Error in Medicine

Leape, Lucian L.

doi:10.1001/jama.1994.03520230061039

Cited by 1,592 publications

(1,029 citation statements)

References 30 publications

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“…This culture leaves little room for the examination of error and less room for the expiation of the individual who, as all will, makes one. 1,31 A series of focus groups conducted at three different health care organizations recently confirmed Leape's perspective. Though staff reported a trend in health care to move away from blaming employees, they wondered how an organization could both hold individuals accountable and be nonpunitive.…”

Section: General Approaches To Error In Medicinementioning

confidence: 99%

“…1 Still more striking was Leape and colleagues' claim that as many as 60% of these injuries were due to potentially preventable errors. These numbers come from the Harvard Medical Practice Study, a review of more than 30,000 charts from 51 New York hospitals, which revealed adverse events in 3.7% of hospitalizations.…”

Section: Medical Error In the 1990smentioning

confidence: 99%

“…10 Looking at the systems behind error helped commercial aviation avoid even a single death in 1998 and, relevant to medicine, allowed anesthesia to reduce a death rate of one in 20,000 two decades ago to one in 200,000 today. 1,12,13 So strong is system-level thinking in industries other than health care that Paul O'Neill, a chief executive officer known for marked improvements in workplace safety in the notably dangerous industry of aluminum refining, has stated that ''you can't make the safety better without having a profound understanding of your process, and working with the idea of continuous improvement. '' 14 Some of these ideas from industry regarding error have long existed in medicine, particularly the idea of continuous individual improvement.…”

Section: A Few Notes On the Science Of Errormentioning

confidence: 99%

“…Numerous reasons do exist (Table 2), however, suggesting why the practice of medicine might entail a higher incidence of errors. 1,30 First among these is the complexity of medical practice. Doctors, nurses, pharmacists, and other health care workers likely err no more than individuals outside of hospitals, but each patient who encounters the medical system receives attention from multiple people performing multiple tasks.…”

Section: General Approaches To Error In Medicinementioning

confidence: 99%

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Promoting Patient Safety and Preventing Medical Error in Emergency Departments

Schenkel

2000

Academic Emergency Medicine

131

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Abstract. An estimated 108,000 people die each year from potentially preventable iatrogenic injury. One in 50 hospitalized patients experiences a preventable adverse event. Up to 3% of these injuries and events take place in emergency departments. With long and detailed training, morbidity and mortality conferences, and an emphasis on practitioner responsibility, medicine has traditionally faced the challenges of medical error and patient safety through an approach focused almost exclusively on individual practitioners. Yet no matter how well trained and how careful health care providers are, individuals will make mistakes because they are human. In general medicine, the study of adverse drug events has led the way to new methods of error detection and error prevention. A combination of chart reviews, incident logs, observation, and peer solicitation has provided a quantitative tool to demonstrate the effectiveness of interventions such as computer order entry and pharmacist order review. In emergency medicine (EM), error detection has focused on subjects of high liability: missed myocardial infarctions, missed appendicitis, and misreading of radiographs. Some system-level efforts in error prevention have focused on teamwork, on strengthening communication between pharmacists and emergency physicians, on automating drug dosing and distribution, and on rationalizing shifts. This article reviews the definitions, detection, and presentation of error in medicine and EM. Based on review of the current literature, recommendations are offered to enhance the likelihood of reduction of error in EM practice.

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Section: General Approaches To Error In Medicinementioning

confidence: 99%

Section: Medical Error In the 1990smentioning

confidence: 99%

Section: A Few Notes On the Science Of Errormentioning

confidence: 99%

Section: General Approaches To Error In Medicinementioning

confidence: 99%

See 2 more Smart Citations

Promoting Patient Safety and Preventing Medical Error in Emergency Departments

Schenkel

2000

Academic Emergency Medicine

131

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“…7 Second, a new ethos has emerged in medicine over the last decade, which accepts that errors are inevitable and should be studied, not suppressed. [8][9][10][11][12][13] Third, it has been recognized that the operating characteristics of EM make it an ideal natural laboratory for the study of medical error. 14 The coalescence of these developments should prove fruitful and exciting.…”

Section: Additional Model For Expert Decision Makingmentioning

confidence: 99%