U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (35)
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Identification Errors (30)
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Risk Management Pearls on Disclosure of Adverse Events.
Amori G. Chicago, IL: American Society for Healthcare Risk Management; 2006.
A mediation skills model to manage disclosure of errors and adverse events to patients.
Liebman CB, Hyman CS. Health Aff (Millwood). July/Aug 2004;23:22-32.
ACOG Committee Opinion #520: disclosure and discussion of adverse events.
ACOG Committee on Patient Safety and Quality Improvement and Committee on Professional Liability. Obstet Gynecol. 2012;119:686-689.
Disclosing harmful medical errors to patients.
Gallagher TH, Studdert D, Levinson W. N Engl J Med. 2007;356:2713-2719.
When Things Go Wrong: Responding to Adverse Events.
A Consensus Statement of the Harvard Hospitals. Burlington: Massachusetts Coalition for the Prevention of Medical Errors; 2006.
How does routine disclosure of medical error affect patients' propensity to sue and their assessment of provider quality?: Evidence from survey data.
Helmchen LA, Richards MR, McDonald TB. Med Care. 2010;48:955-961.
Disclosure of unanticipated events: creating an effective patient communication policy (part 2 of 3).
Chicago, IL: American Society of Healthcare Risk Management; 2003.
Narrative review: do state laws make it easier to say "I'm sorry?"
McDonnell WM, Guenther E. Ann Intern Med. 2008;149:811-815.
Sorry Works! 2.0: Disclosure, Apology, and Relationships Prevent Medical Malpractice Claims.
Wojcieszak D, Saxton JW, Finkelstein MM. Bloomington, IN: AuthorHouse; 2010. ISBN: 9781438969732.
Massachusetts hospitals launch patient apology program.
Gallegos A. American Medical News. May 21, 2012.
Disclosure of medical injury to patients: an improbable risk management strategy.
Studdert DM, Mello MM, Gawande AA, Brennan TA, Wang YC. Health Aff (Millwood). 2007;26:215-226.
Dealing honestly with an honest mistake.
Liang NL, Herring ME, Bush RL. J Vasc Surg. 2010;51:494-495.
Benefits and risks of including patients on RCA teams.
ISMP Medication Safety Alert! Acute Care Edition. June 5, 2008;13:1-3.
In Conversation with…Thomas H. Gallagher, MD
AHRQ WebM&M [serial online]. January 2009.
Disclosure of medical errors involving gametes and embryos.
Ethics Committee of the American Society for Reproductive Medicine. Fertil Steril. 2011;96:1312-1314.
Does full disclosure of medical errors affect malpractice liability? The jury is still out.
Kachalia A, Shojania KG, Hofer TP, Piotrowski M, Saint S. Jt Comm J Qual Saf. 2003;29:503-511.
Parents' perceptions of pediatric day surgery risks: unforeseeable complications, or avoidable mistakes?
Sobo EJ. Soc Sci Med. 2005;60:2341-2350.
Apologies and medical error.
Robbennolt JK. Clin Orthop Relat Res. 2009;467:376-382.
Disclosing harmful mammography errors to patients.
Gallagher TH, Cook AJ, Brenner RJ, et al. Radiology. 2009;253:443-452.
John M. Eisenberg Patient Safety Awards. The LVHHN patient safety video: patients as partners in safe care delivery.
Anthony R, Miranda F, Mawji Z, Cerimele R, Davis R, Lawrence S. Jt Comm J Qual Saf. 2003;29:640-645.
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