Articles cited below recognize projects and research funded by CRICO/RMF and conducted by members of the Harvard medical community.
Section Shortcuts: Apology & Disclosure | Diagnosis | Insurance Industry | Medical Malpractice Claims | Medical Treatment | Medication Error | Obstetrics | Patient Safety Initiatives | Surgery
Gallager TH, Studdert D, Levinson W. Disclosing harmful medical errors to patients. N Engl J Med. 2007;356:2713-9. [Disclosing Harmful Medical Errors to Patients]
Schmidt C. We're sorry: the healing power of apology and how two little words could make medicine safer. [PDF] Harvard Public Health Review. Fall 2007.
Delbanco T, Bell S. Guilty, afraid, and alone -- struggling with medical error. N Engl J Med. 2007;357:1682-1683.
Mundell EJ. Doctor-patient bond frays after medical mistake. HealthDay News. October 24, 2007.
Berger J. Guilt, fear and loneliness can plague patients, families and caregivers. BIDMCNews. October 25, 2007.
Gandhi TK, Kachalia A, Thomas EJ, Puopolo AL, Yoon C, Brennan TA, Studdert DM. Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. Ann Intern Med. 2006;145:488-96. [Also see Malpractice Insurers' Medical Error Prevention Study (MIMESPS), 2001-2005]
Gandhi TK, Puopolo AL, Dasse P, Haas JS, Burstin HR, Cook EF, Brennan TA. Obstacles to collaborative quality improvement: the case of ambulatory general medical care. Int J Qual Health Care. 2000;12:115-23. [Ambulatory Medicine Quality Improvement Project, 1995]
Kachalia A, Gandhi TK, Puopolo AL, Yoon C, Thomas EJ, Griffey R, Brennan TA, Studdert DM. Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers. Ann Emerg Med. 2007 Feb;49(2):196-205. [Also see Malpractice Insurers' Medical Error Prevention Study (MIMESPS), 2001-2005]
Landro L. Doctors learn to say 'I'm sorry': patients' stories of hospital errors serve to teach staff. Wall St J. January 24, 2007. Roy CL, Poon EG, Karson AS, Ladak-Merchant Z, Johnson RE, Maviglia SM, Gandhi TK. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med. 2005;143:121-28. [The effect of a results management system on physician awareness of post-discharge laboratory and radiology results – Tejal Gandhi - HSRI, 2003]
Sequist TD, Bates DW, Cook EF, Lampert S, Schaefer M, Wright J, Sato L, Lee TH. Prediction of missed myocardial infarction among symptomatic outpatients without coronary heart disease. Am Heart J. 2005;149:74-81.
Cutts K. Health care RRGs push loss control Rx. [PDF] National Underwriter: Property & Casualty. April 30, 2007. [CRICO/RMF featured]
Ireland A. The best of health. Captive & Art Review. October 2006;22-25.
Risk retention group offers incentives to reduce claims frequency. [PDF] Risk Retention Reporter. June 2007. [An interview with Jack McCarthy, President of Risk Management Foundation of the Harvard Medical Institutions]
Evidence-based risk management leads to lower rates and claims for medmal risk retention group. [PDF] Risk Retention Reporter. May 2002.
Kwaan MR, Studdert DM, Zinner MJ, Gawande AA. Incidence, patterns, and prevention of wrong-site surgery. Arch Surg. 2006;141:353-58. [Also see Malpractice Insurers' Medical Error Prevention Study (MIMESPS), 2001-2005]
Mello MM, Studdert DM. Deconstructing negligence: the role of individual and system factors in causing medical injuries. Georgetown Law J. 2008;96(2):599-623. [Also see Malpractice Insurers' Medical Error Prevention Study (MIMESPS), 2001-2005]
Rogers SO Jr, Gawande AA, Kwaan M, Puopolo AL, Yoon C, Brennan TA, Studdert DM. Analysis of surgical errors in closed malpractice claims at 4 liability insurers. Surgery. 2006;140:25-33. [Also see Malpractice Insurers' Medical Error Prevention Study (MIMESPS), 2001-2005]
Singh H, Thomas EK, Petersen LA, Studdert DM. Medical errors involving trainees: a study of closed malpractice claims from 5 insurers. Arch Intern Med. 2007;167(19):2030-35. [Also see Malpractice Insurers' Medical Error Prevention Study (MIMESPS), 2001-2005]
Stelfox HT, Gandhi TK, Orav EJ, Gustafson ML. The relation of patient satisfaction with complaints against physicians and malpractice lawsuits. Am J Med. 2005;118:1126-33. [Content analysis of patient complaints - Henry Tom Stelfox – 2005-2006]
Studdert DM, Mello MM, Gawande AA, Gandhi TK, Kachalia A, Yoon C, Puopolo AL, Brennan TA. Claims, errors, and compensation payments in medical malpractice litigation. N Engl J Med. 2006;354:2024-33. [Also see Malpractice Insurers' Medical Error Prevention Study (MIMESPS), 2001-2005]
Studdert DM, Mello MM. When tort resolutions are “wrong”: predictors of discordant outcomes in medical malpractice litigation. J Legal Stud. 2007;36:S47-78. [Also see Malpractice Insurers' Medical Error Prevention Study (MIMESPS), 2001-2005]
Rothschild JM, Hurley AC, Landrigan CP, Cronin JW, Martell-Waldrop K, Foskett C, Burdick E, Czeisler CA, Bates DW. Recovery from medical errors: the critical care nursing safety net. Jt Comm J Qual Patient Safe. 2006;32:63-72. [Intercepting near miss adverse events: the critical care nursing safety net - Jeffrey Rothschild – HSRI, 2003]
Weinstock PH, Kappus LJ, Kleinman ME, Grenier B, Hickey P, Burns JP. Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator program. Pediatr Crit Care Med. 2005;6:635-41. [Evaluate the Efficacy of Medical Simulation as a Training Tool, 2000]
Gandhi TK, Bartel SB, Shulman LN, Verrier D, Burdick E, Cleary A, Rothschild JM, Leape LL, Bates DW. Medication safety in the ambulatory chemotherapy setting. Cancer. 2005;104:2477-83. [Improving the Safety of Outpatient Chemotherapy, 1999]
Gandhi TK, Burstin HR, Cook EF, Puopolo AL, Hass JS, Brennan TA, Bates DW. Drug complications in outpatients. J Gen Intern Med. 2000;15:149-54. [Ambulatory Medicine Quality Improvement Project, 1995]
Gandhi TK, Weingart SN, Borus J, Seger AC, Peterson J, Burdick E, Seger DL, Shu K, Federico F, Leape LL, Bates DW. Adverse drug events in ambulatory care. N Engl J Med. 2003;348:1556-64. [Improving Medication Prescribing in the Outpatient Setting, 1999]
Gandhi TK, Weingart SN, Seger AC, Borus J, Burdick E, Poon EG, Leapee LL, Bates DW. Outpatient prescribing errors and the impact of computerized prescribing. J Gen Intern Med. 2005;20:837-41. [Improving Medication Prescribing in the Outpatient Setting, 1999]
Kaushal R, Bates DW, Landrigan C, McKenna KJ, Clapp MD, Federico F, Goldmann D. Medication errors and adverse drug events in pediatric patients. JAMA. 2001;285:2114-20. [Evaluate Drug Events in Pediatric Patients, 1999]
Lasser KE, Seger DL, Yu DT, Karson AS, Fiskio JM, Seger AC, Shah NR, Gandhi TK, Rothschild JM, Bates DW. Adherence to black box warnings for prescription medications in outpatients. Arch Intern Med. 2006;166:338-44. [Assessing the frequency of failure to adhere to black-box warnings in outpatients – Karen Lasser – HSRI, 2003]
Nicholson D, Hersh W, Gandhi TK, Weingart SN, Bates DW. Medication errors: not just a “few bad apples". JCOM. 2006;13:114-15. [Improving Medication Prescribing in the Outpatient Setting, 1999]
Persell SD, Heiman HL, Weingart SN, Burdick E, Borus JS, Murff HJ, Bates DW, Gandhi TK. Understanding of drug indications by ambulatory care patients. Am J Health-Syst Pharm. 2004;61:2523-27. [Improving Medication Prescribing in the Outpatient Setting, 1999]
Rothschild JM, Federico FA, Gandhi TK, Kaushal R, Williams DH, Bates DW. Analysis of medication-related malpractice claims: causes, preventability, and costs. Arch Intern Med. 2002;162:2414-2420.
Weingart SN, Gandhi TK, Seger AC, Seger DL, Borus J, Burdick E, Leape LL, Bates DW. Patient-reported medication symptoms in primary care. Arch Intern Med. 2005;165:234-40. [Improving Medication Prescribing in the Outpatient Setting, 1999]
Mann S, Marcus R, Sachs B. Lessons from the cockpit: how team training can reduce errors on L&D. Contemporary OB/GYN. 2006;51:34-45.
Mann S, Pratt S, Gluck P, Nielsen P, Risser D, Greenberg P, Marcus R, Goldman M, Shapiro D, Pearlman M, Sachs B. Assessing quality in obstetrical care: development of standardized measures. Jt Comm J Qual Patient Safe. 2006;32:497-505.
Team training program reduces medical error. acog TODAY. August 2006:8.
Burns JP, Mello MM, Studdert DM, Puopolo AL, Truog RD, Brennan TA. Results of a clinical trial on care improvement for the critically ill. Crit Care Med. 2003;31:2107-17. [Harvard Project on Care Improvement for the Critically Ill, Data Collection, 1998]
Huang GC, Smith CC, Gordon CE, Feller-Kopman DJ, Davis RB, Phillips RS, Weingart SN. Beyond the comfort zone: residents assess their comfort performing inpatient medical procedures. Am J Med. 2006;119:71.e17-24. [Preventing procedural errors: creation and evaluation of an inpatient procedure service - Charles Chris Smith – HSRI, 2003]
Mello MM, Burns JP, Truog RD, Studdert DM, Puopolo AL, Brennan TA. Decision making and satisfaction with care in the pediatric intensive care unit: findings from a controlled clinical trial. Pediatr Crit Care Med. 2004;5:40-47. [Harvard Project on Care Improvement for the Critically Ill, Data Collection, 1998]
Smith CC, Gordon CE, Feller-Kopman D, Huang GC, Weingart SN, Davis RB, Ernst A, Aronson MD. Creation of an innovative inpatient medical procedure service and a method to evaluate house staff competency. J Gen Intern Med. 2004;19:510-13. [Preventing procedural errors: creation and evaluation of an inpatient procedure service - Charles Chris Smith – HSRI, 2003]
Studdert DM, Burns JP, Mello MM, Puopolo AL, Truog RD, Brennan TA. Nature of conflict in the care of pediatric intensive care patients with prolonged stay. Pediatrics. 2003;12:553-58. [Harvard Project on Care Improvement for the Critically Ill, Data Collection, 1998]
Studdert DM, Mello MM, Burns JP, Puopolo AL, Galper BZ, Truog RD, Brennan TA. Conflict in the care of patients with prolonged stay in the ICU: types, sources, and predictors. Intensive Care Med. 2003;29:1489-97. [Harvard Project on Care Improvement for the Critically Ill, Data Collection, 1998]
Ursprung R, Gray JE, Edwards WH, Horbar JD, Nickerson J, Plsek P, Shiono PH, Suresh GK, Goldman DA. Real time patient safety audits: improving safety every day. Qual Saf Health Care. 2005;14:284-89. [Random safety audits to reduce errors in neonatal intensive care - Robert Ursprung – HSRI, 2003]
Haynes A., Weiser T., Berry W., Lipsitz S., Breizat A., Dellinger P., Herbosa T., Joseph S., Kibatala P., Lapitan M., Merry A., Moorthy K., Reznick R., Taylor B., Gawande A. A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population. New England Journal of Medicine. January 14, 2009.
Bhattacharyya T, Yeon H, Harris MB. The medical-legal aspects of informed consent in orthopaedic surgery. J Bone Joint Surg Am. 2005;87:2395-400.
Christian CK, Gustafson ML, Roth DM, Sheridan TB, Gandhi TK, Dwyer K, Zinner MJ, Dierks MM. A prospective study of patient safety in the operating room. Surgery. 2006;139:159-73. [Human Factors in Surgery, 2001]
Gawande AA, Studdert DM, Orav EJ, Brennan TA, Zinner MJ. Risk factors for retained instruments and sponges after surgery. N Engl J Med. 2003;348:229-35. [Note: An excellent example of evidence-based risk management.]
Greenberg CC, Regenbogen SE, Studdert DM, Lipsitz SR, Rogers SO, Zinner MJ, Gawande AA. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204:533-540. [Also see Malpractice Insurers' Medical Error Prevention Study (MIMESPS), 2001-2005]
Regenbogen SE, Greenberg CC, Studdert DM, Lipsitz SR, Zinner MJ, Gawande AA. Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. Ann Surg. 2007;246:705-11. [Also see Malpractice Insurers' Medical Error Prevention Study (MIMESPS), 2001-2005]
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