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Scholar Results 1 - 10 of about 51 citing Hofer: Are bad outcomes from questionable clinical decisions preventable medical errors?.... (0.06 sec) 

The JCAHO patient safety event taxonomy: a standardized terminology and classification …

- oxfordjournals.org
A Chang, PM Schyve, RJ Croteau, DS O' … - International Journal for Quality in Health Care, 2005 - ISQHC
Methods. The project comprised a systematic literature review; evaluation of
existing patient safety terminologies and classifications, and identification of
those that should be included in the core set of a standardized taxonomy; ...
Cited by 94 - Related articles - All 16 versions

A string of mistakes: the importance of cascade analysis in describing, counting, and …

- angrylapdog.com
SH Woolf, AJ Kuzel, SM Dovey, RL Phillips Jr - The Annals of Family Medicine, 2004 - Annals Family Med
RESULTS A chain of errors was documented in 77% of incidents. Although 83% of
the errors that ultimately occurred were mistakes in treatment or diagnosis, 2
of 3 were set in motion by errors in communication. Fully 80% of the errors ...
Cited by 72 - Related articles - BL Direct - All 12 versions

[PDF] Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation …


A MCEWAN, N PIGOTT, J ELLIOTT, A … - Pediatric Anesthesia, 2007 - chfg.org.uk
Summary Background: We aimed to improve the quality and safety of handover of
patients from surgery to intensive care using the analogy of a Formula 1 pit
stop and expertise from aviation. Methods: A prospective intervention study ...
Cited by 35 - Related articles - View as HTML - BL Direct - All 11 versions

Ambiguity and workarounds as contributors to medical error

- annals.org [PDF] 
SJ Spear, M Schmidhofer - Annals of internal medicine, 2005 - Am Coll Physicians
Why are some organizations error-prone—regularly subject to in- terruptions
and inconveniences, some of which periodically coa- lesce
catastrophically—whereas other organizations, although sim- ilar in the ...
Cited by 29 - Related articles - All 6 versions

Sins of omission

- nih.gov
RA Hayward, SM Asch, MM Hogan, TP Hofer, … - Journal of General Internal Medicine, 2005 - Springer
Getting Too Little Medical Care May be the Greatest Threat to Patient Safety
Rodney A. Hayward, MD,1,2 Steven M. Asch, MD, MPH,3 Mary M. Hogan, PhD, RN,1
Timothy P. Hofer, MD, MSc,1,2 Eve A. Kerr, MD, MPH1,2 1Veterans Affairs ...
Cited by 24 - Related articles - BL Direct - All 9 versions

Graduate medical education and patient safety: A busy--and occasionally hazardous-- …

- annals.org
KG Shojania, KE Fletcher, S Saint - Annals of Internal Medicine, 2006 - Am Coll Physicians
A patient admitted to a teaching hospital with a mild episode of acute
pancreatitis initially improved, but then her condition deteriorated and she
subsequently died. The initial deterioration probably reflected bowel ...
Cited by 21 - Related articles - BL Direct - All 3 versions

Improving patient safety by identifying latent failures in successful operations

- chfg.org.uk [PDF] 
KR Catchpole, AEB Giddings, M Wilkinson, G … - Surgery, 2007 - Elsevier
Observations were made during 24 pediatric cardiac and 18 orthopedic operations.
Operations were classified by accepted indicators of risk and the observations
used to generate indicators of performance. Negative events were recorded ...
Cited by 22 - Related articles - All 24 versions

Identification of systems failures in successful paediatric cardiac surgery


K Catchpole, A Giddings, M de Leval, G Peek, … - ingentaconnect.com
Patient safety will benefit from an approach to human error that examines
systemic causes, rather than blames individuals. This study describes a direct
observation methodology, based on a threat and error model, prospectively ...
Cited by 21 - Related articles - BL Direct - All 7 versions

Doctors' responses to medical errors


M Rowe - Critical Reviews in Oncology and Hematology, 2004 - Elsevier
Two decades ago, David Hilfiker's story of medical error was published in The
New England Journal of Medicine. Barb and Russ Daily, whose first two babies Dr.
Hilfiker had delivered, came to him for a prenatal exam for their third. ...
Cited by 15 - Related articles - All 16 versions

Clinical information technologies and inpatient outcomes: a multiple hospital study

- northwestern.edu [PDF] 
R Amarasingham, L Plantinga, M Diener- … - Archives of Internal Medicine, 2009 - archinte.highwire.org
Methods We conducted a cross-sectional study of urban hospitals in Texas using
the Clinical Information Technology Assessment Tool, which measures a hospital's
level of automation based on physician interactions with the information ...
Cited by 17 - Related articles - All 25 versions


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