, and Hand-Off Problems 8
- Failure to rescue 2
- Fatigue and Sleep Deprivation 1
- Medication Errors/Preventable Adverse Drug Events 5
- Nonsurgical Procedural Complications 1
- Psychological and Social Complications 3
- Transfusion Complications 1
- Internal Medicine 8
- Nursing 1
- Pharmacy 2
- Family Members and Caregivers 3
- Health Care Executives and Administrators 12
Health Care Providers
- Nurses 2
- Non-Health Care Professionals 5
Search results for ""
Cases & Commentaries
- Web M&M
Bryan A. Liang, MD, PhD, JD; May 2004
Understanding that she may lose her life without it, a woman severely injured in a collision rejects a blood transfusion for religious reasons. However, her parents persuade the physicians otherwise, and the woman lives.
Cases & Commentaries
- Web M&M
James E. Heubi, MD ; January 2006
Parents of a 5-year-old, told to give their son acetaminophen for his fever, return 2 days later because he is acutely ill. Tests reveal dangerously high acetaminophen levels. It turns out the parents had miscalculated the dosage.
Journal Article > Study
Porter SC, Kohane IS, Goldmann DA. J Am Med Inform Assoc. 2005;12:299-305.
This study examined the utility of a multimedia kiosk to capture parents' knowledge of their children's asthma medication history. Investigators compared the parental information with that documented by emergency department providers. Results suggested greatest accuracy in medication name followed by route of delivery, form of medication, and dose. The authors conclude that patient-derived data can be effective in improving current deficits in medication documentation during emergency department visits.
Meisel Z. Slate. November 8, 2005.
In this article, an emergency medicine physician describes the work environment of emergency medical technicians and paramedics and why it is prone to error.
Web Resource > Multi-use Website
Dallas, TX: American College of Emergency Physicians.
This Web site provides access to emergency medical services evaluations in four categories: access, quality and patient safety, public health and prevention, and medical liability environment. The site also offers an interactive map of the nation, with detailed information and a "grade" for each state.
Hua V. San Francisco Chronicle. February 17, 2006:B6.
This article reports on a study conducted by the Discrimination Research Center that found non-English speakers were not connected to a staff member who spoke the language in about half of calls to the emergency department.
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.
Lerner BH. The Washington Post. November 28, 2006:HE01.
The author reviews the legacy of Libby Zion and how her untimely death raised awareness of the impact that resident duty hours and fatigue could have on patient care and quality.
Tools/Toolkit > Fact Sheet/FAQs
Clancy CM. Rockville, MD: Agency for Healthcare Research and Quality; September 1, 2009.
This column offers advice for consumers on what personal health and medical information to prepare before going to the emergency department.
Eban K. Self Magazine. November 2011.
This magazine article reports on cases in which outsourcing the interpretation of radiology tests contributed to patient harm.
Gupta S. New York, NY: Grand Central Publishing; 2012. ISBN: 9780446583855.
To illustrate how physicians learn from mistakes, this novel (written by CNN medical correspondent Dr. Sanjay Gupta) explores the impact of a medical error on surgeons at one hospital.
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.
Dwyer J. New York Times. October 25, 2012.
Lucado J, Paez K, Elixhauser A. HCUP Statistical Brief #109. Rockville, MD: Agency for Healthcare Research and Quality; April 2011.
Landro L. Wall Street Journal. May 10, 2011:D3.
This newspaper article reports on efforts to reduce errors in emergency medicine, including improving physician–nurse communication, adopting timeouts before discharge, and using trigger systems.
Burcham K. WSOC-TV. November 22, 2013.
This news piece reports on a missed diagnosis of meningitis and illustrates how premature closure can hinder safe care.
Silverman L. Morning Edition. National Public Radio. June 9, 2014.
This radio segment discusses the experience of a pediatric medical center that hired pharmacists for its emergency department to review medication orders before the medicine is dispensed and administered in an effort to prevent medication errors.
Loftis RL. Dallas Morning News. October 5, 2014.
Guidelines and rules are developed to help augment safety, but they cannot guarantee it. This news article explores the potential causes for a missed diagnosis of Ebola despite screening procedures for the virus, including weaknesses in an electronic health record system, complacency, and poor communication.
Dunklin R, Thompson S. Dallas Morning News. December 6, 2014.
This news article reports on the widely publicized delayed diagnosis of Ebola at a Dallas hospital and reveals previously undisclosed details from the emergency room physician who misdiagnosed the patient when he first presented, including information and communication gaps that may have contributed to the failure.