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- Communication Improvement 2
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- Error Reporting and Analysis
- Human Factors Engineering 1
- Legal and Policy Approaches 1
- Logistical Approaches 1
- Technologic Approaches 1
- Transparency and Accountability 1
- Diagnostic Errors 2
- Discontinuities, Gaps, and Hand-Off Problems 1
- Medical Complications 1
- Medication Safety 3
- Nonsurgical Procedural Complications 2
- Psychological and Social Complications 3
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Search results for "Patients"
Hatch S. New York, NY: Basic Books; 2016. ISBN: 9780465050642.
Journal Article > Commentary
Donaldson LJ. BMJ Qual Saf. 2015;24:603-604.
Narrative elements of care failures can help motivate commitment to patient safety work by placing the incident in context. Exploring the value of patient perspectives associated with adverse events, this commentary suggests that improvement leaders consider the patient experience when designing harm reduction efforts.
Berntsen KJ. Westport, CT: Praeger; 2004. ISBN: 0275982300.
The author provides an introduction to issues affecting safety in health care for a consumer audience. The text is interspersed with relevant stories from patients and tips to minimize opportunities for failure.
Cullen A. Uitgeverij van Brug: The Hague, The Netherlands; 2019. ISBN: 9789065232236.
Patient stories offer important insights regarding the impact medical errors have on patients and their families. This book shares the author's experience with medical error and spotlights how lack of transparency in European health care can contribute to avoidable process failures that result in patient harm.
Young A, Kelly J, Schnaars C, Ungar L. USA Today.
William Brangham. PBS News Hour. September 29, 2017.
Hobson K. Health Shots. National Public Radio. September 8, 2017.
Medication regimen nonadherence can result in patient harm. This news article reports the results of a national poll, which found that a substantial number of patients under the age of 35 do not take their medication as directed. Patients who stopped taking medications without consulting their doctors cited various reasons, including forgetfulness, feeling better, and belief the medication did not work .
Martin N, Montagne R. ProPublica and National Public Radio. May 12, 2017.
Maternal mortality is increasing in the United States. This news article reports on this critical safety problem in the context of the preventable death of a patient whose diagnosis of preeclampsia was missed by her providers, despite persistent concerns raised by family about the patient's symptoms.
Kliff S. Vox Media. March 15, 2016.
Health professionals involved in medical errors experience psychological stress, which can have serious consequences if they are unable to cope with their mistake. Reporting on the second victim phenomenon, this news article discusses a well-known incident that led to the suicide of a nurse, how insufficient organizational and peer support systems affect clinicians, initiatives to provide counseling in similar situations, and the need for more universal change.
Marsh H. New York, NY: Thomas Dunne Books; 2015. ISBN: 9781250065810.
This intensely personal memoir by the famed British neurosurgeon Henry Marsh is no hagiography or recitation of his many accomplishments. Instead, Marsh relates many errors he has committed or witnessed, and the personal toll these errors have taken on his patients and himself. He recreates these stories in vivid detail, acknowledging the effect that his own emotional state had on committing both cognitive and technical errors. Marsh was inspired to write this book in part by reading the work of Daniel Kahneman, the Nobel Prize–winning psychologist whose research established the mechanisms by which humans commit cognitive errors. Along with Atul Gawande's Complications, this book stands as an essential human perspective on error in medicine.
Web Resource > Multi-use Website
PO Box 231335, Hartford, CT 06123-1335.
The Connecticut Center for Patient Safety works to improve patient safety in Connecticut hospitals and protect the rights of injured patients. This Web site shares patients' stories of medical error and provides information and resources related to patient safety.
"60 Minutes." CBS News Video. March 16, 2008.
This news video features an interview with Dennis and Kimberly Quaid discussing the dangers of medical errors in the context of a near fatal heparin overdose of their twin infants at Cedars-Sinai Medical Center.
Berenson RA. The New Republic. October 10, 2005;233:17-21.
To illustrate the need for malpractice tort reform, transparency, and fair compensation for patients, this article discusses individual stories, such as that of Susan Sheridan, whose son and husband were both injured by medical error, as well as organizational and grassroots efforts, such as the Sorry Works! Coalition.
Ostrom CM. Seattle Times. September 13, 2005;Local News:B3
This article reports on how one family and hospital will use personal tragedy to create awareness in practitioners of the importance of accurate labeling in hospitals.
Casey SM. Santa Barbara, CA: Aegean Publishing Company; 1998. ISBN 13: 9780963617880.
This book introduces important human factors issues using a series of real cases and incidents from health care and a variety of other industries. The title refers to the disastrous death of a patient due to a design flaw in the radiotherapy accelerator, Therac-25. A plausible but unanticipated series of keystrokes by the operator resulted in the delivery of more than 100 times the intended dose of radiation. Other chapters discuss events as diverse as the Union Carbide disaster in Bhopal, India, an incorrect stock trade that nearly caused a market collapse, a variety of military and industrial examples, as well other cases from health care. The book provides numerous real-world examples of misadventures in human–system interactions.