IEU - Alliance

Striving for patient safety NOW

LITERATURE

Articles and publications on patient safety and medical errors

Institute of Medicine(1999) To Err Is Human:Building a Safer Health System. Washington D.C. National Academy Press Institute of Medicine(2001)

Crossing the Quality Chasm: A new health system for the 21st century by the Institute of Medicine, july 2001
National Academy Press, Washington D.C.

M.Millenson The Silence Medicine's continued quiet refusal to take quality improvement actions has undermined the moral foundations of medical professionalism. Health Affairs, March-April 2003; Volume 22,nr 2;pag 103-112Ch.

Guadagnino Effects of medical error disclosure & apology. Interview with A.Wu, M.D. MPH. Physician's News Digest Pennsylvania 2005.

A Curbside Consultation: Disclosing a Medical Error. American Family Physician:Vol. 60/No. 3 (September 1, 1999) at http://www.aafp.org/afp/990901ap/curbside.html

Apology and disclosure process and guidelines. Oak Park, IL: Doctors in Touch, 2004. Available at http://www.doctorsintouch.com/Disclosure_Policy.pdf

Banja JD. Persisting problems in disclosing medical error. Harvard Health Policy Review 2004;5:14-20. Available at http://www.hhpr.org/currentissue/banja.pdf

Berlinger N, Wu AW. Subtracting insult from injury: addressing cultural expectations in the disclosure of medical error. Journal of Medical Ethics 2005:31:106-108. Abstract at http://jme.bmjjournals.com/cgi/content/abstract/31/2/106

Cantor MD, Barach P, Derse A, et al. Disclosing adverse events to patients. Joint Commission Journal on Quality and Patient Safety 2005;31:5-12.

Communicating outcomes to patients. St. Paul, MN: Minnesota Hospital Association, 2002. Available at http://www.aha.org/aha/ptcommunication/content/...

Delbanco, Tom M.D., Bell Sigall K. M.D.: Guilty, Afraid and Alone- Struggling with Medical Error
New England Journal of Medicine 25 October 2007 357:17 1682-1683 Publisher Houghton Mifflin Company
www.njem.org.

Disclosure: what works now and what can work even better. Chicago, IL: American Society for Healthcare Risk Management, 2004. Available at http://www.hospitalconnect.com/ashrm/resources/files/Disclosure.Part3.0204.pdf

Discussing unanticipated outcomes and disclosing medical errors. Atlanta, GA: Emory University Center for Ethics, 2004. Available at http://ethics.emory.edu/media/error.htm

Frenkel DN, Liebman CB. Words that heal. Annals of Internal Medicine 2004;140:482-483. Available at http://www.annals.org/cgi/reprint/140/6/482.pdf

Gallagher TH, Waterman AD, Ebers AG, et al. Patients' and physicians' attitudes regarding the disclosure of medical errors. JAMA 2003;289:1001-1007. Abstract at http://jama.ama-assn.org/cgi/content/abstract/289/8/1001

Galllagher Th, Levinson W.:Disclosing medical error to patients:a time for professional action. Arch. Int. Medicine
12 Sept. 2005 vol 165 1815-1824.

Gallagher Th, Studdert D., Levinson W.: Disclosing medical errors to patients:current concepts (review article)
New England Journal of Medicine 28 June 2007 356:26 2713-2719 www.njem.org .

Kraman SS, Hamm G. Risk management: extreme honesty may be the best policy. Annals of Internal Medicine 1999;131:963-967. Available at http://www.annals.org/cgi/reprint/131/12/963.pdf

Lamb R. Open disclosure: the only approach to medical error. Quality and Safety in Health Care 2004;13:3-5. Available at http://qhc.bmjjournals.com/cgi/content/full/13/1/3

Lamb RM, Studdert DM, Bohmer RMJ, et al. Hospital disclosure practices: results of a national survey. Health Affairs 2003;22:73-83. Abstract at http://content.healthaffairs.org/cgi/content/abstract/22/2/73; letters and authors' reply at http://content.healthaffairs.org/cgi/reprint/22/3/249.

Let's talk: disclosure after an adverse event. National Patient Safety Foundation, 2002. More at http://www.npsf.org/html/letstalkvideo.html.

Liebman CB, Hyman CS. A mediation skills model to manage disclosure of errors and adverse events to patients. Health Affairs 2004;23:22-32. Abstract at http://content.healthaffairs.org/cgi/content/abstract/23/4/22.

NPSF bibliography - disclosure issues. National Patient Safety Foundation, August 2004. Available at http://www.npsf.org/biblio/codesDIS.htm.

Removing insult from injury: disclosing adverse events. Baltimore, MD: Johns Hopkins Bloomberg School of Public Health, 2004. Available at http://www.jhsph.edu/Dept/HPM/Research/Wu_video.html.

Books:

Medical Errors and Medical Narcissism by John D. Banja, published in December 2004
ISBN: 0763783617
Publisher: Jones & Bartlett Publishers, Inc.

On Apology by Dr. Aaron Lazare
ISBN13: 9780195173437
ISBN10: 0195173430
Published by Oxford University Press September 2004

Healing Words: The Power of Apology in Medicine by Dr. Michael Woods, April 2004
ISBN 0975519603
Available at www.doctorsintouch.com

Complications: A Surgeon's Notes on an Imperfect Science by Atul Gawande, published in 2002
ISBN: 0312421702
Publisher: Henry Holt and Company/Picador New York

Reports and Powerpoints:

1. Eight Futures Forum WHO 2005 Governance of Patient Safety (3.35mb)

2. When things go wrong, responding to adverse events Harvard rapport 2006

3.. Disclosure Guidelines Canadian Institute for Patient Safety 2008

Powerpoints:

1. Radboud-affair 2007
Discusses the tragic consequences of the Wall of Silence in the division for cardiothoracic surgery at the Radboud Hospital a University Medical Center and calls to learn from medical errors.

2. 23/04/2008 | Presentation of IEU-Alliance at first Dutch national conference victims of medical errors 23rd April 2008 click here please