Successful remediation of patient safety incidents: A tale of two medication errors

Health Care Management Review

Volumn 36, Issue 2, 2011, Pages 114-123

  Helmchen, Lorens A ^a   Richards, Michael R ^b   McDonald, Timothy B ^c,d  

^a GEORGE MASON UNIVERSITY   (United States)

^b YALE UNIVERSITY   (United States)

^c UNIVERSITY OF ILLINOIS   (United States)

^d UNIVERSITY OF ILLINOIS AT CHICAGO   (United States)

Author keywords

Error remediation; medication errors; patient safety; patient satisfaction; quality improvement

Indexed keywords

ARTICLE; CASE REPORT; FEMALE; HEALTH CARE QUALITY; HUMAN; HUMAN RELATION; INTERPERSONAL COMMUNICATION; MEDICATION ERROR; MIDDLE AGED; OUTCOME ASSESSMENT; SAFETY; STANDARD; TRUST; UNITED STATES; UNIVERSITY HOSPITAL;

ACADEMIC MEDICAL CENTERS; FEMALE; HUMANS; MEDICATION ERRORS; MIDDLE AGED; MIDWESTERN UNITED STATES; OUTCOME ASSESSMENT (HEALTH CARE); PROFESSIONAL-FAMILY RELATIONS; QUALITY ASSURANCE, HEALTH CARE; SAFETY MANAGEMENT; TRUST; TRUTH DISCLOSURE;

EID: 79952988076     PISSN: 03616274     EISSN: None     Source Type: Journal    
DOI: 10.1097/HMR.0b013e318200f916     Document Type: Article

References (17)

1. Boothman, R. C., Blackwell, A. C., Campbell, D. A. Jr., Commiskey, E., & Anderson, S. (2009). A better approach to medical malpractice claims? The University of Michigan experience. Journal of Health & Life Sciences Law, 2, 125.
2. Chuang, Y. T., Ginsburg, L., & Berta, W. B. (2007). Learning from preventable adverse events in health care organizations: Development of a multilevel model of learning and propositions. Health Care Management Review, 32, 330-340. (Pubitemid 350307268)
3. Fein, S. L., Hilborne, E., Spiritus, G., Seymann, C., Keenan, K., Shojania, M., et al. (2007). The many faces of error disclosure: A common set of elements and a definition. Journal of General Internal Medicine, 22, 755-761.
4. Gallagher, T. H. (2009). A 62-year-old woman with skin cancer who experienced wrong-site surgery: Review of medical error. JAMA, 302, 669-677.
5. Gallagher, T. H., Bell, S. K., Smith, K. M., Mello, M. M., & McDonald, T. B. (2009). Disclosing harmful medical errors to patients: Tackling three tough cases. Chest, 136, 897-903.
6. Gallagher, T. H., Waterman, A. D., Ebers, A. G., Fraser, V. J., & Levinson, W. (2003). Patients' and physicians' attitudes regarding the disclosure of medical errors. JAMA, 289, 1001-1007. (Pubitemid 37432931)
7. Gibson, R., & Singh, J. (2003). Wall of silence: The untold story of the medical mistakes that kill and injure millions of Americans. Washington, DC: LifeLine Press.
8. Helmchen, L. A., Richards, M. R., & McDonald, T. (2010). How does routine disclosure of medical error affect patients' propensity to sue and their assessment of provider quality? Evidence from survey data. Medical Care, 48(11), 955-961.
9. Hickson, G. B., Clayton, E. W., Githens, P. B., & Sloan, F. A. (1992). Factors that prompted families to file medical malpractice claims following perinatal injuries. JAMA, 267, 1359-1363.
10. Hickson, G. B., Federspiel, C. F., Pichert, J. W., Miller, C. S., Gauld-Jaeger, J., & Bost, P. (2002). Patient complaints and malpractice risk. JAMA, 287, 2951-2957. (Pubitemid 34619998)
11. Kohn, L., Corrigan, J., & Donaldson, M. (Eds.). To err is human: Building a safer health system. Washington, DC: National Academies Press; 2000.
12. Leape, L. L., & Berwick, D. M. (2005). Five years after to err is human what have we learned? JAMA, 293, 2384-2390. (Pubitemid 40676761)
13. McDonald, T., Helmchen, L., Smith, K., Centomani, N., Gunderson, A., Mayer, D., et al. (2010). Responding to patient safety incidents: The seven pillars. Quality & Safety in Health Care, 19, e11.
14. Singer, S. J., Falwell, A., Gaba, D. M., Meterko, M., Rosen, A., Hartmann, C. W., et al. (2009). Identifying organizational cultures that promote patient safety. Health Care Management Review, 34, 300-311.
15. Taylor, B. B., Marcantonio, E. R., Pagovich, O., Carbo, A., Bergmann, M., Davis, R. B., et al. (2008). Do medical inpatients who report poor service quality experience more adverse events and medical errors? Medical Care, 46, 224-228.
16. Williams, E. S., Manwell, L. B., Konrad, T. R., & Linzer, M. (2007). The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care: Results from the MEMO study. Health Care Management Review, 32, 203-212. (Pubitemid 47220576)
17. Wu, A., Huang, I., Stokes, S., & Pronovost, P. (2009). Disclosing medical errors to patients: It's not what you say, it's what they hear. Journal of General Internal Medicine, 24, 1012-1017.