Write thoughts on how the development of information technology has helped address the concerns about patient safety raised in the To Err is Human report. Summarize how informatics has assisted in improving health care safety in your organization and areas where growth is still needed.
Legal Issues
I
ve made a mistake. This
simple statement, or its mere
thought, is enough to strike fear
within the most experienced and
knowledgeable of health care pro
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Get Help Now!fessionals. No matter how many
times a procedure has been done or
a medication administered, there is
always the likelihood of prevent
able error. Each year, the public
is reminded of the potential for
mistakes as the media report medical
horror stories where, for example,
unknowing patients have surgery
performed on the wrong body part,
a wrong medication administered,
or a foreign object errantly left
inside their bodies. These reports
highlight the biggest fear of health
care workerstheir own fallibility.
Through carelessness, assumption,
overt act, or omission, the health
care professional can easily err
and cause harm to the patient. In
addition to the pain caused to the
patient, health care providers also
understand the devastating impact
that such errors can wreak on their
own personal and professional lives.
The purpose of this article is to
About the Authors
Mr. Plawecki is Registered Nurse,
Rehabilitation Hospital of Indiana, In
dianapolis, and Dr. Amrhein is Resident
Physician, Family Practice Medicine, Ball
Memorial Hospital, Muncie, Indiana.
The authors disclose that they have no
significant financial interests in any prod
uct or class of products discussed directly
or indirectly in this activity, including
research support.
Address correspondence to Lawrence
H. Plawecki, RN, JD, LLM, Regis
tered Nurse, Rehabilitation Hospital of
Indiana, 4141 Shore Drive, Indianapolis,
IN 46254; e-mail: Lawrence.plawecki@
gmail.com.
doi:10.3928/00989134-20091016-01
Clearing the Err
Reporting Serious Adverse Events and Never Events in Todays Health Care System
Lawrence H. Plawecki, RN, JD, LLM; and David W. Amrhein, MD
Abstr
A
ct
Absent an infinitesimal percentage, most Americans seek health care ser
vices due to a legitimate health issue. Fundamental within this relationship
is the understanding that health care professionals will do everything within
their power and expertise to alleviate the suffering of each patient they
treat. Unfortunately, preventable medical errors do occur, and the in
nocent patient is left to suffer. In 1999, the Institute of Medicine
released
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