Physician and Public Opinions on Quality of Health Care and the Problem of Medical Errors

Robinson, Andrew; Hohmann, Kirsten B.; Rifkin, Julie I.; Topp, Daniel; Gilroy, Christine; Pickard, Jeffrey; Anderson, Robert J.

doi:10.1001/archinte.162.19.2186

Cited by 102 publications

(68 citation statements)

References 8 publications

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“…No patient should enter a hospital for a regional procedure believing that 'If healthcare was an airline, only dedicated risk seekers and those tired of living would fly on it'. 8 …”

Section: 'Minimalmentioning

confidence: 99%

Sedation for Regional Analgesia

Williams¹

2013

IJPUT

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“…No patient should enter a hospital for a regional procedure believing that 'If healthcare was an airline, only dedicated risk seekers and those tired of living would fly on it'. 8 …”

Section: 'Minimalmentioning

confidence: 99%

Sedation for Regional Analgesia

Williams¹

2013

IJPUT

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“…In the modern world, due to growth in medical and hygiene services, complicated equipment are used in performing related activities, and as a result, failures caused by such equipment have become an issue of discussion in the criterion of safety of patients (1). Protecting patient safety is one of the basic issues in the systems of providing health services (2), and this is considered as a main concern in the mentioned systems.…”

Section: Introductionmentioning

confidence: 99%

Identification and Evaluation of Human Errors in the Medication Process Using the Extended CREAM Technique

Mohammadfam

Bashirian

Bakhshi

2017

Jundishapur J Health Sci

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Background: Medication process is a powerful instrument for curing patients. Obeying the commands of this process has an important role in the treatment and provision of care to patients. Medication error, as a complicated process, can occur in any stage of this process, and to avoid it, appropriate decision-making, cognition, and performance of the hospital staff are needed. Objectives: The present study aimed at identifying and evaluating the nature and reasons of human errors in the medication process in a hospital using the extended CREAM method. Methods: This was a qualitative and cross-sectional study conducted in a hospital in Hamadan. In this study, first, the medication process was selected as a critical issue based on the opinions of experts, specialists, and experienced individuals in the nursing and medical departments. Then, the process was analyzed into relative steps and substeps using the method of HTA and was evaluated using extended CREAM technique considering the probability of human errors. Results: Based on the findings achieved through the basic CREAM method, the highest CFPt was in the step of medicine administration to patients (0.056). Moreover, the results revealed that the highest CFPt was in the substeps of calculating the dose of medicine and determining the method of prescription and identifying the patient (0.0796 and 0.0785, respectively). Also, the least CFPt was related to transcribing the prescribed medicine from file to worksheet of medicine (0.0106). Conclusions: Considering the critical consequences of human errors in the medication process, holding pharmacological retraining classes, using the principles of executing pharmaceutical orders, increasing medical personnel, reducing working overtime, organizing work shifts, and using error reporting systems are of paramount importance.

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confidence: 99%

“…However, fear of lawsuits makes disclosure of medical errors to patients difficult, and recent studies suggest that communicating openly about errors is the exception rather than the rule. 17,18 To our knowledge, no data have been published about malpractice claims involving screening mammography in Europe. In the current study, we determined the type and frequency of malpractice claims at a Dutch breast cancer screening region over a 12-year screening period.…”

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confidence: 99%

Malpractice claims following screening mammography in The Netherlands

Smallenburg

Setz-Pels

Groenewoud

et al. 2012

Intl Journal of Cancer

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Although malpractice lawsuits are frequently related to a delayed breast cancer diagnosis in symptomatic patients, information on claims at European screening mammography programs is lacking. We determined the type and frequency of malpractice claims at a Dutch breast cancer screening region. We included all 85,274 women (351,009 screens) who underwent biennial screening mammography at a southern breast screening region in The Netherlands between 1997 and 2009. Two screening radiologists reviewed the screening mammograms of all screen detected cancers and interval cancers and determined whether the cancer had been missed at the previous screen or at the latest screen, respectively. We analyzed all correspondence between the screening organization, clinicians and screened women, and collected complaints and claims until September 2011. At review, 20.9% (308/1,475) of screen detected cancers and 24.3% (163/670) of interval cancers were considered to be missed at a previous screen. A total of 19 women (of which 2, 6 and 11 women had been screened between 1997 and 2001 (102,439 screens), 2001 and 2005 (114,740 screens) and 2005 and 2009 (133,830 screens), respectively) had contacted the screening organization for additional information about their screen detected cancer or interval cancer, but filed no claim. Three other women directly initiated an insurance claim for financial compensation of their interval cancer without previously having contacted the screening organization. We conclude that screening-related claims were rarely encountered, although many screen detected cancers and interval cancers had been missed at a previous screen. A small but increasing proportion of women sought additional information about their breast cancer from the screening organization.Many countries have introduced screening mammography programs with the aim to reduce breast cancer mortality. 1 Essential for reducing morbidity and mortality is the early detection of breast cancers, as a diagnostic delay lowers breast-conserving treatment options and worsens prognosis. 2,3 Unfortunately, a delayed diagnosis resulting from a missed cancer at screening is not rare. Certain cancers are just not visible at screening mammography, whereas others are misinterpreted or overlooked. 4,5 Interpretation of mammograms is one of the most difficult tasks in radiology and the sensitivity of screening mammography for breast cancer detection ranges from 70% to 80%. 6,7 Nevertheless, the public's expectations of the efficacy of screening mammography are high, and diagnostic errors can have major legal consequences for the screening radiologist.An Italian study observed, over a period of 12 years, a marked rise in malpractice claims related to diagnostic mammography in symptomatic women. 8 In the United States, a delay in breast cancer diagnosis is nowadays the most prevalent and the second most expensive condition resulting in malpractice lawsuits. 9,10 The most common defendant in these lawsuits is the interpreting radiologist and as a consequence the ...

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Physician and Public Opinions on Quality of Health Care and the Problem of Medical Errors

Cited by 102 publications

References 8 publications

Sedation for Regional Analgesia

Sedation for Regional Analgesia

Identification and Evaluation of Human Errors in the Medication Process Using the Extended CREAM Technique

Malpractice claims following screening mammography in The Netherlands

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