Medical Errors

Medical Errors

HEADLINES about medical errors
.Extent of Problem.Professional Discipline.CaseReports.How Can Errors be Reduced?.

Fatal Flaws Albuquerque Journal December 16, 2001
Institute of Medicine concludes that 44,000 to 98,000 people die unnecessarily each year in American hospitals.

A 1999 Public Health Report from the Department of Health and Human Services estimated that daths from medical errors could account for the equivalent to the death toll from three jumbo jet crashes every two days.
U.S. Department of Health and Human Servcices; Public Health Reports, 1999; 114: 302-317 July / August, 1999

More Malpractice Than Lawsuits, New York Medical Study Suggests
The New York Times, January 29, 1990
Only 1.53 percent of patients who were harmed by medical treatment actually filed malpractice grievances.
Citing: Hiatt et. al., A study of medical injury and medical malpractice. N Engl J Med 1989 Aug 17;321(7):480-4

Patient safety in surgical settings: what do we know? Research Corner; Statistical Data Included
AORN Journal (Association of Operating Room Nurses) January 1, 2002
Most common adverse events listed: surgery (20%); medication errors (16%); nonsurgical treatment (14.8%),
patient falls (8.8%), and nosocomial infections (7.5%).

Impact of medical mistakes may have been exaggerated, Deadly errors still a safety concern
The Charleston Gazette, July 25, 2001, Life; Pg. P2D;
Director of the VA Center for Practice Management and Outcomes Research in Ann Arbor, Mich., estimates that between 5,000 and 15,000 deaths annually are due to errors. But he acknowledged those numbers are rough estimates.

TYPES of ERRORS TOP

Inadequate management of blood pressure in a hypertensive population.
Center for Health Quality, Outcomes, and Economic Research, Bedford Mass. Veterans Affairs Hospital
N Engl J Med 1998 Dec 31;339(27):1957-63

Adherence to 1997 diabetes screening guidelines in a large ambulatory, Koll E, Hewitt JB.;
Diabetes Educ 2001 May-Jun;27(3):387-92
Only 57% of patients in large midwestern clinic screened for diabetes according to guidelines.

Analysis of the degree of undertreatment of hyperlipidemia and congestive heart failure secondary to coronary artery disease. Am J Cardiol 1999 May 1;83(9):1303-7
"Current practice patterns in the management of CAD and CHF are inadequate."

Inadequate therapy for asthma among children in the United States.
Pediatrics 2000 Jan;105(1 Pt 3):272-6 Most children with moderate to severe asthma in this nationally representative sample, including those with multiple hospitalizations, did not receive adequate asthma therapy.

Acute asthma: observations regarding the management of a pediatric emergency room.
Pediatrics 1989 Apr;83(4):507-12 Inadequate assessment and inappropriate treatment of acute asthma have been implicated as contributing factors in morbidity and even deaths, the management of acute asthma, as practiced in an emergency room,

Hospital Says Two Died in Nitrous Oxide Mistake
New York Times, January 17, 2002; Section B; Page 1
Two women at a hospital in New Haven died in one over the last week aftergetting nitrous oxide instead of oxygen

Make no mistake: Surgery patients need to be proactive
The Providence Journal-Bulletin (Providence, RI) January 27, 2002, Health & Fitness; Pg. N-01
Surgeon operated on the wrong side of a man's head.

Patients want X to mark surgery spot
USA TODAY, December 6, 2001, LIFE; Pg. 10D
Since 1998 - three years after the problem became nationally known and a focus of patient safety initiatives
-- there have been 136 reports of wrong sided surgery.

Doctors Face Sharp Penalty for Wrong Cut
The Palm Beach Post July 24, 2001; pg. 1A
Doctor fined $10,000 last month by the state Board of Medicine for mixing up two patients. He performed a procedure on each one that should have been done on the other.

A Lesson from Ben; Ben Kolb dies after being given the wrong medication during a routine ear surgery
NBC News Transcripts, Dateline NBC (10:00 PM ET) January 1, 2002
Seven year old dies when he receives epinephrine injection instead of lidcocaine.

Hospital Admits Fatal Lab Errors; Incorrect Drug Doses Blamed for Deaths of 2 Men
The Washington Post, August 19, 2001, A SECTION; Pg. A02
932 patients given incorrect Coumadin doses due to erroneous laboratory tests.

Treatment of myocardial infarction in the United States (1990 to 1993).
Rogers, et. al., Circulation, 1994 Oct; 90(4):2103-14
Management of myocardial infarction in the United States does not yet conform to clinical trial recommendations.

How Can Medical Errors be Reduced? Top

Institute of Medicine - (National Academy of Sciences) - The sponsors of Dr. Leapes 1991 report on medical errors discusses approaches to safer health care.
Joint Commission on Accreditation of Healthcare Organizations
U.S. Agency for Healthcare Research and Quality

Reporting and Prevention of Medical Errors
Prepared Statement of Lucian L. Leape, M.D. Harvard School of Public Health Subject Before the Senate Committee on Health, Education, Labor and Pensions; May 24, 2001

10 Common Prescribing Errors Consultant; 41(6) p. 766 May 1, 2001
Sound-alike Drugs; Lack of Drug Knowledge; Dose Calculation Errors; Decimal Point Misplacement; Wrong Dosage Form; Wrong Frequency; Use of Abbreviations; Drug Interactions; Renal Insufficiency; Incomplete Patient History

Patient-safety awards abound, but do they represent real progress in the fight against medical errors, or are they just for show? Modern Healthcare; April 22, 2002, Monday
''Part of the initial step in making progress is understanding that there's a problem. Now we know there's a problem.''

Pharmacist participation on physician rounds and adverse drug events in the intensive care unit.
Leape LL, et al. JAMA. 1999; 282(3):267-270. In group with Senior pharmacist participating in ICU rounds, The rate of preventable ordering Adverse Drug Events decreased by 66% from 10.4 per 1000 patient-days before the intervention to 3.5 after the intervention.

Reducing Errors in Health Care: Translating Research Into Practice
How Errors Occur.Medication Errors.Surgical Errors.Diagnostic Inaccuracies.System Failures
Improving Patient Safety.Adverse Event Monitoring.Computer-Reminders.Protocols.Promoting Safety.
AHRQ Publication No. 00-PO58 April, 2000

Reporting medical errors and adverse events; Research Corner.
AORN Journal April 1, 2002 ; JCAHO call for Safety

VA tries to learn from its mistakes; Hospitals focusing on errors, not blame, to revolutionize care
The Baltimore Sun December 22, 2001; Baltimore VA reports progress in decreasing medical errors.

Hospital Patient Safety Information Gives Consumers the Power To Make More Informed Health Care Choices;
PR Newswire January 17, 2002, Thursday
Leapfrog Group Unveils First Results of Unique Survey: Initial Focus on Six Regions including Atlanta, California, East Tennessee, Minnesota, St Louis, and Seattle-Tacoma-Everett http://www.leapfroggroup.org

In search of safety: Nursing Economics January 1, 2002 http://www.premierinc.com/

Building an Electronic Network of Care; Group Seeks to Cut Medical Errors by Sharing InformationWhile Guarding Privacy Washington Post, December 12, 2001

State awarded $ 4.5m to fight medical errors
The Boston Herald October 30, 2001; NEWS; Pg. 016
The three-year project will seek more information about how errors occur and about how patients, doctors, hospital officials and others can make the system safer.

Paths to reducing medical injury: professional liability and discipline vs. patient safety -- and the need for a third way. Journal of Law, Medicine & Ethics September 22, 2001; Pg. 369

To err is human: How to prevent medical errors.
Patient Care June 15, 2001; Pg. 95
http://www.usp.org/reporting/review/qr66.pdf.1000 name pairs that have been confused on prescriptions have been identified
Keeping up to date: e-mail updates:
http://www.fda.gov/cder/cdernew/ listserv.html and MedWatch at
http://www.fda.gov/medwatch
http://www.fda.gov/cder/cdernew/listserv.html

PROFESSIONAL DISCIPLINE Top

Massachusetts: Pharmacists Rarely Disciplined by Board
The Boston Globe, April 16, 2002 - 10% of pharmacy errors resulted in discipline

3 DOCTORS ARE WARNED BY BOARD
The Boston Globe January 27, 2002

Disciplining of physicians under review; Maryland legislators to begin hearings on reforming system; 'Dramatic changes' needed; Baltimore Sun; December 2, 2001 Sunday
Baltimore physician who has never faced disciplinary action or a restriction of his practice despite 18 malpractice suits during the past two decades -- half of which led to payments that total more than $2 million.

Inept Physicians Are Rarely Listed as Law Requires
The New York Times, May 29, 2001, Section A; Page 1
A federal program to protect patients from incompetent doctors is failing because health maintenance organizations and hospitals rarely report those doctors to the government as they are required to do, federal investigators say.

2 Doctors Suspended After Surgery on Wrong Side of Man's Brain
The New York Times , February 26, 2001; Section B; Page 5

US government warns practitioner database underused
The Lancet; June 9, 2001, Pg. 1855
US managed care organisations (MCOs) are violating federal law by routinely failing to report poorly performing doctors to the National Practitioner Data Bank (NPDB), according to a study by the US Department of Health and Human Services (DHHS) Office of Inspector General. See http://oig.hhs.gov/oei/reports/a521.pdf

Sun-Sentinel (Fort Lauderdale, FL) 31, 2001, Saturday, Broward Metro EDITION
MAKE PATIENTS A PRIORITY, HOSPITAL CHIEFS TOLD

The Boston Herald March 30, 2001 Friday ALL EDITIONS
Harvard prof urges hospitals to spot, curb bad doctors

(f/k/a Federal Document Clearing House, Inc.) Document Clearing House Congressional Testimony
March 27, 2001, Tuesday
COMMITTEE: HOUSE WAYS AND MEANS
TESTIMONY MEDICARE DRUG BENEFITS

Federal News Service March 20, 2001, Tuesday
JOINT HEARING OF THE HOUSE WAYS AND MEANS COMMITTEE AND THE SENATE FINANCE COMMITTEE
SUBJECT: ANNUAL REPORT OF THE BOARD OF TRUSTEES OF SOCIAL SECURITY AND MEDICARE TRUST FUNDS
CHAIRED BY: SENATOR CHARLES GRASSLEY (R-IA) AND REPRESENTATIVE WILLIAM THOMAS (R-CA)
LOCATION: 1100 LONGWORTH HOUSE OFFICE BUILDING, WASHINGTON, D.C.
WITNESSES: TREASURY SECRETARY PAUL O'NEILL

Daily News (New York) 19, 2001, Monday SPORTS FINAL EDITION
EVERYONE'S NIGHTMARE Medical errors result in tens of thousands of dea ths each year. Worse, they're on the rise

Business Wire March 6, 2001, Tuesday
Kenneth I. Shine, M.D., President of the Institute of Medicine, Will Address New IOM Study at the Health Colloquium to be Held At Harvard University

Chattanooga Times / Chattanooga Free Press March 2, 2001, Friday
Report cites U.S. faults in health care system

THE HARTFORD COURANT March 2, 2001 Friday, 7 SPORTS FINAL
FRAGMENTED SYSTEM JEOPARDIZES HEALTH CARE;
REPORT FINDS WIDESPREAD DEFECTS THAT CAN HURT PATIENTS

Star Tribune (Minneapolis, MN) March 2, 2001, Friday, Metro Edition
U.S. health system is ailing, report says;
The Institute of Medicine says nothing short of an extensive overhaul is needed to create a system of care that can break free of the restraints and old habits that are hazardous to Americans' health.

Telegraph Herald (Dubuque, IA) March 2, 2001, Friday
Report: National health-care system woefully lacking; Tangled maze: Institute recommends an overhaul to bring 21st-century care to patients

Canadian Business and Current Affairs Copyright 2001 Canadian Medical Assn
Canadian Medical Assn Journal
February 20, 2001
Bioethics for clinicians, 23: disclosure of medical error

Newsday (New York, NY) 13, 2001 Tuesday NASSAU AND SUFFOLK EDITION
Focus On Hospital Errors;
State health officials want more disclosure

Copyright 2001 Centre Daily Times Centre Daily Times
January 14, 2001, Sunday
Determining Negligence an Inexact Science in Pennsylvania Malpractice Cases

Modern Healthcare January 1, 2001, Monday
Quality issues grab attention

ASAP 2001 Jannetti Publications, Inc.
Nursing Economics
January 1, 2001
Outcomes of Concurrent Utilization Review; Statistical Data Included

Post Graduate Medicine January, 2001
Human error in perspective

Modern Healthcare November 6, 2000, Monday
Medical errors redux; Industry braces for second Institute of Medicine report seen as 'equally radical' to first

Sun-Sentinel (Fort Lauderdale, FL) 22, 2000, Sunday, Broward Metro EDITION
STUDY PUTS NUMBERS TOO HIGH, CRITICS SAY

USA TODAY 11, 2000, Wednesday, FINAL EDITION
Porous safety net allows lethal medical mistakes

USA TODAY 11, 2000, Wednesday, FINAL EDITION
Signs of quality gaps are growing

ASAP Copyright 2000 BMJ Publishing Inc.
The Western Journal of Medicine
October 1, 2000
Medical malpractice: the effect of doctor-patient relations on medical patient perceptions and malpractice intentions.

ASAP 2000 Clinicians Publishing Group
Clinician Reviews
September 1, 2000
RESEARCHERS DISPUTE RECENT MEDICAL ERROR DATA.

Employee Benefit News September 01, 2000
LENGTH: 1173 words
Stakeholders prescribe different solutions to medical errors
BYLINE: Karen Lee

Health Management Technology September, 2000
Quality of Care and the 'Low Hanging Fruit'

ASAP 2000 International Medical News Group
OB GYN News
September 1, 2000
Medical Mistakes?

ASAP 2000 British Medical Association
British Medical Journal
August 19, 2000
Reducing error, improving safety; Letter to the Editor

All rights reserved Copyright 2000
PR NEWSWIRE
August 10, 2000
Aetna U.S. Healthcare(R) Announces $ 840,000 in Research Grants Focused on Studying and Reducing Medical Errors

PR Newswire August 10, 2000, Thursday
Aetna U.S. Healthcare(R) Announces $840,000 in Research Grants Focused on Studying and Reducing Medical Errors;
Research Ranging From Improving Medication Safety To Controlling Infection in Long-Term Care Facilities

ASAP Copyright 2000 A.M. Best Company, Inc.
Best's Review
August 1, 2000
Safety Measures.

ASAP 2000 International Medical News Group
Family Practice News
August 1, 2000
IOM REPORT EXAGGERATES MEDICAL ERRORS; Institute of Medicine; Brief Article

IAC (SM) Newsletter Database (TM) Copyright 2000 Business Word, Inc.
Health Care Strategic Management
August 1, 2000
IOM medical errors study overstates problems; Brief Article

ASAP Copyright 2000 Springhouse Corporation
Physician Assistant
August 1, 2000
DRUG SAFETY; Brief Article

ASAP 2000 British Medical Association
British Medical Journal
July 29, 2000
Medical ethics; Clinical Review

ASAP Copyright 2000 Copyright Medical Economics Company. All rights reserved. Information is intended for End Users' personal use only and ma
Drug Topics
July 17, 2000
IOM error report attacked, defended; Brief Article

Modern Healthcare July 17, 2000, Monday
Nobody's perfect; IOM report might be flawed, but issue needed to be raised

ASAP 2000 International Medical News Group
Family Practice News
July 15, 2000
Medical Mistakes?

IAC (SM) Newsletter Database (TM) Copyright 2000 Faulkner & Gray, Inc.
Medicine & Health
July 10, 2000
JAMA Writers Debate IOM Error Report.

Modern Healthcare July 10, 2000, Monday
IOM medical error death estimate hit

Dayton Daily News July 6, 2000, Thursday,
RESEARCHERS SAY ERRORS NOT SO NUMEROUS

The Herald-Sun (Durham, N.C.) July 6, 2000, Thursday
News in brief

Investor's Business Daily July 6, 2000
Claims Of Deaths Via Medical Errors Wildly Overblown

Medical Industry Today July 6, 2000, Thursday
Experts Clash over Medical Errors Report

NBC News Transcripts SHOW: TODAY (7:00 AM ET)
July 6, 2000, Thursday
DR. CLEMENT MCDONALD AND DR. LUCIAN LEAPE DISCUSS REPORT ON MEDICAL MISTAKES MADE IN HOSPITALS

The New York Times
July 6, 2000, Thursday, Late Edition - Final
National News Briefs;
Medical Mistake Study Is Subject of Dispute

Newsday (New York, NY) 6, 2000, Thursday NASSAU AND SUFFOLK EDITION
DISPUTE OVER STUDY ON MEDICAL ERRORS

The Times-Picayune July 6, 2000 Thursday, ORLEANS
SCIENCE BRIEFS

American Health Line July 5, 2000
MEDICAL ERRORS I: INDIANA SCIENTISTS QUESTION IOM REPORT

The Bulletin's Frontrunner July 5, 2000
Findings On Prevalence Of Medical Errors Questioned.

The Deseret News (Salt Lake City, UT) July 5, 2000, Wednesday
SECTION: WIRE; Pg. A03
How deadly are medical errors?

The Florida Times-Union (Jacksonville, FL) July 5, 2000 Wednesday, City Edition
AMA journal asserts count exaggerated medical errors Report started call for more oversight

The Florida Times-Union (Jacksonville, FL) July 5, 2000 Wednesday, City Edi>

Transfer interrupted!

xaggerated medical errors Report started call for more oversight

Los Angeles Times
July 5, 2000, Wednesday, Home Edition
CALIFORNIA AND THE WEST;
REOPENING DEBATE ON MEDICAL ERRORS;
HEALTH: TWO ARTICLES REVISIT A SHOCKING CLAIM MADE LAST YEAR ABOUT PATIENTS' DEATHS. ONE CAMP SUSPECTS EXAGGERATION; THE OTHER THINKS FIGURES ARE TOO LOW.

Milwaukee Journal Sentinel July 5, 2000 Wednesday FINAL EDITION
Scientists rebut finding on medical errors;
Indiana group says report exaggerated death toll caused by such mistakes

United Press International July 5, 2000, Wednesday
Experts split on hospital dangers

USA TODAY July 5, 2000, Wednesday, FINAL EDITION
Medical errors not so deadly? 'Shrill' estimate not supported by data, doctors say

The Washington Post July 5, 2000, Wednesday, Final Edition
Report on Medical Errors Called Erroneous; Fueling Debate, Researchers Challenge Data Indicating Thousands Die Because of Mistakes

ASAP Copyright 2000 CPS Communications, Inc.
Medical Marketing & Media
July 1, 2000
INDUSTRY FACES THE DRUG SAFETY ISSUE; Statistical Data Included

ASAP Copyright 2000 Springhouse Corporation
The Nurse Practitioner
July 1, 2000
Safe Prescribing; Brief Article

ASAP Copyright 2000 Springhouse Corporation
Nursing Management
July 1, 2000
Providing a safe environment in the new millennium; Brief Article

All rights reserved Copyright 2000 PR Newswire
PR NEWSWIRE
June 8, 2000
System Overhauls are Required to Make Medical Care Safer For Patients, Experts Say

PR Newswire June 8, 2000, Thursday
System Overhauls are Required to Make Medical Care Safer For Patients, Experts Say;
Academic Medicine and Managed Care Forum Speakers Share Strategies to Avoid Preventable Medical Errors

PR NEWSWIRE May 24, 2000
Creating a Culture of Safety: NursingCenter.Com to Host Live, Interactive Webcast on Preventing Practice Errors

The Boston Globe May 10, 2000, Wednesday ,THIRD EDITION
PATIENT SAFETY CENTER ADVANCES GROUPS DIVIDED ON DEFINING ERRORS

The Charleston Gazette April 11, 2000, Tuesday
Hospital error How safe are state hospitals ? - No one's keeping track -

Policy Papers Reducing Errors in Health Care: Translating Research Into Practice
April, 2000
ISSUED-BY: Agency for Healthcare Research and Quality (HHS)
LENGTH: 2596 words
LOAD-DATE: March 13, 2001

The Patriot Ledger (Quincy, MA) March 31, 2000 Friday All Editions
Doctors are urged to take responsibility for mistakes

a Thomson Corporation Company; ASAP
Copyright 2000 British Medical Association
British Medical Journal
March 18, 2000
Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems; Clinical Review; Statistical Data Included

Lancet March 18, 2000 2000; 355 (9208): 947-948
Medication errors, worse than a crime

BioPharm March 1, 2000
Medication Errors Draw Congressional Scrutiny : Manufacturers won some important policy changes in Washington last year but now face a high-profile debate on medical safety.

Nursing Economics
March 1, 2000
Leadership Roundtable.

Patient Care February 29, 2000
Medical errors: Implications for primary care; Brief Article

U.S. Newswire February 22, 2000, Tuesday
Conference Addresses How to Reduce Medical Errors

All rights reserved 2000 The Straits Times (Singapore)
THE STRAITS TIMES (SINGAPORE)
February 22, 2000
Safety checks help US hospitals cut errors

The Straits Times (Singapore) February 22, 2000, Latest Edition
Safety checks help US hospitals cut errors

The Post and Courier (Charleston, SC) February 20, 2000, Sunday, SUNDAY EDITION
Nation's hospitals trying to eliminate medical mistakes

St. Petersburg Times February 09, 2000, Wednesday
Should healthcare wear a warning label?

St. Petersburg Times February 07, 2000, Monday, 0 South Pinellas Edition
Next hot issue: medical mistakes

Chicago Tribune 2, 2000 Wednesday, EVENING UPDATE EDITION
DEADLY ERRORS;
CURTAIL HEALTH WORKERS' HOURS TO SAVE LIVES, SENATORS URGED

Federal News Service February 1, 2000, Tuesday
PREPARED TESTIMONY OF MICHAEL R. COHEN , MS, RPH PRESIDENT, INSTITUTE FOR SAFE MEDICATION PRACTICES
BEFORE THE SENATE ON HEALTH, EDUCATION, LABOR AND PENSIONS COMMITTEE

a Subsidiary of American Lawyer Media, Inc. Medical Malpractice Law & Strategy
February 2000

Modern Physician February 1, 2000, Tuesday
Safety first ; Kennedy, others respond to medical errors report

a Thomson Corporation Company; IAC (SM) PROMT (R)
Copyright 2000 Advanstar Communications, Inc.
Pharmaceutical Executive
February 1, 2000
Boosting R&D, Eyeing Errors.

Policy Papers What Counts for Patient Safety: Federal Actions to Reduce Medical Errors and Their Impact. Report of the Quality Interagency Coordination Task Force (QuIC) To the President
February, 2000
ISSUED-BY: Quality Interagency Coordination Task Force
LENGTH: 40681 words
LOAD-DATE: March 13, 2001

a Thomson Corporation Company; IAC (SM) Newsletter Database (TM)
Copyright 2000 JR Publishing, Inc.
Federal & State Insurance Week
January 31, 2000
LIABILITY AT ISSUE AS CONGRESS OPENS HEARINGS ON PATIENT SAFETY.

a Thomson Corporation Company; IAC (SM) Newsletter Database (TM)
Copyright 2000 JR Publishing, Inc.
Liability Week
January 31, 2000
LIABILITY AT ISSUE AS CONGRESS OPENS HEARINGS ON PATIENT SAFETY.

Modern Healthcare January 31, 2000, Monday
Hearings look at fixes for medical errors

Los Angeles Times
January 30, 2000, Sunday, Home Edition
ATTACKING ROOTS OF MEDICAL ERRORS

Knight Ridder/Tribune News Service The Philadelphia Inquirer
January 30, 2000, Sunday
Congress tackles medical errors

Medical Industry Today January 28, 2000, Friday
Bipartisan Group Proposes Tax Credits to Help Uninsured

American Health Line January 27, 2000
MISTAKES: HEALTH CARE INDUSTRY TESTIFIES BEFORE COMMITTEE

Chicago Sun-Times 27, 2000, THURSDAY, Late Sports Final Edition
Medical mistakes probed;
Sprinter testifies at Senate hearing
DATELINE: WASHINGTON

The Commercial Appeal (Memphis, TN) January 27, 2000, THURSDAY, FINAL EDITION
DEVERS TALKS OF MISDIAGNOSIS;
TRACK STAR HAD THYROID DISEASE

Dayton Daily News January 27, 2000, Thursday,
CONGRESS TURNS ATTENTION TO STOPPING MEDICAL MISTAKES

THE HARTFORD COURANT January 27, 2000 Thursday, STATEWIDE
MEDICAL REPORTING RULES MAY NOT BE QUICK FIX;
CONCERNS, AND THE COMPLEXITY OF THE ISSUES, MAY DELAY LEGISLATIVE ACTION ON A PROPOSAL TO REQUIRE THE REPORTING OF DEADLY MEDICAL ERRORS BY DOCTORS AND HOSPITALS.

The Houston Chronicle January 27, 2000, Thursday 3 STAR EDITION
Medical expert seeks a limit on long hours;
He says exhaustion adding to mistakes

Medical Industry Today January 27, 2000, Thursday
Doctor Calls for Shorter Shifts for Health Workers

National Journal's CongressDaily January 27, 2000 10:48 am Eastern Time
am
SECTION: HEALTH
Speedy Legislative Fix Unlikely On Medical Error Issue

News & Record (Greensboro, NC) January 27, 2000, Thursday, ALL EDITIONS
SENATOR WILL PUSH MEDICAL DISCLOSURE;
ARLEN SPECTOR WANTS MEDICAL ERRORS REVEALED.

Newsday (New York, NY) 27, 2000, Thursday NASSAU AND SUFFOLK EDITION
REPORT: MEDICAL ERRORS FATAL TO SOME

THE ORLANDO SENTINEL 27, 2000 Thursday, CENTRAL FLORIDA
LIMIT DOCTORS' WORK HOURS, EXPERT URGES CONGRESS;
A PANEL PUSHING FOR SAFEGUARDS SAYS 98,000 AMERICANS DIE FROM MEDICAL ERRORS EACH YEAR.

Knight Ridder/Tribune News Service The Philadelphia Inquirer
January 27, 2000, Thursday
Senator says he'll push bill on disclosure of medical mistakes

American Health Line January 26, 2000
MEDICAL MISTAKES: SPECTER OFFERS LEGISLATION

Federal News Service
January 26, 2000, Wednesday
PREPARED TESTIMONY OF EDWARD M. KENNEDY
BEFORE THE SENATE HEALTH, EDUCATION, LABOR AND PENSIONS COMMITTEE
SUBJECT - REDUCING MEDICAL ERROR: A LOOK AT THE IOM REPORT

Federal News Service
January 26, 2000, Wednesday
HEARING OF THE SENATE HEALTH, EDUCATION, LABOR AND PENSIONS COMMITTEE
SUBJECT: INSTITUTE OF MEDICINE REPORT ON MEDICAL ERRORS
CHAIRED BY: SENATOR JAMES JEFFORDS (R-VT)

WITNESSES: GAIL DEAVERS, GOLD MEDAL OLYMPIAN, VICTIM OF MEDICAL ERROR
LUCIAN LEAPE, MEMBER, REPORT COMMITTEE, INSTITUTE OF MEDICINE
MARY FOLEY, PRESIDENT, AMERICAN NURSES ASSOCIATION
ARNOLD MILSTEIN, MEDICAL DIRECTOR, PACIFIC BUSINESS GROUP ON HEALTH
NANCY W. DICKEY, PAST PRESIDENT, AMERICAN MEDICAL ASSOCIATION
STANTON SMULLENS, CHIEF MEDICAL OFFICEER, JEFFERSON HEALTH SYSTEM
216 DIRKSEN SENATE OFFICE BUILDING, WASHINGTON, D.C.

FNS DAYBOOK January 25, 2000

EDITION: FUTURE EVENTS

EVENT: SENATE HEALTH, EDUCATION, LABOR AND PENSIONS COMMITTEE
TIME: 10:00 am

FNS DAYBOOK January 25, 2000

EDITION: FUTURE EVENTS

EVENT: SENATE HEALTH, EDUCATION, LABOR AND PENSIONS COMMITTEE
TIME: 10:00 am

FNS DAYBOOK January 25, 2000

EDITION: FINAL

EVENT: SENATE HEALTH, EDUCATION, LABOR AND PENSIONS COMMITTEE
TIME: 10:00 am

Congressional Schedules January 25, 2000
COMMITTEE: Senate Health, Education, Labor and Pensions Committee
EVENT: Full committee hearing on "Reducing Medical Errors: A Look at the Institute of Medicine (IOM) Report"
TIME: 10 a.m.
LOCATION: 216 Hart Senate Office Building
TYPE: Hearing
LOAD-DATE: October 26, 2000

Federal Document Clearing House Congressional Testimony January 25, 2000
TESTIMONY January 25, 2000 LUCIAN LEAPE M.D. FACULTY MEMBER THE HARVARD SCHOOL OF PUBLIC HEALTH SENATE HEALTH, EDUCATION, LABOR & PENSIONS MEDICAL ERRORS

Chicago Sun-Times January 23, 2000, SUNDAY, Late Sports Final Edition
Medical errors take a staggering toll in U.S.

Congressional Press Releases
January 20, 2000, Thursday
MEDICAL ERRORS TO BE SUBJECT OF SENATE HEARING

a Thomson Corporation Company; ASAP
Copyright 2000 International Medical News Group
OB GYN News
January 15, 2000
Managed Care Is Not the Problem.

a Thomson Corporation Company; ASAP
Copyright 2000 International Medical News Group
Family Practice News
January 1, 2000
Report Urges Feds to Shine Spotlight on Medical Errors; Brief Article; Statistical Data Included

a Thomson Corporation Company; ASAP
Copyright 2000 International Medical News Group
Family Practice News
January 1, 2000
Managed Care Is Not the Problem; Brief Article; Statistical Data Included

a Thomson Corporation Company; ASAP
Copyright 2000 Center for Medical Consumers, Inc.
HealthFacts
January 1, 2000
Preventing Medical Errors: A Call to Action.

Medico-Legal Watch January 2000
The Problem of Medical Error: The Institution as Toxin

a Thomson Corporation Company; ASAP
Copyright 2000 International Medical News Group
OB GYN News
January 1, 2000
Report on Medical Errors Highlights Ailing System.

Modern Healthcare December 20, 1999, Monday
IOM report lit a fuse ; Medical errors are not new, but the very public ruckus over them is; that worries providers

Austin American-Statesman December 19, 1999, Sunday
SECTION: Insight; Pg. H1
Physicians' hidden flaws; Push for reporting of medical errors

Pittsburgh Post-Gazette 15, 1999, Wednesday, SOONER EDITION
MURPHY'S LAW

The Boston Globe December 13, 1999, Monday ,THIRD EDITION
MEDICAL-ERRORS ISSUE GOT HIGH-PROFILE PUSH

Federal News Service December 13, 1999, Monday
PREPARED TESTIMONY OF JOHN M. EISENBERG, M.D. DIRECTOR, AGENCY FOR HEALTHCARE RESEARCH AND QUALITY DEPARTMENT OF HEALTH AND HUMAN SERVICES
BEFORE THE SENATE APPROPRIATIONS COMMITTEE SUBCOMMITTEE ON LABOR, HHS, AND EDUCATION
SUBJECT - MEDICAL ERRORS

News & Record (Greensboro, NC) December 13, 1999, Monday, ALL EDITIONS
CHANGING THE CULTURE OF BLAME;
THE NUMBER OF MEDICAL MISTAKES COULD BE REDUCED BY FOCUSING ON FLAWED SYSTEMS,;
NOT FLAWED DOCTORS.

Federal Document Clearing House Congressional Testimony December 13, 1999
TESTIMONY December 13, 1999 JOHN M. EISENBERG, MD DIRECTOR AGENCY FOR HEALTHCARE RESEARCH AND QUAILTY SENATE APPROPRIATIONS LABOR, HEALTH AND HUMAN SERVICES, EDUCATION MEDICAL MISTAKES

The Houston Chronicle December 12, 1999, Sunday 2 STAR EDITION
Looking hard at medicine, the system

a Thomson Corporation Company; ASAP
Copyright 1999 British Medical Association
British Medical Journal
December 11, 1999
Medical errors kill almost 100 000 Americans a year; News

Charleston Daily Mail December 11, 1999, Saturday
Preventing medical mistakes Doctors need to build dikes around fallibility

The Dallas Morning News December 10, 1999, Friday THIRD EDITION
Medical Mistakes;
A focus on system is way to bring improvements

The Deseret News (Salt Lake City, UT) December 10, 1999, Friday
SECTION: OPINION; Pg. A23
To err is human, even for doctors

The Plain Dealer
December 10, 1999 Friday, FINAL / ALL
TO ERR IS HUMAN - EXCEPT IN MEDICINE

The Times Union (Albany, NY) 10, 1999, Friday, THREE STAR EDITION
Time now to cut err pollution

Austin American-Statesman December 9, 1999, Thursday
SECTION: Editorial; Pg. A15
To err is human, but let's put backups in place

The Boston Globe December 9, 1999, Thursday ,THIRD EDITION
ELLEN GOODMAN Ellen Goodman is a Globe columnist.;
IN HOSPITALS, TO ERR IS HUMAN, TO FESS UP IS NECESSARY

Business Wire December 9, 1999, Thursday
AHT Corporation to Benefit From Federal Government Initiative to Reduce Medical Mistakes

Knight Ridder/Tribune News Service The Philadelphia Inquirer
December 8, 1999, Wednesday
Clinton seeks action to curb medical errors

American Health Line December 6, 1999
MEDICAL MISTAKES: INDUSTRY, CONGRESS LOOK FOR HELP

The Boston Globe December 6, 1999, Monday ,THIRD EDITION
AVERTING MEDICAL MISTAKES A PRIORITY REPORT CALLS FOR ACTION; MASS. LEADING THE WAY

The New York Times 5, 1999, Sunday, Late Edition - Final
Ideas & Trends: Do No Harm;
Breaking Down Medicine's Culture of Silence

THE ORLANDO SENTINEL
December 5, 1999 Sunday, METRO
NO QUICK FIX FOR MEDICAL ERRORS;
BUT SEVERAL OPTIONS, INCLUDING THE CREATION OF A PATIENT-SAFETY CENTER, ABOUND, EXPERTS SAY.

Knight Ridder/Tribune News Service The Philadelphia Inquirer
December 5, 1999, Sunday
Panel recommends several initiatives to attack medical errors

Knight Ridder/Tribune News Service Daily News (NY)
December 4, 1999, Saturday
Stop the killing in hospitals

The New York Times 1, 1999, Wednesday, Late Edition - Final
Preventing Fatal Medical Errors

CBS News Transcripts SHOW: THE EARLY SHOW (7:00 AM ET)
November 30, 1999, Tuesday
DR. LUCIAN LEAPE OF THE HARVARD SCHOOL OF PUBLIC HEALTH ON MEDICAL MISTAKES

The NewsHour with Jim Lehrer 30, 1999, Tuesday Transcript #6609
LENGTH: 9482 words
Talking Trade;
Fatal Errors;
Conversation; GUESTS: DAVID SANGER, The New York Times; THOMAS DONOHUE, U.S. Chamber of Commerce; KEVIN KEARNS, U.S. Business and Industry Council; LORI WALLACH, Public Citizen's Global Trade Watch; DANIEL TARULLO, Georgetown University; DR. LUCIAN LEAPE, Harvard University; DR. NANCY DICKEY, Former President, American Medical Association; CHARLES BOSK, University of Pennsylvania; HA JIN, National Book Award, Fiction; CORRESPONDENTS: SPENCER MICHELS; RAY SUAREZ; TERENCE SMITH; GWEN IFILL; KWAME HOLMAN; ELIZABETH FARNSWORTH; PAUL SOLMAN; SUSAN DENTZER; JEFFREY KAYE; MARGARET WARNER; SUSAN DENTZER

a Thomson Corporation Company; ASAP
Copyright 1999 Center for Medical Consumers, Inc.
HealthFacts
October 1, 1999
RxNews: Public Fearful of Drug Errors...With Good Reason; American Society of Health-System Pharmacists survey

The Boston Globe July 21, 1999, Wednesday ,City Edition
'Collegial' monitoring of hospitals hit

Federal News Service JULY 14, 1999, WEDNESDAY
NATIONAL PRESS CLUB NEWSMAKER LUNCHEON
WITH DR. DAVID LAWRENCE, CEO, KAISER PERMANENTE
MODERATOR:
LARRY LIPMAN

Federal News Service
APRIL 29, 1999, THURSDAY
PREPARED TESTIMONY OF
JOHN M. EISENBERG, M.D.
ADMINISTRATOR
AGENCY FOR HEALTH CARE POLICY AND RESEARCH
BEFORE THE HOUSE COMMERCE COMMITTEE
SUBCOMMITTEE ON HEALTH AND ENVIRONMENT

Modern Healthcare April 19, 1999
HEALTHCARE LEADERS STRATEGIZE QUALITY

Federal News Service MARCH 19, 1998, THURSDAY
PREPARED TESTIMONY OF MOLLA S. DONALDSON, PROJECT DIRECTOR,
NATIONAL ROUNDTABLE ON HEALTH CARE QUALITY
INSTITUTE OF MEDICINE
BEFORE THE HOUSE VETERANS AFFAIRS COMMITTEEE
SUBCOMMITTEE ON HEALTH

Federal Document Clearing House Congressional Testimony March 19, 1998, Thursday
TESTIMONY March 19, 1998 MOLLA S. DONALDSON PROJECT DIRECTOR, NATIONAL ROUNDTABLE ON HEALTHCARE QUALITY INSTITUTE OF MEDICINE HOUSE VETERANS AFFAIRS HEALTH VA HEALTH CARE QUALITY

Federal News Service FEBRUARY 26, 1998, THURSDAY
PREPARED TESTIMONY OF
MARK R. CHASSIN
M.D., M.P.P., M.P.H.
PROFESSOR OF HEALTH POLICY AND MEDICINE
CHAIRMAN, DEPARTMENT OF HEALTH POLICY
MOUNT SINAI SCHOOL OF MEDICINE
CO-CHAIR, INSTITUTE OF MEDICINE
NATIONAL ROUNDTABLE ON HEALTHCARE QUALITY
THE NEED FOR URGENT ACTION TO IMPROVE THE QUALITY OF HEALTH CARE
BEFORE THE HOUSE COMMITTEE ON WAYS AND MEANS
SUBCOMMITTEE ON HEALTH

Federal News Service
FEBRUARY 11, 1998, WEDNESDAY
PREPARED STATEMENT OF
JOHN M. EISENBERG, M.D.
ADMINISTRATOR AGENCY FOR HEALTH CARE POLICY AND RESEARCH
BEFORE THE SENATE LABOR AND HUMAN RESOURCES COMMITTEE
PUBLIC HEALTH AND SAFETY SUBCOMMITTEE

Federal Document Clearing House Congressional Testimony February 11, 1998, Wednesday
TESTIMONY February 11, 1998 JOHN EISENBERG ADMINISTRATOR AGENCY FOR HEALTH CARE POLICY AND RESEARCH SENATE LABOR AND HUMAN RESOURCES PUBLIC HEALTH AND SAFETY HEALTH POLICY AGENCY OVERSIGHT

Pittsburgh Post-Gazette 11, 1996, Sunday, TWO STAR EDITION
Hospital care: The cost of cutting

Pittsburgh Post-Gazette 11, 1996, Sunday, TWO STAR EDITION
HOSPITAL CARE: THE COST OF CUTTING

ASAP
Copyright 1995 U.S. Department of Health and Human Services
Health Care Financing Review
June 22, 1995
Issues in measuring and improving health care quality.New Initiatives and Approaches in Health Care Quality

The Western Journal of Medicine July, 1994
Medical practice guidelines.

The Western Journal of Medicine March, 1994
A brief history of health care quality assessment and improvement in the United States.

Health Care Financing Review January, 1991
Utilization management as a cost-containment strategy; Cost-Containment Issues, Methods, and Experiences