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Search results for "Internal Medicine"
Bernhard B. St. Louis Post-Dispatch. May 5, 2013:A10.
This newspaper article relates how medical mistakes affect both patients and clinicians and offers tips for patients and families to prepare for surgery.
McFadden C. ABC News Nightline. March 6, 2013.
Journal Article > Study
Ott LK, Pinsky MR, Hoffman LA, et al. BMJ Qual Saf. 2012;21:509-518.
This cohort study characterizes the types of emergencies that necessitated a medical emergency team evaluation of an inpatient in the radiology department. A case of an ultimately fatal adverse event that occurred while a patient was being transported from an inpatient unit to radiology is discussed in this AHRQ WebM&M commentary.
Gilk T, Latino RJ. Patient Saf Qual Healthc. November/December 2011;8:22-23,26-29.
Describing a case of accidental patient death in an MRI suite, this article reviews a root cause analysis of the event and notes that no regulatory efforts have been implemented to improve MRI safety in the 10 years following the incident.
Journal Article > Study
Grossman E, Phillips RS, Weingart SN. J Patient Saf. 2010;6:172-179.
Tests pending after hospital discharge or following a clinic visit continue to challenge most health care systems. This study implemented a paper-based system to follow up abnormal mammograms and monitored provider responses to those reminders. Based on a report of abnormal mammograms generated by the radiology department, a practice administrator sent a letter to each provider with a copy of the report and a set of questions on behalf of their quality improvement committee. More than 90% of providers responded to the fail-safe reminders, 8% were unaware of the abnormal test, and there was no follow-up plan in place for 3% of cases. Less experienced providers were more likely to be unaware of abnormal mammograms and many lapses were noted in the context of care transitions. The authors conclude that their paper-based system is feasible and valuable but requires full engagement of providers in the process.
Journal Article > Commentary
Smetzer JL, Cohen MR. Hosp Pharm. 2008;43:869-872.
This monthly selection of error reports includes examples of confusion regarding medication delivery instructions and sound-alike mistakes involving epinephrine and ephedrine.