Relevant bibliographies by topics / Medical errors

Contents

  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Medical errors'

Author: Grafiati
Published: 4 June 2021
Last updated: 30 July 2024

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Journal articles on the topic "Medical errors"

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Skrynnikova, K. O. "Qualification of medical (medical) errors." Uzhhorod National University Herald. Series: Law 1, no. 80 (January 22, 2024): 246–52. http://dx.doi.org/10.24144/2307-3322.2023.80.1.35.

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In the article the author investigates the qualification signs of actions (inaction) of doctors (medical staff), the consequence of which is a medical error. Their content and influence at the civil law relations that arise between the doctor and the patient are established. The author emphasizes the development of a correct, well-thought-out and unified position about the legal qualification of erroneous actions of doctors (medical staff). Also in the article it is noted that possible defects of medical care are: lack of a positive result, accident, medical error, where medical error is the basis for bringing to civil liability for doctors (medical workers). It is noted that the characteristic signs of such an error are harm to the patient`s health or his death and the presence of both intentional guilt and negligence and wrongful acts (inaction) of doctors (medical workers). The analysis and classification of the causes (factors) of occurrence and types of medical error is carried out. The subjective and objective reasons influencing actions (inaction of doctors, medical workers are defined). It is said that the objective reasons the doctor, the medical worker cannot predict and which exclude their responsibility. It is stated that actions under the influence of objective reasons should be considered as types of accident (or incident). Subjective causes (factors) are errors made by doctors (health professionals) that unreasonably deviate from established medical standards, act carelessly, confidently or allow unreasonable risks in the absence of experience or knowledge. The article analyses the classification of medical errors by the causes, in particular: diagnostic errors; medical and tactical errors; technical errors; organizational errors and deontological errors. A legal assessment of a medical error as one of the possible grounds for civil liability is provided. It is substantiated that the responsibility of a doctor, medical staff depends on the presence of guilt in his actions and the qualification of the negative result of medical care. The article also emphasizes that doctors (medical workers) are not responsible for a medical error, but for the damage caused to the patient as a result of this error. Scientifically substantiated proposals and recommendations for improving the civil legislation of Ukraine in the field of medicine are formulated.
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Bukata, W. Richard. "Medical Errors." Emergency Medicine News 25, no. 6 (June 2003): 28–31. http://dx.doi.org/10.1097/00132981-200306000-00018.

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Durmuş, Serpil Çelik, Ayla Keçeci, Özlem Akkaş, Selma Keskin, Nurcan Demiral, and Safiye Saygan. "Medical Errors." Holistic Nursing Practice 27, no. 4 (2013): 225–32. http://dx.doi.org/10.1097/hnp.0b013e318294e6d3.

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Glauser, Jonathan. "Medical Errors." Emergency Medicine News 24, no. 7 (July 2002): 4. http://dx.doi.org/10.1097/01.eem.0000334229.68146.31.

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Glauser, Jonathan. "Medical Errors." Emergency Medicine News 24, no. 8 (August 2002): 13–16. http://dx.doi.org/10.1097/01.eem.0000334328.70385.0a.

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&NA;. "Medical Errors." Emergency Medicine News 24, no. 8 (August 2002): 45. http://dx.doi.org/10.1097/01.eem.0000334349.48408.e9.

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Vlad, I. "Medical errors." BMJ 327, no. 7424 (November 15, 2003): 1174—a—1174. http://dx.doi.org/10.1136/bmj.327.7424.1174-a.

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Tuma, Rabiya S. "Medical Errors." Oncology Times 24, no. 1 (January 2002): 65. http://dx.doi.org/10.1097/01.cot.0000315336.55687.52.

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Nichols, James H. "Medical Errors." Point of Care: The Journal of Near-Patient Testing & Technology 4, no. 4 (December 2005): 139–41. http://dx.doi.org/10.1097/01.poc.0000190771.08132.b5.

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Holder, Angela Roddey. "Medical Errors." Hematology 2005, no. 1 (January 1, 2005): 503–6. http://dx.doi.org/10.1182/asheducation-2005.1.503.

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Abstract Following the 2000 report of the Institute of Medicine, To Err Is Human, which documented that as many as 98,000 people in this country die of medical errors every year, medical, hospital, and governmental agencies began to consider changes in hospital systems. The report had found that errors were much more likely to result from systemic problems than from inept health care providers. Progress in reinventing hospital systems has been very slow, although some institutions have made great gains. “Medical errors” may be of several types. Some lead to malpractice claims, many do not. Many people who have been severely injured by errors never file claims. Making a medical mistake is not necessarily “malpractice.” There are six elements a patient must prove in order to win a malpractice case: a physician-patient relationship must exist, the care provider must owe the patient a duty of care, evidence (usually expert testimony) must be presented that there was a failure in some part of the duty of care, there must proof that the lack of care was the proximate cause of harm, and proof of evidence that harm occurred. The patient must also prove his or her assessment of damages. Solutions to the problem of patient injuries are suggested.
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Dissertations / Theses on the topic "Medical errors"

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Ly, Huong Q. "Medical Laboratory Managers Success with Preanalytical Errors." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3498.

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Clinicians rely heavily on accurate laboratory results to diagnose and treat their patients. Laboratory errors can occur in any area of total testing phases, but more than half of the errors occur in the preanalytical phase. Framed by the total quality management theory, the purpose of this multiple case study was to explore medical laboratory managers' strategies to reduce preanalytical errors. A purposive sample of 2 organizations with laboratories in southern California participated in semistructured face-to-face interviews. Company A had 2 participants and 3 participants participated in the study from Company B. Each participant had at least 5 years of laboratory experience, with a minimum of 2 years of management experience in preanalytical testing, and had completed one project to minimize laboratory errors. Thematic analysis exposed 5 main themes: quality improvement, recognition, reward, and empowerment, education and training, communication, and patient satisfaction. The participants highlighted the need for organizations to concentrate on quality management to achieve patient satisfaction. To achieve quality services, medical laboratory managers noted the importance of employee engagement, education and training, and communication as successful strategies to mitigate preanalytical errors. The recommendation for action is for laboratory leaders to review and apply effective strategies exposed by the data in this study to reduce preanalytical errors in their medical laboratory. Positive implications of this study include reduction of preanalytical errors, increased operational cost, and improved patient experience.
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Al-Shirawi, Ali. "Medical errors: defining the confines of system weaknesses and human errors." Thesis, McGill University, 2011. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=97142.

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Notwithstanding the innovative changes in biotechnology, medical devices and other therapeutics, errors in medicine continue to cause harm to patients. Current definitions of medical error do not reflect the full reality of error causation. Medical error taxonomy is narrowly focused on system weaknesses in health institutions and human error. System weaknesses in licensing and monitoring organizations, health care suppliers, health profession self-regulation and government regulating organizations, conduct by leading health professionals and medical research industry risks, all lead to significant harm that is not recognized in medical error accountability. These players do not fulfill their mandates. Evidence demonstrates negligence, incompetence, unethical conduct and institutional interest and self-interest in the decision-making process. Both the principled approach and institutional ethics (IE) principles are powerful tools to require accountability from stakeholders. The contemporary understanding of medical errors is deficient and unsustainable. It has not contributed to a decrease in errors. Appropriate definitions of the confines of systems weaknesses and human error are required. This thesis outlines a method to perceive medical errors in a broader way, combining the many agents of error/harm into one system, thereby highlighting accountability and paving the way for reform.
Malgré les changements innovateurs dans la biotechnologie, l'équipement médical et d'autres approches thérapeutiques, les erreurs dans la pratique de la médecine continuent à provoquer des problèmes médicaux pour un nombre important de patients. Les définitions actuelles d'erreurs médicales ne reflètent pas la réalité complète de la causalité d'erreurs. La taxinomie d'erreurs médicale est aussi strictement concentrée sur les faiblesses du système dans les institutions de santé et l'erreur humaine. Les faiblesses des systèmes qui autorisent et contrôlent les organisations, les fournisseurs de santé publique, les règlements des professions de la santé, les organismes de règlements gouvernemental des professions de la santé et la conduite des professionnels de la santé, et les risques de l'industrie de recherche médicale, tous causent des problèmes importants qui ne sont pas actuellement explicitement reconnu pour leur responsabilité d'erreurs médicales. Ces joueurs ne réalisent pas leurs autorité actuelle. L'évidence démontre de la négligence, de l'incompétence, d'une conduite non étique, d'un intérêt institutionnel et d'un intérêt personnel dans le processus de prise de décision par ces instances. C'est-à-dire, l'approche du principe que les principes de l'éthique institutionnelle sont des instruments puissants pour contraindre la responsabilité de tous les joueurs. La vision contemporaine des erreurs médicales est déficiente et non durable. Une telle vision est déficiente et non supportable. Elle n'a pas contribué à la réduction d'erreurs médicales. Une formulation sur les définitions nécessaires des limitations des systèmes liés à l'être humain est nécessaire. La proposition de cette thèse expose une façon de percevoir les erreurs médicales dans le but de rejoindre les nombreux agents d'erreur et de mal dans un système en mettant ainsi l'emphase sur la responsabilité, et ainsi ouvrant la voie à la réforme.
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Varnam, Robert. "Patient perspectives on medical errors in general practice." Thesis, University of Manchester, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.514434.

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Patient safety is as an increasingly active field of research and policy in the UK and around the world. The prevailing academic model for understanding the cause of patient safety incidents considers failures in cognitive and system aspects of care to playa role, with an emphasis on system factors in preventing harm. General practitioners (GPs) are the first port of call for a wide range of undifferentiated medical, psychological and social problems, presented by patients with whom they may form lasting relationships. The priorities and processes of care in general practice are consequently less clearly defined, more individualised and more strongly influenced by the people involved than in the hospital settings where the existing model was developed. Research in general practice has thus far been conducted from a professional standpoint, using doctors' reports to detect and understand safety incidents. Patients may bring a valuable new perspective to understanding the nature, incidence and cause of adverse events in general practice, allowing the existing model to be refined. This study aimed to provide a detailed description and analysis of patients' perspective on episodes of care they regarded as regrettable. A qualitative approach was used, conducting in-depth interviews with 34 patients whose healthcare experiences made them likely to be good key informants regarding patient safety issues in general practice. An adaptive theorising approach was used, to allow grounded insights arising from the empirical data to be interpreted in the light of, and to add to the development of, theories about the causation of adverse events. The results showed respondents' evaluations of GPs' medical performance to be contingent on their expectations, prior experiences and the doctor-patient relationship. They understood the quality and safety of GPs' care to be determined by their knowledge, skills and an attitude of professional commitment, using this understanding to inform the attribution of responsibility or blame for their experiences of care. This approach differed from the prevailing academic model in that it focussed on errors more than adverse outcomes, placed a strong emphasis on the importance of personal and relational factors in error causation and paid relatively little attention to the role of system factors. It identified diagnostic error as a significant issue in general practice, highlighting the dependence of technical aspects of care upon the GP's personal and interpersonal performance. Having sufficient professional commitment to choose to perform well was seen as a prerequisite for the safe application of knowledge and skills. Even where little or no physical harm was sustained, errors attributed to a failing in professional commitment could result in Significant psychological distress, loss of trust, and changes in future help-seeking behaviour. Interpersonal aspects of care and personal factors in GP performance appear to be key influences on safety in this context. This has implications for the focus of safety improvement efforts, which may need to take more account of the role of the individual professional, alongside issues of human factors and system design. A renewed emphasis is recommended on traditional values of altruistic professionalism and personal responsibility. Patients may make good partners in improving safety, provided it is acknowledged that their perspective is subject to socially patterned biases, and that they are sometimes hesitant to challenge medical authority.
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Dugay, Murielle Boetcher Sandra Kathleen Sparr. "Errors in skin temperature measurements." [Denton, Tex.] : University of North Texas, 2008. http://digital.library.unt.edu/permalink/meta-dc-9786.

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Troëng, Thomas. "On errors & adverse outcomes in surgery learning from experience /." Malmö : Dept. of Community Health Sciences and the Dept. of Surgery, Malmö General Hospital, University of Lund, 1992. http://catalog.hathitrust.org/api/volumes/oclc/38946479.html.

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Robinson, Mary Jane. "Diagnostic Medical Errors and Their Impact on Patient Safety." Thesis, Northcentral University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10787186.

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The purpose for this qualitative research was to provide comparative data to determine if there was areas in need of improvement when it pertained to medical errors. Researchers have validated that initiating measures for continuous improvement would minimize error rates and benefit the clinicians and their patients. Patient safety was important and cause major concerns, therefore this research explored categories that influenced decision-making processes or conditions that causes deficit in reasoning, which could have an impact on cognitive abilities. Therefore, medical errors are a research worthy problem; since they cause phenomenon, conflict within managerial processes, and was a contributing factor for malpractice payouts, per a report from 2015 Institute of Medicine. As a result, researchers validated that initiating measures for continuous improvement would benefit the clinicians and their patients by minimizing errors or keeping them at a minimum. Utilizing the qualitative approach provided the best framework to narrow down cause and effects to validate the importance of support that relates to memory and relational network through retrieval-mediated learning. This research provides evidence that medical errors occurred during decision-making processes with (90%) cognitive errors, anchoring (75.7%), and (78.6%) premature closure. As a result, this qualitative research concentrated on constructs, such as, data collection from observation of prior research from scholarly, empirical, peered reviewed articles; Medical Journals, and education materials to provide pertinent information on diagnostic medical errors for the material within this investigation. The results from this study indicated, although, there was suggestions to improve patient-safety no significant decrease in medical harm occurred, therefore additional investigations will provide a valuable contribution to the body of knowledge and conditions for continuous improvement.

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Savage, Lynette M. "Intuitive decisions as a means of preventing medical errors." ScholarWorks, 2009. https://scholarworks.waldenu.edu/dissertations/636.

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Medical errors occur despite precautionary measures. Limited research has focused on intuition in preventing medical errors. The problem addressed in this study explored the role of intuition by health care team members in preventing medical errors from reaching hospitalized patients. The research questions focused on the differences in response to medical errors by health care team members from 3 West Coast hospitals. The theoretical framework included human error, personality typing, skill acquisition, and a model of intuition. In this exploratory mixed method study 1,836 unusual occurrence reports submitted over 6 months were analyzed. Of the 710 health care team members surveyed, 201 (28%) completed an intuitive score instrument. Eight health care team members were interviewed, with responses analyzed for themes of knowledge management implicit to intuition. The unusual occurrences results were categorized as near miss or adverse event and analyzed using t tests. There were no differences in a comparison of mean intuition scores for type of error and levels of intuition by participant age or gender. Differences were found in the number of documented constructs of intuition by type of error and discipline in the comparison of pharmacy to nursing and diagnostic imaging. Interview excerpts were compiled for use by managers to role model through storytelling how intuition can prevent medical errors. Research is needed to understand how to incorporate skills of tacit recognition and intuition. Preventing costly and potentially life-threatening medical errors is fundamental to addressing the societal need to lower costs and provide safer patient care.
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Waring, Justin J. "The social construction and control of medical errors : a new frontier for medical/managerial relations?" Thesis, University of Nottingham, 2004. http://eprints.nottingham.ac.uk/11819/.

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This thesis explores changes in medical professional work and regulation in the context of emerging 'patient safety' health policies. The study engages with three components of this policy. First, to what extent is the concept of error promoted in theory and policy being taken up within managerial practice and is this coterminous with the medical interpretation and construction of error? Second, how do medical professionals regard the introduction of new reporting systems to collect information about errors in their work? Third, what new organisational systems are being developed to analyse and control errors and how do these diverge with those approaches advocated and practiced by medical professionals? It has been estimated that one in ten of all inpatient admissions experience some form of error in the delivery of care, totalling 850,000 events a year. Given such findings a new policy framework is being developed to improve 'patient safety' in the NHS. Following the Human Factors approach a new error management system is being introduced that consists of incident reporting procedures for the collection of information about errors, matched by techniques to identify the "root causes", and promote organisational change. Of importance for this thesis is the impact of policy on established forms of medical regulation. Through predominantly qualitative research techniques, this study has been carried out within a single NHS hospital case-study involving medical and managerial occupational groups. The empirical findings suggest, firstly, that the medical construction of error is indeed divergent from that advocated in policy and practiced in management and leads to distinct trajectories for the control of error. Secondly, medical professionals are generally disinclined to participate in managerial forms of incident reporting, and where such a system is in place there is a high degree of localised professional leadership. Thirdly, it was found that alongside new managerial systems for the control of errors, there were also a range of professional-led systems embedded within medical work and the local organisation of the hospital that had precedence of other centralised hospital systems. In consequence, the ability of managerial systems to penetrate the working environment of medicine was negligible. In conclusion, it is argued that while this policy could appear to challenge the basis of medical professional regulation the social, cultural and structural context of medical work is adapting to maintain a high degree of medical control and resist managerial encroachment.
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Johansson, Lars Age. "Targeting Non-obvious Errors in Death Certificates." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Universitetsbiblioteket [distributör], 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-8420.

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Greig, Paul. "Perceptual error in medical practice." Thesis, University of Oxford, 2016. https://ora.ox.ac.uk/objects/uuid:bea354bf-7c2f-44da-a24f-83a2df804b69.

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Introduction: Medical errors are major hazards, and lapses in non-technical skills such as situational awareness contribute to most incidents. Risks are concentrated in acute care, and in crisis situations clinicians can apparently ignore vital information. Poor workplace ergonomics contributes to risk. Existing work into perceptual errors offers insights, but these phenomena have been little researched in medicine. This thesis considers medical non-technical skills and how they are taught, and explores vulnerability to inattentional and change blindness. Methods: Medical human factors and the psychology of perceptual error were reviewed, and a mixed-methods assessment of postgraduate medical curricula completed. Experiments assessed clinicians' interaction with clinical monitoring devices using eye-tracking, and studies were conducted exposing clinicians to various perceptual error stimuli using non-clinical and clinical videos, and simulation. A survey was also conducted to assess clinicians' insight into the phenomena of perceptual error. Results: Non-technical skills feature poorly in medical curricula, and equipment is poorly standardised in critical care areas. Unfamiliar devices slow response times and increase error rate. Clinical training confers no generalisable advantage in perceptual reliability. Even expert clinicians miss important events. Two out of every three life-support instructors for example missed a critical failure in the patient's oxygen supply when watching a recorded emergency simulation. The insight and understanding healthcare staff have of perceptual errors is poor, leading to significant overestimates of perceptual reliability that could have consequences for clinical practice. Conclusions: Perceptual errors represent a latent risk factor contributing to loss of situational awareness. High rates of perceptual error were observed in the video-based experiment. Although lower rates were observed in simulation, important events were still missed by participants that could have serious consequences. The incidence of perceptual error appears sensitive to the method used to test for it, and this has important implications for the design of future experiments testing for these phenomena. Mitigating perceptual error is likely to be challenging, but relatively simple adjustments to team practices in emergency situations may be fruitful.
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Books on the topic "Medical errors"

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Medcom, inc. Medical errors: Part 3 : Preventing medication errors. Cypress, CA: Medcom Trainex, 2008.

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Soori, Hamid. Errors in Medical Science Investigations. Singapore: Springer Nature Singapore, 2024. http://dx.doi.org/10.1007/978-981-99-8521-0.

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Catherine, Marcucci, ed. Avoiding common anesthesia errors. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins, 2008.

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Catherine, Marcucci, ed. Avoiding common anesthesia errors. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins, 2008.

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Medcom, inc. Medical errors: Part 2 : Prevention practices. Cypress, CA: Medcom Trainex, 2008.

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A, Nguyen Dung, ed. Learning from medical errors: Clinical problems. Oxford: Radcliffe Pub., 2005.

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A, Nguyen Dung, ed. Learning from medical errors: Legal issues. Oxford: Radcliffe, 2005.

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J, Audley Robert, Ennis Maeve, and Vincent Charles psychologist, eds. Medical accidents. Oxford: Oxford University Press, 1993.

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Raine, Joseph E. Avoiding errors in paediatrics. Chichester, West Sussex: Wiley-Blackwell, 2013.

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Ian, Schott, ed. Medical blunders. New York: New York University Press, 1996.

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Book chapters on the topic "Medical errors"

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Eldo, Frezza. "Disclosing Medical Errors." In Medical Ethics, 59–64. Boca Raton : Taylor & Francis, 2019.: Productivity Press, 2018. http://dx.doi.org/10.4324/9780429506949-8.

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Tiro, Jasmin, Simon J. Craddock Lee, Steven E. Lipshultz, Tracie L. Miller, James D. Wilkinson, Miriam A. Mestre, Barbara Resnick, et al. "Nosocomial Medical Errors." In Encyclopedia of Behavioral Medicine, 1346. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4419-1005-9_101166.

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Al-Worafi, Yaser Mohammed. "Medical Errors: Overview." In Handbook of Medical and Health Sciences in Developing Countries, 1–16. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-030-74786-2_276-1.

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Chrysikopoulos, Haris. "Perception and Cognition in Medical Imaging." In Errors in Imaging, 1–4. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-21103-5_1.

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Soori, Hamid. "Errors in Medical Procedures." In Errors in Medical Science Investigations, 205–24. Singapore: Springer Nature Singapore, 2024. http://dx.doi.org/10.1007/978-981-99-8521-0_11.

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Vordermark II, Jonathan S. "Managing Errors." In An Introduction to Medical Decision-Making, 165–71. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-23147-7_13.

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Baile, Walter F., and Daniel Epner. "Disclosing harmful medical errors." In Clinical Oncology and Error Reduction, 101–10. Hoboken, NJ, USA: John Wiley & Sons, Inc, 2015. http://dx.doi.org/10.1002/9781118749272.ch7.

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Launer, John. "Hunting for Medical Errors." In Reflective Practice in Medicine and Multi-Professional Healthcare, 117–20. Boca Raton: CRC Press, 2022. http://dx.doi.org/10.1201/9781003158479-33.

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Alwitry, Amar, and Janine Collier. "Medical defence organisations." In Complaints, Litigation and Clinical Errors, 97–100. Boca Raton: CRC Press, 2024. http://dx.doi.org/10.1201/9781003179351-24.

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Shukla, Aaron V. "Refractive Errors." In Clinical Optics Primer for Ophthalmic Medical Personnel, 163–72. Boca Raton: CRC Press, 2024. http://dx.doi.org/10.1201/9781003523109-26.

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Conference papers on the topic "Medical errors"

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Whitley, Patricia, Emily Ennis, Nolan Taaca, Sweta Sneha, Hossain Shahriar, and Chi Zhang. "Reduction of Medical Errors in Emergency Medical Care." In SIGITE '18: The 19th Annual Conference on Information Technology Education. New York, NY, USA: ACM, 2018. http://dx.doi.org/10.1145/3241815.3241884.

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Ershova, Tatyana, and Evgeny Barinov. "Medical errors in therapeutic practice." In Issues of determining the severity of harm caused to human health as a result of the impact of a biological factor. ru: Publishing Center RIOR, 2020. http://dx.doi.org/10.29039/conferencearticle_5fdcb03a77c843.61667073.

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We often currently hearing from various media sources about improving of healthcare system and providing high-tech medical care. According to the analysis, many factors have been identified that affect the increase in the number of defects in medical care, which also lead to negative consequences in the development of diseases, the development of complications, and sometimes even death. According to the analysis, a number of factors were identified that affect the increase in the number of mistakes in the development of medical care, as well as leading to a great mistrust to the doctors from the population, to more serious and negative consequences in the form of worsening the course of the disease, the development of complications, and sometimes even death.
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Tahmoush, Dave. "Minimizing errors in ultrasound measurements." In SPIE Medical Imaging, edited by Stephen A. McAleavey and Jan D'hooge. SPIE, 2009. http://dx.doi.org/10.1117/12.811468.

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Kalra, Jay, Zoher Rafid-Hamed, Chiamaka Okonkwo, and Patrick Seitzinger. "Quality Care and Patient Safety: A Best Practice Model for Medical Error Disclosure." In 14th International Conference on Applied Human Factors and Ergonomics (AHFE 2023). AHFE International, 2023. http://dx.doi.org/10.54941/ahfe1003478.

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Over recent years, adverse events and medical errors have become topics of increased concern in health care. Despite the efforts of healthcare organizations and providers to prevent medical errors and adverse events, medical errors are still inevitable. Disclosure of an adverse event is essential in managing a medical error's consequences. We have previously reviewed disclosure policies at the provincial level and found no uniform approach to disclosure in Canada. Effective communication between healthcare providers, patients, and their families throughout the disclosure process is vital in supporting and fostering the physician-patient relationship. Given the variability of medical error disclosure policies, comparing the disclosure process between different health authorities may allow us to better understand the best practice model given the proper parameters. Disclosure policies can provide a framework and guidelines for appropriate disclosure, leading to more transparent practices. The purpose of this study is to review and compare the disclosure policies implemented by individual health authorities across Canada. We will evaluate each policy based on the inclusion of the following key points: avoidance of blame; support to the staff; an apology or expression of regret; avoidance of speculation; some form of patient support; education/training to healthcare workers; immediate disclosure; team-based approach; accessibility; and documentation. The clinical significance of the study is to find similarities and differences between various health regions' policies of disclosure as well as report the best practice model for medical error disclosure across Canada. We suggest implementing a uniform national policy that addresses errors in a non-punitive manner and respects the patient's right to an honest disclosure. A prime role exists for the accrediting and regulatory authorities to initiate policy changes and appropriate reforms in the area. Not only should disclosing medical errors be a routine part of medical care to enhance quality improvement, but it would also protect patients' health and autonomy.
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5

Hafner, Julee H. "Does Incomplete Unlearning Impact Medical Errors?" In 2016 49th Hawaii International Conference on System Sciences (HICSS). IEEE, 2016. http://dx.doi.org/10.1109/hicss.2016.537.

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Orchard, Jeffery J., Chen Greif, Gene H. Golub, Bruce Bjornson, and M. Stella Atkins. "Overcoming activation-induced registration errors in fMRI." In Medical Imaging 2003, edited by Milan Sonka and J. Michael Fitzpatrick. SPIE, 2003. http://dx.doi.org/10.1117/12.480849.

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Mugglestone, Mark D., Alastair G. Gale, Helen C. Cowley, and A. R. M. Wilson. "Defining the perceptual processes involved with mammographic diagnostic errors." In Medical Imaging 1996, edited by Harold L. Kundel. SPIE, 1996. http://dx.doi.org/10.1117/12.236862.

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Pronios, Nikos B., and Gregory S. Yovanof. "Effects of transmission errors on medical images." In Medical Imaging '91, San Jose, CA, edited by R. Gilbert Jost. SPIE, 1991. http://dx.doi.org/10.1117/12.45265.

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Kalra, Jay, Zoher Rafid-Hamed, Lily Wiebe, and Patrick Seitzinger. "Medical Error Disclosure: A Quality Perspective and Ethical Dilemma in Healthcare Delivery." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002107.

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Medical errors are a significant public health concern that affects patient care and safety. Highlighted as a substantial problem in the 1999 Institute of Medicine report, medical errors have become the third leading cause of death in the United States of America. Failure to inform the patient of adverse events caused by a medical error compromises patient autonomy. Disclosure of adverse events to patients and families is critical in managing the consequences of a medical error and essential for maintaining patient trust. When errors occur, healthcare practitioners are faced with the ethical and moral dilemmas of if and to whom to disclose the error. Healthcare providers face these disclosure dilemmas across all disciplines, locations, and generations and have far-reaching implications on healthcare quality and the progress of medicine. We have previously reported the Canadian provincial initiatives encouraging open disclosure of adverse events and have suggested its integration into a 'no-fault' model. Though similar in content, the Canadian provincial initiatives remain isolated because of their non-mandatory nature and absence of federal or provincial laws on disclosure. The purpose of this study was to review and compare the disclosure policies implemented by individual health care regions/authorities in various parts of Canada to identify quality issues related to medical error disclosure based on several ethical and professional principles. The complexities of medical error disclosure to patients present ideal opportunities for medical educators to probe how learners balance the moral complexities involved in error disclosure. Effective communication between health care providers, patients, and their families throughout the disclosure process is integral in sustaining and developing the physician-patient relationship. We believe that the disclosure policies can provide a framework and guidelines for appropriate disclosure, leading to more transparent practices. We suggest that disclosure practice can be improved by creating a uniform policy centered on addressing errors in a non-punitive manner and respecting the patient's right to an honest disclosure and be implemented as part of the standard of care.
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Kalra, Jay, Zoher Rafid-Hamed, Bryan Johnston, and Patrick Seitzinger. "Patient Centered Care: Medical Error Disclosure Guidelines Across Canada." In 15th International Conference on Applied Human Factors and Ergonomics (AHFE 2024). AHFE International, 2024. http://dx.doi.org/10.54941/ahfe1004840.

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The quality of healthcare is an emerging concern worldwide. Despite attempts to minimize adverse events and medical errors, the disclosure of medical errors by health professionals remains a significant challenge. We have previously reported that international policies and the Canadian Provincial College of Physicians and Surgeons both encourage the open disclosure of adverse events and have suggested its integration into a ‘no-fault’ model. Disclosure policies can provide a framework and guidelines for appropriate disclosure, leading to practices that are more transparent. The purpose of this study was to review, evaluate, and compare individual policies across Canadian health regions to provide guidelines for the best possible medical error disclosure policy. We evaluated the policies of each health region using the following five criteria (an apology or expression of regret, support for the patient, avoidance of blame, avoidance of speculation, and support for providers) which are considered critical to designing patient centered guidelines for medical error disclosure. The majority of provincial and territorial health regions (7 out of 11) have implemented disclosure policies that include all of the evaluated criteria. In Eastern Canada, more than 90% of the disclosure policies included an apology, patient support, and avoidance of blame, while more than 80% included avoiding speculation and providing support for providers. Similarly, in Western Canada, more than 80% of policies contained an apology, patient support, and avoidance of speculation, while provider support was found in at least 60% of surveyed policies. In Nunavut and the Northwest Territories, all policies contained an apology, patient support, avoidance of speculation, and provider support. On average, health region disclosure policies included an apology (98%), patient support (98%), avoidance of speculation (95%), provider support (92%), and avoidance of blame (90%). Designing best practice error disclosure policy requires integrating many aspects, including bioethics, physician-patient communication, quality of care, and team-based care delivery. We suggest that disclosure practice in Canada move toward a uniform, patient centered approach that addresses errors non-punitively to encourage medical error disclosure, reduce medical errors, and improve patient safety.
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Reports on the topic "Medical errors"

1

Mutter, Michael L. Medical Errors Reduction Initiative. Fort Belvoir, VA: Defense Technical Information Center, May 2007. http://dx.doi.org/10.21236/ada484325.

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Mutter, Michael L. Medical Errors Reduction Initiative. Fort Belvoir, VA: Defense Technical Information Center, May 2005. http://dx.doi.org/10.21236/ada434822.

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Mutter, Michael L. Medical Errors Reduction Initiative. Fort Belvoir, VA: Defense Technical Information Center, September 2008. http://dx.doi.org/10.21236/ada587562.

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Mutter, Michael L. Medical Errors Reduction Initiative. Fort Belvoir, VA: Defense Technical Information Center, March 2009. http://dx.doi.org/10.21236/ada551303.

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Landrigan, Christopher, Alisa Khan, and Matthew Ramotar. Does a Patient- and Family-Centered Hospital Communications Program Reduce Medical Errors? Patient-Centered Outcomes Research Institute® (PCORI), August 2019. http://dx.doi.org/10.25302/8.2019.cdr.130603556.

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Scheirman, Katherine. An Analysis of Medication Errors at the Military Medical Center: Implications for a Systems Approach for Error Reduction. Fort Belvoir, VA: Defense Technical Information Center, April 2001. http://dx.doi.org/10.21236/ada420601.

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Almulihi, Qasem, and Asaad Shujaa. Does Departmental Simulation and Team Training Program Reduce Medical Error and Improve Quality of Patient Care? A Systemic Review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, March 2022. http://dx.doi.org/10.37766/inplasy2022.3.0006.

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Review question / Objective: This systematic review aimed to assess whether human simulations or machine stimulations programs would help to prevent medical errors and improve patient safety. Information sources: The search terms “Medical Simulation” [Mesh], “Medication Errors” [Mesh], “Patient safety” [Mesh] were implemented, to be as specific and selective as possible. We searched for all the publications in the Medline database, Web of Science, and Google Scholar from 2000 (when the idea of simulation in healthcare to prevent ME was employed for the first time by the Institute of Medicine (IOM)) to Feb 2022 with only English language-based literature Electronic databases.
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Grannan, Benjamin C., and Laura A. McLay. An Air MEDEVAC Asset Dispatching and Prioritized Casualty Transporting Model for Military Medical Evacuation Systems with Distinguishable Medical Treatment Facilities and Errors in Triage. Fort Belvoir, VA: Defense Technical Information Center, February 2014. http://dx.doi.org/10.21236/ada612690.

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Bonds, Kevin M. Pharmacy Wait Time and Prescription Errors at the Dwight D. Eisenhower Army Medical Center Outpatient Pharmacy: A Study of Manpower and Customer Service Initiatives. Fort Belvoir, VA: Defense Technical Information Center, March 2004. http://dx.doi.org/10.21236/ada432739.

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DeJonckere, P. H., B. Millet, R. Van Gool, A. Martens, M. Lefrancq, L. Litière, E. Meyer, and J. Lebacq. Reliability of Electro-physiologically Evoked Auditory Steady State Responses. Progress in Neurobiology, April 2024. http://dx.doi.org/10.60124/j.pneuro.2024.10.03.

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The electrophysiological technique of auditory steady state responses (ASSR) makes possible objective hearing threshold definition, with frequency specificity. A high level of reliability is a basic requirement for applying this technique in a medicolegal context. 35 subjects affected by significant occupational noise induced hearing loss and claiming compensation underwent a thorough medical and audiological examination, including an analysis of the auditory steady state responses (ASSR) in order to objectively define hearing thresholds with frequency specificity, and ear-by-ear. In order to investigate the reproducibility of the thresholds obtained by this technique, the electrophysiological exploration was repeated immediately after the first test. An exhaustive statistical comparison of the results rejects the hypothesis of any significant difference between the results of both exams, whatever severity of hearing loss and frequency. All correlation coefficients (R and ICC) and Cronbach’s α values reach or exceed 0.9. Bland-Altman plots rule out systematic shifts, as well as proportional errors, or variations that depends on the magnitude of the measurements.
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