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- Education and Training 4
- Error Reporting and Analysis 3
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Search results for "North America"
Rein L. Washington Post. August 30, 2019.
Laposata M. The Pathologist. September 2017;(34):18-27.
Jauhar S. New York Times. March 3, 2016.
Performance of autopsies, previously considered an essential learning tool for clinicians, has decreased in recent years due to insufficient funding to cover costs and lack of physician endorsement of the practice. This newspaper article provides insights from a physician regarding how the decline in autopsies could affect care and highlights the benefits of autopsies in light of the current emphasis on improving diagnosis.
Shell ER. Sci Am. 2015;313(5):28-29.
Gabler E. Milwaukee Journal Sentinel. May 15, 2015.
Reporting on weaknesses in laboratory testing methods, this news article discusses patients' experiences with testing errors to illustrate how such failures can contribute to patient harm—such as missed or delayed diagnosis—and raises concerns about insufficient transparency, investigations, and regulations around laboratory facilities with poor processes.
The high cost of low morale in the clinical laboratory: how workplace environment impacts patient safety.
Barker T, Noguez J. Clinical Laboratory News. January 1, 2015.
Njoroge S, Nichols JH. Clinical Laboratory News. July 2014.
Highlighting how the disconnect between clinicians conducting point-of-care testing as a patient care action and laboratory staff performing the analysis of the test can affect detection of errors, this news article suggests quality control strategies to address risks related to monitoring, testing, and device use.
Kenler AS. Patient Saf Qual Healthc. July/August 2012;9:40-42.
This article discusses concerns with the diagnostic testing process and recommends that time outs can reduce risks.
Landro L. Wall Street Journal. January 17, 2012:D1.
This newspaper article discusses second opinions as a tactic for catching diagnostic errors.
Saul S. New York Times. July 19, 2010;A1.
This newspaper article investigates diagnostic errors in breast cancer through the story of a patient who was misdiagnosed. Concern about the accuracy of pathology for early stages of disease and ductal carcinoma in situ has experts debating the best mechanisms to ensure competency and reliability in this field.
Landro L. Wall Street Journal (Eastern edition). June 14, 2006:D1. [Reprinted on Post-gazette.com].
This article reports on a laboratory mix-up resulting in misdiagnosis and unneeded surgery and discusses the problem of laboratory errors.
Weiss GG. Med Econ. May 19, 2006; 83:47-49.
This article provides suggestions for physicians to ensure reliable follow-up on test results, including tracking forms, computerization, and staff compliance with processes.
PA-PSRS Patient Saf Advis. September 2005;2:1-5.
This article draws from the reporting system in Pennsylvania to discuss lost surgical pathology specimens and recommend a systems-oriented approach to improvement.
Dobbs D. New York Times Magazine. April 24, 2005;sect 6:40.
The author interviews experts who discuss the autopsy as a unique method for discovering medical mistakes and why it is not used more often as a teaching and improvement mechanism.