Medical Error

iatrogenic, baby - Product Quality

http://www.ahrq.gov/qual/errorsix.htm

http://www.mederrors.com/

http://www.wrongdiagnosis.com/mistakes/intro.htm

http://www.wrongdiagnosis.com/mistakes/types.htm

Can EHealth help? Should EHealth systems be specifically designed to attack specific/common errors?

Report of the Quality Interagency Coordination Task Force (Qu I C) to the President, February 2000 - http://www.quic.gov/report/

http://www.aafp.org/afp/20030315/graham.html

http://www.healthywomen.org/hsa/hsa1a.html

Don Berwick, Institute For Healthcare Improvement http://www.ihi.org

• "100,000 Lives Campaign"

  • June 14, 2006. IHI President and CEO Donald Berwick announces in Atlanta, GA, that hospitals in the 100,000 Lives Campaign have saved an estimated 122,300 lives, exceeding the original goal.

Peter Pronovost of Johns Hopkins - CheckList series

• http://www.detnews.com/2003/health/0308/13/a02-237768.htm

• http://www.usatoday.com/life/2003-04-01-med-error_x.htm

• https://www.vha.com/news/releases/public/040217b.asp

• http://www.newyorker.com/reporting/2007/12/10/071210fa_fact_gawande - Atul Gawande (becane Checklist Manifesto)

• Feb'2008 article notes The reason Dr Ilan's central line CheckList never matured into a study is the difficultly of collecting statistics, he says. Dr Pronovost was barred from collecting further data last December when the federal Office for Human Research Protections said introducing a checklist and tracking the results without written, informed consent from each patient and healthcare provider violated US scientific ethics regulations.

• Feb'2008 interview - great Adoption Life Cycle notes.

Jun'2003 study by Elizabeth Mc Glynn (RAND) says patients get only half the care that's appropriate. We found little difference among the proportion of recommended Preventive Care provided (54.9 percent), the proportion of recommended acute care provided (53.5 percent), and the proportion of recommended care provided for Chronic conditions (56.1 percent). Among different medical functions, adherence to the processes involved in care ranged from 52.2 percent for screening to 58.5 percent for follow-up care. Quality varied substantially according to the particular medical condition, ranging from 78.7 percent of recommended care (95 percent confidence interval, 73.3 to 84.2) for senile cataract to 10.5 percent of recommended care (95 percent confidence interval, 6.8 to 14.6) for alcohol dependence.

• conversely, Shannon Brownlee says we're Over Treated.

Nov2004 - questioning whether there's been any improvement in the 5 years since "To Err is Human" was published in Nov'1999.

See also Side Effect