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- Communication Improvement 7
- Education and Training 3
- Error Reporting and Analysis 4
- Human Factors Engineering 1
- Legal and Policy Approaches 7
- Logistical Approaches 1
- Quality Improvement Strategies 7
- Specialization of Care 5
- Teamwork 1
- Technologic Approaches 2
- Diagnostic Errors 7
- Discontinuities, Gaps, and Hand-Off Problems 6
- Fatigue and Sleep Deprivation 1
- Identification Errors 1
- Medical Complications 3
- Medication Safety 3
- Nonsurgical Procedural Complications 1
- Psychological and Social Complications 2
- Surgical Complications 2
- Transfusion Complications 1
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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.
Srikameswaran A. Pittsburgh Post-Gazette. July 17, 2005;Health section.
This article describes medical emergency teams and how they are being utilized in several hospitals.
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.
Kowalczyk L. The Boston Globe. November 27, 2005:A1.
This article reports on the implementation of rapid response teams in Boston hospitals and the potential for reducing patient mortality.
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.
Kapadia R. Smart Money. October 2006;15:112-114.
This article provides tips for consumers to help keep their hospital care as safe and hassle-free as possible.
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.
Abelson R. New York Times. April 2, 2007;National Desk section:1.
This article reports on physician-owned, mostly surgical specialty, hospitals that lack the ability to care for their patients who develop medical emergencies on site.
Landro L. Wall Street Journal. September 1, 2009:D2.
This column explains that some hospitals now afford patients and families the right to summon an immediate clinical response to a patient's worsening condition.
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.
Chen PW. New York Times. January 28, 2010.
This newspaper column explains how simulation training is being integrated into medical education to help clinical teams improve their skills and ensure patient safety.
Sanders L. New York Times Magazine. March 18, 2012.
This interactive magazine feature takes readers through the decision-making process in a case involving diagnostic error.
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.
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.
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.