AHRQ Patient Safety Network ► When medical care leads to harm—difficulty finding words: a teachable moment.

AHRQ Patient Safety Network





When medical care leads to harm—difficulty finding words: a teachable moment.

Chamberlain E, DiVeronica M, Segura R. JAMA Intern Med. 2015 Jun 8; [Epub ahead of print].

To illustrate the potential for harm associated with overuse of medical care, this commentary describes an incident involving a patient who received unnecessary diagnostic imaging which resulted in iatrogenic harm. A previous AHRQ WebM&M perspective explored medical care overuse as a patient safety problem.

PubMed citation 
Free full text 

Related Resources

STUDY

Active surveillance using electronic triggers to detect adverse events in hospitalized patients.

Szekendi MK, Sullivan C, Bobb A, et al. Qual Saf Health Care. 2006;15:184-190.

STUDY

Paid malpractice claims for adverse events in inpatient and outpatient settings.

Bishop TF, Ryan AK, Casalino LP. JAMA. 2011;305:2427-2431.

COMMENTARY

Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis.

Freundlich RE, Grondin L, Tremper KK, Saran KA, Kheterpal S. BMJ Qual Saf. 2012;21:850-854.

NEWSPAPER/MAGAZINE ARTICLE

Most adverse events at hospitals still go unreported.

Shaw G. The Hospitalist. August 2012.

View all related resources...