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  • Why Diagnostic Errors Don’t Get Any Respect… And What Can Be Done About It

    I gave a keynote yesterday to the first-ever meeting on “Diagnostic Error in Medicine.” I hope the confab helps put diagnostic errors on the safety map. But, as Ricky Ricardo would say, the experts and advocates in the audience have some ‘splainin’ to do.I date the origin of the patient safety field to the publication of the IOM report on medical ...
    Posted to Wachter's World (Weblog) by Bob Wachter on June 2, 2008
  • Did I Violate Federal Regulations Today? (I Hope So)

    The patient safety and quality movements are precious and fragile. Just as IOM reports I and II spawned these modern, life-saving revolutions, the Federal shutdown of the Hopkins/Michigan checklist program may help extinguish them. After all, Tipping Points can tip both ways.I laid out the issues in this prior post. Those of you who know me know ...
    Posted to Wachter's World (Weblog) by Bob Wachter on January 16, 2008
  • Bureaucracy Run Amok: Can Checklists Kill?

    As you may know, I’ve argued that that the quality and safety of healthcare have traditionally been underregulated. But regulators are like patients with Parkinson’s: it’s hard to get them unglued, but once they’re moving, it’s hard to stop them. Welcome to Exhibit A.Last month, I described Atul Gawande’s thrilling New Yorker article recounting ...
    Posted to Wachter's World (Weblog) by Bob Wachter on January 11, 2008
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