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- Culture of Safety 3
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Search results for "Medicine"
Journal Article > Study
Gallagher TH, Mello MM, Levinson W, et al. N Engl J Med. 2013;369:1752-1757.
Physicians are notably loath to fully disclose their own errors, but some progress is being made in this area due to institutional policies supporting error disclosure. This article is intended to foster discussion of an especially thorny issue: how clinicians should approach error disclosure when the error was committed by a colleague. As little prior literature exists regarding this dilemma, the authors emphasize a patient-centered approach that begins with a respectful peer-to-peer conversation and does not shirk the need to fully disclose the error. The importance of institutional support, particularly in establishing a just culture that promotes error disclosure, is also emphasized. The article's lead author, Dr. Thomas Gallagher, was interviewed by AHRQ WebM&M in 2009.
Babcock CR. Bloomberg News. May 1, 2013.
Special or Theme Issue
Agency for Healthcare Research and Quality. Health Care Innovations Exchange. June 23, 2010.
This issue features successful patient safety innovations pertaining to disclosure, multidisciplinary patient safety conferences, and proactive reporting.
Journal Article > Commentary
Liang NL, Herring ME, Bush RL. J Vasc Surg. 2010;51:494-495.
This case report describes a near miss involving a potential heparin overdose and discusses what physicians should tell patients in similar circumstances.
Newsweek. October 16, 2006:44-68, 72.
This "Health for Life" series features 10 case studies about patient safety and quality improvement efforts as well as several short articles on safety-related topics such as disclosure and computerizing medical care.
ISMP Medication Safety Alert! Acute Care Edition. October 5, 2006;11:1-2.
This article outlines an organizational plan to prepare an effective and just response to medical error.
Journal Article > Study
Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ?
Hobgood C, Weiner B, Tamayo-Sarver JH. Acad Emerg Med. 2006;13:443-451.
The investigators had physicians, nurses, and emergency medical technicians review 10 vignettes illustrating error. They found variances between the three groups in identification of error and the likelihood of disclosure and reporting.