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Second, do less harm: The state of s...
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Rasmus, Monica Lynn.
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Second, do less harm: The state of states' medical error reporting programs.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
Second, do less harm: The state of states' medical error reporting programs./
作者:
Rasmus, Monica Lynn.
面頁冊數:
71 p.
附註:
Source: Dissertation Abstracts International, Volume: 67-11, Section: B, page: 6347.
Contained By:
Dissertation Abstracts International67-11B.
標題:
Health Sciences, Medicine and Surgery. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3241400
ISBN:
9780542974373
Second, do less harm: The state of states' medical error reporting programs.
Rasmus, Monica Lynn.
Second, do less harm: The state of states' medical error reporting programs.
- 71 p.
Source: Dissertation Abstracts International, Volume: 67-11, Section: B, page: 6347.
Thesis (Dr.P.H.)--The University of Texas School of Public Health, 2006.
Statement of the problem and public health significance. Hospitals were designed to be a safe haven and respite from disease and illness. However, a large body of evidence points to preventable errors in hospitals as the eighth leading cause of death among Americans. Twelve percent of Americans, or over 33.8 million people, are hospitalized each year. This population represents a significant portion of at risk citizens exposed to hospital medical errors. Since the number of annual deaths due to hospital medical errors is estimated to exceed 44,000, the magnitude of this tragedy makes it a significant public health problem.
ISBN: 9780542974373Subjects--Topical Terms:
1017756
Health Sciences, Medicine and Surgery.
Second, do less harm: The state of states' medical error reporting programs.
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Source: Dissertation Abstracts International, Volume: 67-11, Section: B, page: 6347.
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Statement of the problem and public health significance. Hospitals were designed to be a safe haven and respite from disease and illness. However, a large body of evidence points to preventable errors in hospitals as the eighth leading cause of death among Americans. Twelve percent of Americans, or over 33.8 million people, are hospitalized each year. This population represents a significant portion of at risk citizens exposed to hospital medical errors. Since the number of annual deaths due to hospital medical errors is estimated to exceed 44,000, the magnitude of this tragedy makes it a significant public health problem.
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Specific aims. The specific aims of this study were threefold. First, this study aimed to analyze the state of the states' mandatory hospital medical error reporting six years after the release of the influential IOM report, "To Err is Human." The second aim was to identify barriers to reporting of medical errors by hospital personnel. The third aim was to identify hospital safety measures implemented to reduce medical errors and enhance patient safety.
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Methods. A descriptive, longitudinal, retrospective design was used to address the first stated objective. The study data came from the twenty-one states with mandatory hospital reporting programs which report aggregate hospital error data that is accessible to the public by way of states' websites. The data analysis included calculations of expected number of medical errors for each state according to IOM rates. Where possible, a comparison was made between state reported data and the calculated IOM expected number of errors. A literature review was performed to achieve the second study aim, identifying barriers to reporting medical errors. The final aim was accomplished by telephone interviews of principal patient safety/quality officers from five Texas hospitals with more than 700 beds.
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Results. The state medical error data suggests vast underreporting of hospital medical errors to the states. The telephone interviews suggest that hospitals are working at reducing medical errors and creating safer environments for patients. The literature review suggests the underreporting of medical errors at the state level stems from underreporting of errors at the delivery level.
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