Adverse events: past and future

J Ruedy, RI Ogilvie - CMAJ, 2004 - Can Med Assoc
The description in a recent “Query” of the longest-serving physician in Dr. Ursus's hospital1
raises numerous questions. In particular, where were Dr. C's departmental head, the chief of …

Toward a safer health care system: the critical need to improve measurement

A Jha, P Pronovost - Jama, 2016 - jamanetwork.com
It has been more than 15 years since To Err Is Human, the landmark report by the Institute of
Medicine (IOM), revealed the substantial morbidity and mortality related to medical errors in …

The impact of adverse events on clinicians: what's in a name?

AW Wu, J Shapiro, R Harrison, SD Scott… - Journal of patient …, 2020 - journals.lww.com
Unanticipated patient adverse events can also have a serious negative impact on clinicians.
The term second victim was coined to highlight the experience of health professionals with …

Entering the Second Decade of the Patient Safety Movement: The Field Matures: Comment on Disclosure of Hospital Adverse Events and Its Association With Patients' …

RM Wachter - Archives of internal medicine, 2009 - jamanetwork.com
The Institute of Medicine report that popularized the statistic that 44 000 to 98 000 Americans
die each year as a result of medical errors (“a jumbo jet a day”) unleashed a variety of …

Patient safety: Rejecting the status quo

AA Levin - North Carolina medical journal, 2005 - ncmedicaljournal.com
92 NC Med J March/April 2005, Volume 66, Number 2 but it was far less lethal than To Err Is
Human claimed. And, they argued,“error” was a subjective, imprecise event that defied …

The patient's right to safety: improving the quality of care through litigation against hospitals

GJ Annas - New England Journal of Medicine, 2006 - scholarship.law.bu.edu
It is the consensus of experts in the patient-safety field that little has changed to improve the
safety of hospital care since the Institute of Medicine's 1999 report, To Err Is Human. The …

[HTML][HTML] A new category of “never events”—ending harmful hospital policies

DA Chokshi, AL Beckman - JAMA Health Forum, 2022 - jamanetwork.com
Twenty years ago, the National Quality Forum identified a list of medical “never events,” such
as leaving a sponge inside a patient after surgery or operating on the wrong limb. These …

Canadian adverse events study

GR Baker, PG Norton, V Flintoft - CMAJ, 2004 - Can Med Assoc
ward AEs as events of innocent origin. In the complex environment of acute health care, it is
very easy for errors to occur, and the health care system is well behind other high-risk …

[HTML][HTML] Making health care safer: summary

KG Shojania, BW Duncan, KM McDonald… - AHRQ Evidence …, 2001 - ncbi.nlm.nih.gov
Patient safety has become a major concern of the general public and of policymakers at the
State and Federal levels. This interest has been fueled, in part, by news coverage of …

Medical error and patient safety in the spotlight

LP Mileder - Wiener klinische Wochenschrift, 2017 - Springer
Dear editor, according to the World Health Organization (WHO), ischemic heart disease,
stroke, lower respiratory tract infections, chronic obstructive pulmonary disease, and …