Between a rock and a hard place: Disclosing medical errors

Clinical Chemistry

Volumn 52, Issue 9, 2006, Pages 1809-1814

  Crone, Kimberley G ^a   Muraski, Michele B ^b   Skeel, Joy D ^c   Love Gregory, Latisha ^a   Ladenson, Jack H ^a   Gronowski, Ann M ^a  

^a WASHINGTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b BARNES JEWISH HOSPITAL   (United States)

^c MEDICAL COLLEGE OF OHIO   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ATENOLOL; AZITHROMYCIN; DAPSONE; FOLINIC ACID; IRON; LISINOPRIL; PYRIMETHAMINE; RANITIDINE; SULFADIAZINE; SULFAMETHOXAZOLE;

ADULT; AIDS PATIENT; ARTICLE; CASE REPORT; DEATH; DRUG BLOOD LEVEL; ELECTRONIC MEDICAL RECORD; FEMALE; HUMAN; INTERPERSONAL COMMUNICATION; LABORATORY PERSONNEL; MEDICAL ERROR; MEDICAL ETHICS; MORBIDITY; MORTALITY; PATIENT ATTITUDE; PHYSICIAN ATTITUDE; PROFESSIONAL MISCONDUCT; RASH; RESIDENT; RESPONSIBILITY; RISK MANAGEMENT; TOXIC EPIDERMAL NECROLYSIS; TOXOPLASMOSIS;

ADULT; AIDS-RELATED OPPORTUNISTIC INFECTIONS; ANTI-INFECTIVE AGENTS; FATAL OUTCOME; FEMALE; HUMANS; LABORATORIES, HOSPITAL; LABORATORY PERSONNEL; MEDICAL RECORDS SYSTEMS, COMPUTERIZED; MEDICATION ERRORS; RISK MANAGEMENT; SULFAMETHOXAZOLE; TOXOPLASMOSIS;

EID: 33748288114     PISSN: 00099147     EISSN: None     Source Type: Journal    
DOI: 10.1373/clinchem.2006.072678     Document Type: Article

References (34)

1. Institute of Medicine. To err is human: building a safer health system. Washington, DC: National Academy Press, 2000.
2. Howanitz P. Errors in laboratory medicine: practical lesions to improve patient safety. Arch Pathol Lab Med 2005;129:1252-61.
3. Ford A. Catching ID errors where it counts - in the lab. CAP Today Sep 2005;34-40.
4. Hollensead SC, Lockwood WB, Elin RL. Errors in pathology and laboratory medicine: consequences and prevention. J Surg Oncol 2004;88:161-81.
5. Leape LL. Striving for perfection. Clin Chem 2002;48:1871-2.
6. Bonini P, Plebani M, Ceriotti F, Rubboli F. Errors in laboratory medicine. Clin Chem 2002;48:691-8.
7. Bureau of Transportation Statistics. Airline On-Time Performance in November Shows Improvement Over Last Year, http://www.bts. gov/press_releases/ 2006/dot001_06/html/dot001_06.html (accessed January 2006).
8. Beauchamp TL, Walters L, eds. Contemporary issues in bioethics, 6th ed. Belmont: Wadsworth, 2003:1-31.
9. Wustoff C. Medical mistakes and disclosure: the role of the medical student. JAMA 2001;286:1080-1.
10. Berlinger N. Wu AW. Subtracting insult from injury: addressing cultural expectations in the disclosure of medical error. J Med Ethics 2005;31:106-8.
11. Gallagher TH, Waterman AD, Ebers AG, Fraser VJ, Levinson W. Patients' and physicians' attitudes regarding the disclosure of medical errors. JAMA 2003;289:1001-7.
12. Gallagher TH, Levinson W. Disclosing harmful medical errors to patients: a time for professional action. Arch Intern Med 2005;165:1819-24.
13. Mazor KM, Simon SR, Gurwitz JH. Communicating with patients about medical errors: a review of the literature. Arch Intern Med 2004;164:1690-7.
14. Novack DH, Detering BJ, Forrow AR, Ladinsky M, Pezzullo JC. Physicians' attitudes toward using deception to resolve difficult ethical problems. JAMA 1989;262:2233-4.
15. Blendon RJ, DesRoches CM, Brodie M, Benson JM, Rosen AB, Schneider E, et al. Views of practicing physicians and the public on medical errors. N Engl J Med 2002;347:1933-40.
16. Miles S. The Hippocratic Oath and the Ethics of Medicine. NY: Oxford University Press, 2004.
17. Goldie J, Schwartz L, McConnachie A, Morrison J. Students' attitudes and potential behaviour with regard to whistle blowing as they pass through a modern medical curriculum. Med Educ 2003;37:368-75.
18. Bolsin S. Whistle blowing. Med Educ 2003;37:294-6.
19. AMA Principles of Medical Ethics: http://www.ama-assn.org/ama/pub/ category/2512.html (accessed January 2006).
20. Snyder L, Leffler C for the Ethics and Human Rights Committee, American College of Physicians. Ethics Manual, 5th ed. Ann Intern Med 2005;142:560-82.
21. American Society of Clinical Laboratory Science Code of Ethics. http://www.ascls.org/about/ethics.asp (accessed January 2006).
22. College of American Pathologists Principles of Ethical and Professional Conduct. Available upon request from www.cap.org (accessed January 2006).
23. American Association for Clinical Chemistry Guide to Ethics http://www.aacc.org/images/guide)_to_ethics_06.pdf (accessed January 2006).
24. Vermoch KL. Should medical laboratorians admit mistakes? Clin Leadersh Manag Rev 2000;14:223-4.
25. Rosner F, Berger JT, Kark P, Potash J, Bennett AJ for the Committee on Bioethical Issues of the Medical Society of the State of New York. Disclosure and prevention of medical errors. Arch Intern Med 2000;160:2089-92.
26. Leape L. Testimony of Lucian Leape for hearing on medical errors. http://www.apa.org/ppo/issues/sleape.html (accessed January 2006).
27. Reason J. Human error: models and management. Br Med J 2000;320:768-70.
28. Leape L. Error in medicine. JAMA 1994;272:1851-7.
29. Sachs BP. A 38-year-old woman with fetal loss and hysterectomy. JAMA 2005;294:833-40.
30. Carrol R, ed. Risk Management Handbook for Health Care Organizations, 3rd ed. San Francisco: Jossey-Bass, 2001:3-10.
31. Joint Commission-Sentinel Events. http://www.jointcommission. org/SentinelEvents/ (accessed March 2006).
32. Clinical Pharmacology-World Class Drug Information. http://cp.gsm.com (accessed May 2006).
33. Agency for Healthcare Research and Quality, Morbidity and Mortality Round on the Web. www.webmm.ahrq.gov (accessed May 2006).
34. National Patient Safety Foundation http://npsf.org/ (accessed May 2006).