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Error in Medicine
Abstract
FOR YEARS, medical and nursing students have been taught Florence Nightingale's dictum—first, do no harm.1Yet evidence from a number of sources, reported over several decades, indicates that a substantial number of patients suffer treatment-caused injuries while in the hospital.2-6 In 1964 Schimmel2reported that 20% of patients admitted to a university hospital medical service suffered iatrogenic injury and that 20% of those injuries were serious or fatal. Steel et al3found that 36% of patients admitted to a university medical service in a teaching hospital suffered an iatrogenic event, of which 25% were serious or life threatening. More than half of the injuries were related to use of medication.3In 1991 Bedell et al4reported the results of an analysis of cardiac arrests at a teaching hospital. They found that 64% were preventable. Again, inappropriate use of drugs was the leading cause of
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Cited by
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The Quality in Australian Health Care Study
Wilson, R. M., Runciman, W. B., Gibberd, R. W., Harrison, B. T., Newby, L., & Hamilton, J. D. (1995) · Medical Journal of Australia · doi:10.5694/j.1326-5377.1995.tb124691.x · Cited by 2,384
Bates, D. W. (1998) · JAMA · doi:10.1001/jama.280.15.1311 · Cited by 2,107
West, C. P., Huschka, M. M., Novotny, P. J., Sloan, J. A., Kolars, J. C., Habermann, T. M., & Shanafelt, T. D. (2006) · JAMA · doi:10.1001/jama.296.9.1071 · Cited by 1,454
Management of diabetes and hyperglycemia in hospitals.
Clement, S., Braithwaite, S. S., Magee, M. F., Ahmann, A., Smith, E. P., Schafer, R. G., Hirsch, I. B., & on behalf of the Diabetes in Hospitals Writing Committee (2004) · Diabetes Care · doi:10.2337/diacare.27.2.553 · Cited by 1,266
Metadata
- Authors
- Leape, L. L.
- Venue
- JAMA: The Journal of the American Medical Association
- Publisher
- American Medical Association (AMA)
- Published
- 1994-12-21
- Volume
- 272
- Issue
- 23
- Pages
- 1851
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W4292402253
- Cited by
- 1,425
- References
- 0
- FWCI
- 33.22
- Type
- journal article
- Language
- en
- Open access
- closed
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