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Journal Article > Commentary
Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture change.
Henry LL. Policy Polit Nurs Pract. 2005;6:127-134.
The author discusses the history of error disclosure, the role that respect for patient autonomy plays in developing disclosure policies, and the culture change that must occur to implement such a policy.
Landro L. Wall Street Journal. March 5, 2008:D1.
This article reports on new policies and procedures adopted by hospitals to prevent errors in the use of high-alert medications, such as heparin.
Rice S. Modern Healthc. August 15, 2015.
Kliff S, Pinkerton B, Weinberger J, Drozdowska A. Vox. October 23, 2017.
DeMarco P. Globe Magazine. November 3, 2018.
This magazine article reports on the preventable death of a patient during an acute asthma attack. Written by the patient's husband, the article outlines the failures that led to her death despite the fact that she was at the door of a hospital emergency department and on the phone with an emergency dispatcher. Factors discussed include overreliance on poorly functioning technology, communication failures, and lack of fail-safes.
Palmer J. Patient Saf Qual Healthc. May/June 2019.
Organizations must learn from adverse events to prevent similar incidents. Reporting on lessons to be learned from the cascade of failures connected with the preventable death of a patient during an acute asthma attack at the door of a hospital emergency department, this magazine article outlines the importance of effective signage, appropriate security staff placement, and acceptance of the responsibility for failure.