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Journal Article > Commentary
Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case.
Carmack HJ. Health Commun. 2019 Aug 9; [Epub ahead of print].
Large-scale system failures can damage an organization's credibility. This commentary analyzes how one organization responded after an incident that involved 76 patients who mistakenly received fatally high doses of radiation. The strategies discussed center on the importance of organizational communication to patients, navigating the blame response, and rapid efforts to prevent similar events.
Journal Article > Study
Aaronson EL, Quinn GR, Wong CI, et al. J Healthc Risk Manag. 2019 Jul 23; [Epub ahead of print].
Malpractice risk in the outpatient setting is significant and claims often involve missed and delayed diagnoses. This retrospective study examined diagnostic error claims in outpatient general medicine to identify characteristics and causes of cancer misdiagnoses. Similar to a prior study, investigators found that missed cancer diagnosis is the leading type of diagnostic error in primary care, constituting nearly half of closed diagnostic claims. Contributing factors included failure or delay in test ordering or consultation. These findings suggest that improving test results management and consultative processes may reduce malpractice risk related to outpatient diagnosis. A previous WebM&M commentary discussed an incident involving a missed diagnosis of spinal cord injury in primary care.