Medical Errors Must Be Reduced for the Welfare of the Global Health Sector
After the Institute for Medicine’s landmark 1999 report, medical errors are considered serious problems in healthcare, and attempts are taken globally to reduce them. Medical error is believed as the second victim to the healthcare providers. At present the medical errors become great challenges for healthcare professionals, and health policy makers. These are responsible to delay in recovery of patients’ diseases, and sometimes impossible to recover. Although it is true that deaths from medical errors are the grievous for the bereaved families, some of these errors are unavoidable due to the complex healthcare systems. But most of them are avoidable and happen due to the negligence of the healthcare providers. Unfortunately, many of these errors are not disclosed to patients and their families. Reduction of these errors are necessary to maintain safe, and quality patient care for the welfare both patients and healthcare providers. Objectives of this study are to create consciousness among the patients about avoidable medical errors and to reduce the medical errors for the better treatment to the patients. If medical errors are reduced, the sufferings of the patients will be relieved and medical costs will be decreased. This article discusses aspects of medical errors and their effects on the patients and society. In this study an attempt has been taken to reduce medical errors in healthcare for the welfare of the global humanity.
Medical Errors, Healthcare, Diagnostic Errors, Medication Errors, Nosocomial Infection, Prevention, Nursing
American Academy of Pediatrics, AAP (2003). Prevention of Medication Errors in the Pediatric Inpatient Setting. Pediatrics, 112 (2), 431–436.
Abidi, S. S. R. (2001). Knowledge Management in Healthcare: Towards ‘Knowledge-Driven’ Decision Support Services. International Journal of Medical Informatics, 63 (1-2), 5–18.
Acharya, C., Manchaiah, V. K. C., Lewis, A., & Thimbleby, H. (2014). Hearing Aid Battery Ingestion: Medical Error or Poor Design? British Academy of Audiology (BAA) Magazine, 31, 27–28.
Agency for Healthcare Research and Quality, AHRQ (2011). 20 Tips to Help Prevent Medical Errors. Department of Health & Human Services, USA.
Aitken, C. J. D. (2001). Nosocomial Spread of Viral Disease. Clinical Microbiology Reviews, 14 (3), 528–546.
Algie, C. M., Mahar, R. K., Wasiak, J., Batty, L., Gruen, R. L., & Mahar, P. D. (2015). Interventions for Reducing Wrong-Site Surgery and Invasive Clinical Procedures. Cochrane Database of Systematic Reviews. The Cochrane Collaboration. Issue 3, Art. No.: CD009404. John Wiley & Sons, Ltd.
Allen, E. L., & Barker, K. N. (1990). Fundamentals of Medication Error Research. American Journal of Hospital Pharmacy, 47 (3), 555–571.
Alomari, A., Wilson, V., Davidson, P. M., & Lewis, J. (2015). Families, Nurses and Organisations Contributing Factors to Medication Administration Error in Paediatrics: A Literature Review. International Practice Development Journal, 5 (1), 1–14.
Amalberti, R., Auroy, Y., Berwick, D., & Barach, P. (2005). Five System Barriers to Achieving Ultrasafe Healthcare. Annals of Internal Medicine, 142 (9), 756–764.
American Red Cross (Cited 2018). Blood Facts and Statistics (online). http://www.redcrossblood.org/learnabout-blood/blood-facts-and-statistics
Andrews, L., Higgins, A., Andrews, M. W., & Lalor, J. G. (2012). Classic Grounded Theory to Analyse Secondary Data: Reality and Reflections. The Grounded Theory Review, 11 (1), 12–26.
Ash, J. S., Gorman, P. N., Seshadri, V., & Hersh, W. R. (2004). Physician Order Entry in US Hospitals: Results of a 2002 Survey. Journal of the American Medical Informatics Association, 11 (2), 95–99.
Baker, G., Norton, P., Flintoft, V., Blais, R., Brown, A., & Cox, J. (2004). The Canadian Adverse Events Study: The Incidence of Adverse Events among Hospitals in Canada. Canadian Medical Association Journal, 170 (11), 1678–1686.
Balogh, E. P., Miller, B. T., & Ball, J. R. (Eds.) (2015). Board on Health Care Services. Institute of Medicine. Improving Diagnosis in Health Care. Washington, DC: The National Academy of Sciences, The National Academy Press.
Barker, K. N., Mikeal, R. L., Pearson, R. E., Illig, N. A., & Morse, M. L. (1982). Medication Errors in Nursing Homes and Small Hospitals, American Journal of Hospital Pharmacy, 39, 987–991.
Bates, D. W. (1999). Frequency, Consequences and Prevention of Adverse Drug Events. Journal of Quality in Clinical Practice, 19 (1), 13–17.
Bates, D. W., Cullen, D. J., Laird, N., Peterson, L. A., Small, S. D., Servi, D., Laffel, G., Sweitzer, B. J., Shea, B. F., Hallisey, R., Vliet, M. V., Nemeskal, R., & Leape, L. L. (1995). Incidence of Adverse Drug Events and Potential Adverse Drug Events. Journal of the American Medical Association, 274 (1), 29–34.
Bates, D. W., Spell, N., Cullen, D. J., Burdick, E., Laird, N., & Petersen, L. A. (1997). The Costs of Adverse Drug Events in Hospitalized Patients, Adverse Drug Events Prevention Study Group. Journal of the American Medical Association, 277 (4), 307–311.
Beam, C. A., Layde, P. M., & Sullivan, D. C. (1996). Variability in the Interpretation of Screening Mammograms by US Radiologists: Findings from a National Sample. Archives of Internal Medicine, 156 (2), 209 –213.
Bergman, B., Ahmad, F., & Stewart, D. E. (2003). Physician Health, Stress and Gender at a University Hospital. Journal of Psychosomatic Research, 54 (2), 171–178.
Berner, E. S., & Graber, M. L. (2008). Overconfidence as a Cause of Diagnostic Error in Medicine. The American Journal of Medicine, 121 (5A), S2–S23.
Bleich, S. (2005). Medical Errors: Five Years after the IOM Report. Issue Brief. The Commonwealth Fund. John F. Kennedy School of Government Bipartisan Congressional Health Policy Conference, January 13–15, 2005.
Cable, R., Carlson, B., Chambers, L., Kolins, J., Murphy, S., Tilzer, L., Vassallo, R., Weiss, J., & Wissel, M. E. (2007). Practice Guidelines for Blood Transfusion: A Compilation from Recent Peer-Reviewed Literature (2nd Ed.). American National Red Cross.
Canale, S. T. (2005). Wrong-site Surgery: A Preventable Complication. Clinical Orthopaedics and Related Research, 433, 26–29.
Carayon, P., Gurses, A., & Hundt, S. (2005). Performance Obstacles and Facilitators of Healthcare Providers. In C. Korunka & P. Hoffman (Eds.). Change and Quality in Human Service Work, Vol. 4. pp. 257–276. Munchen, Germany: Hampp Publishers.
Chellis, M., Olson, J. E., Augustine, J., & Hamilton, G. C. (2001). Evaluation of Missed Diagnoses for Patients Admitted from the Emergency Department. Academic Emergency Medicine, 8 (2), 125–130.
Chung, K. W., Basavaraju, S. V., Mu, Y., van Santen, K. L., Haass, K. A., Henry, R., Berger, J., & Kuehnert, M. J. (2016). Declining Blood Collection and Utilization in the United States. Transfusion, 56 (9), 2184–2192.
Cousins, D. H., Gerrett, D., & Warner, B. (2012). A Review of Medication Incidents Reported to the National Reporting and Learning System in England and Wales Over Six Years (2005–2010). British Journal of Clinical Pharmacology, 74 (4), 597–604.
Danasekaran, R., & Annadurai, K. (2014). Prevention of Healthcare Associated Infections: Protecting Patients, Saving Lives. International Journal of Community Medicine and Public Health, 1 (1), 67–68.
Davenport, T. H., & Glaser, J. (2002). Just-in-Time Delivery Comes to Knowledge Management. Harvard Business Review, 80 (7), 5–9.
Davis, P., Lay-Yee, R., Briant, R., Ali, W., Scott, A., & Schug, S. (2003). Adverse Events in New Zealand Public Hospitals II: Preventability and Clinical Context. New Zealand Medical Journal, 116 (1183), U624.
de Vries, E. N., Ramrattan, M. A., Smorenburg, S. M., Gouma, D. J., & Boermeester, M. A. (2008). The Incidence and Nature of In-hospital Adverse Events: A Systematic Review. Quality & Safety in Health Care, 17 (3), 216–223.
Dexter, P. R., Perkins, S., Overhage, M., Maharry, K., Kohler, R. B., & McDonald, C. J. (2001). A Computerized Reminder System to Increase the Use of Preventive Care for Hospitalized Patients. New England Journal of Medicine, 345 (13), 965–970.
Dietz, I., Borasio, G. D., Schneider, G., & Jox, R. J. (2010). Medical Errors and Patient Safety in Palliative Care: A Review of the Literature. Journal of Palliative Medicine, 13 (12), 1469–1474.
Dubeck, D. (2016). Blood Transfusion Events-Lessons Learned from a Complex Process. Pennsylvania Patient Safety Advisory, 13 (3), 100–107.
Ducel, J. F., & Nicolle, L. (2002). Prevention of Hospital-Acquired Infections. Geneva: WHO.
Dückers, M., Faber, M., Cruijsberg, J., Grol, R., Schoonhoven, L., & Wensing, M. (2009). Safety and Risk Management Interventions in Hospitals: A Systematic Review of the Literature. Medical Care Research and Review, 66 (6), 90S–119S.
Ellenbecker, C. H., Frazier, S. C., & Verney, S. (2004). Nurses’ Observations and Experiences of Problems and Adverse Effects of Medication Management in Home Care. Geriatric Nursing, 25 (3), 164–170.
Elstein A. (1995). Clinical Reasoning in Medicine. In J. Higgs (Ed.) pp. 49–59. Clinical Reasoning in the Health Professions. Oxford, England: Butterworth-Heinemann Ltd.
Fijin, R., van den Bernt, P., Chow, M., DeBlacey, C., Berg, L., & Brouwers, J. (2002). Hospital Prescribing Errors: Epidemiological Assessment of Predictors. British Journal of Clinical Pharmacology, 53 (3), 326–331.
Fitzgerald, R. (2001). Error in Radiology. Clinical Radiology, 56 (12), 938–946.
Fortescue, E. B., Kaushal, R., Landrigan, C. P., McKenna, K. J., Clapp, M. D., & Federico, F. (2003). Prioritizing Strategies for Preventing Medication Errors and Adverse Drug Events in Pediatric Inpatients. Pediatrics, 111, 722–729.
Franchini, M. (2012). Error Reporting in Transfusion Medicine: An Important Tool to Improve Patient Safety. Clinical Chemistry and Laboratory Medicine, 50 (11), 1871–1872.
Frith, K. H., Anderson, E. F., Tseng, F., & Fong, E. A. (2012). Nurse Staffing is an Important Strategy to Prevent Medication Errors in Community Hospitals, Nursing Economics, 30 (5), 288–294.
Gallagher, T. H., Waterman, A. D., Ebers, A. G., Fraser, V. J., & Levinson, W. (2003). Patients’ and Physicians’ Attitudes Regarding the Disclosure of Medical Errors. Journal of the American Medical Association (JAMA), 289 (8), 1001–1007.
Gawande A. (2002). Complications: A Surgeon’s Notes on an Imperfect Science. New York, Metropolitan Books.
GeneralCologneRe (2002). Insurance Issues in Europe: Impending Changes in the European Health Care Sector and the Effect on Risk Management and Malpractice Insurance. December 2002.
Graber, M. (2015). Diagnostic Error: Learning Resource for Clinicians. Sydney: Clinical Excellence Commission.
Grober, E. D., & Bohnen, J. M. (2005). Defining Medical Error. Canadian Journal of Surgery, 48 (1), 39–44.
Hameed, S., Karamat, J., & Mehmood, K. (2012). Effectual Dynamics and Prolific Usage of Knowledge Management & Engineering in Health Care Industry. Life Science Journal, 9 (2), 110–118.
Haynes, A. B., Weiser, T. G., Berry, W. R., Lipsitz, S. R., Breizat, A-H. S., Dellinger, E. P., Herbosa, T., Joseph, S., Kibatala, P. L., Lapitan, M. C. M., Merry, A. F., Moorthy, K., Reznick, R. K., Taylor, B., & Gawande, A. A. (2009). A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population. The New England Journal of Medicine, 360 (5), 491–499.
HealthGrades (2004). In-Hospital Deaths from Medical Errors at 195,000 Per Year, HealthGrades Study Finds. http://www.healthgrades.com/media/DMS/pdf/InhosptialDeathsPatientSafetyPressRelease072704.pdf.
Holmström, A. R. (2007). Learning from Medication Errors in Healthcare–How to Make Medication Error Reporting Systems Work? PhD Dissertation, Helsinki University, Finland.
Institute of Medicine, IOM (2006). Preventing Medication Errors: Quality Chasm Series. In P. Aspden, J. Wolcott, J. L. Bootman, & L. R. Cronenwett (Eds.). Committee on Identifying and Preventing Medication Errors. Academy Press: Washington DC.
IOM (2008). To Err is Human: Building a Safer Health System (7th Ed.). National Academy Press, Washington DC.
ISIC Rev.4 Structure (2008), International Standard Industrial Classification of All Economic Activities, Revision 4. United Nations Statistics Division. United Nations. New York.
Jheeta, S., & Franklin, B. D. (2017). The Impact of a Hospital Electronic Prescribing and Medication Administration System on Medication Administration Safety: An Observational Study. BMC Health Services Research, 17 (547), 1–12.
Jury Verdict Research (2002). Medical Malpractice Verdicts, Settlement and Statistical Analysis, Horsham, PA: LRP Publications, p. 6.
Kass, B. L. (2001). Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. Research in Action. Web: http://www.ahrq.gov/qual/aderia/aderia.htm
Khan, A. H.; Baig, F. K., & Mehboob, R. (2017). Nosocomial Infections: Epidemiology, Prevention, Control and Surveillance. Asian Pacific Journal of Tropical Biomedicine, 7 (5), 478–482.
Kinninger, T., & Reeder, L. (2003). The Business Case for Medication Safety. Healthcare Financial Management, 57 (2), 46–51.
Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (1999). To Err is Human: Building a Safer Health System. Institute of Medicine Committee on Quality of Healthcare in America, National Academy Press, Washington DC.
Korol, E., Johnston, K., Waser, N., Sifakis, F., Jafri, H. S., & Lo, M., et al. (2013). A Systematic Review of Risk Factors Associated with Surgical Site Infections among Surgical Patients. PLOS ONE. 8 (12), 1–9. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3867498/pdf/pone.0083743.pdf
Kovner, C., Menezes, M., & Goldberg, J. (2005). Examining Nurses’ Decision Process for Medication Management in Home Care. Joint Commission Journal on Quality and Patient Safety, 31 (7), 379–385.
Kripalani, S., Williams, M. V., & Rask, K. (2001). Reducing Errors in the Interpretation of Plain Radiographs and Computed Tomography Scans. In K. G. Shojania, B. W. Duncan, K. M. McDonald, & R. M. Wachter (Eds.). Making Health Care Safer. A Critical Analysis of Patient Safety Practices. Rockville, MD: Agency for Healthcare Research and Quality.
Krizek, T. J. (2000). Surgical Error: Ethical Issues of Adverse Events. Archives of Surgery, 135 (11), 1359–1366.
Kronz, J. D., Westra, W. H., & Epstein, J. I. (1999). Mandatory Second Opinion Surgical Pathology at a Large Referral Hospital. Cancer, 86 (11), 2426–2435.
Kuperman, G. J. (2003). Computer Physician Order Entry: Benefits, Costs and Issues. Annals of Internal Medicine, 139 (1), 31–39.
Ladd, P. (2010). Disruptive Doctors: When Healers are the Problem. Tennessee Medicine Journal, 103 (4), 25–27.
Landrigan, C. P., Rothschild, J. M., Cronin, J. W., Kaushal, R., Burdick, E., Katz, J. T., Lilly, C. M., Stone, P. H., Lockley, S. W., Bates, D. W., & Czeisler, C. A. (2004). Effect of Reducing Interns’ Work Hours on Serious Medical Errors in Intensive Care Units. The New England Journal of Medicine, 351 (18), 1838–1848.
Lazarou, J., Pomeranz, B. H., & Corey, P. N. (1998). Incidence of Adverse Drug Reactions in Hospitalized Patients: A Meta-Analysis of Prospective Studies. Journal of the American Medical Association (JAMA), 279 (15), 1200–1205.
Leape, L. L. (1993). Preventing Medical Injury. Quality Review Bulletin (QRB), 19 (5), 144–149.
Leape, L. L., Bates, D. W., Cullen, D. J., Cooper, J., Demonaco, H. J., Gallivan, T., Hallisey, R. J., Laird, N., Laffel, G., Nemeskal, R., Petersen, L. A., Porter, K., Servi, D., Shea, B. F., Small, S. D., Sweitzer, B. J., Thompson, T., & Vliet, M. V. (1995). Systems Analysis of Adverse Drug Events. The Journal of American Medical Association, 274 (1), 35–43.
Leape, L. L., & Benwick, D. M. (2000). Safe Health Care: Are We up to it? British Medical Journal (BMJ), 320 (7237), 725–726.
Leape, L. L., Berwick, D. M., & Bates, D. W. (2002). What Practices Will Most Improve Safety? Evidence-Based Medicine Meets Patient Safety, British Medical Journal (BMJ), 288 (4), 501–507.
Lewis, E. J., Baernholdt, M., & Hamric, A. B. (2013). Nurses’ Experience of Medical Errors. Journal of Nursing Care Quality, 28 (2), 153–161.
Liang, B. A. (2004). A Policy of System Safety: Shifting the Medical and Legal Paradigms to Effectively Address Error in Medicine. Harvard Health Policy Review, 5 (1), 6–13.
Liou, T-N., & Nussenbaum, B. (2014). Wrong Site Surgery in Otolaryngology–Head and Neck Surgery. Laryngoscope, 124, 104–109.
Loncarek, K. (2008). Health of the Health System: Pilot, Swiss Cheese, and Cash Machine. Croatian Medical Journal, 49 (5), 689–692.
Mager, D. R. (2007). Medication Errors and the Home Care Patient. Home Healthcare Nurse, 25 (3), 151–155.
Magill, S. S., et al., (2012). Prevalence of Healthcare-Associated Infections in Acute Care Hospitals in Jacksonville, Florida. Infection Control Hospital Epidemiology, 33 (3), 283–291.
Masaadeh, H. A., & Jaran, A. S. (2009). Incident of Pseudomonas aeruginosa in Post-Operative Wound Infection. American Journal of Infection Control, 5, 1–6.
Maskens, C., Downie, H., Wendt, A., Lima, A., Merkley, L., Lin, Y., & Callum, J. (2014). Hospital-based Transfusion Error Tracking from 2005-2010: Identifying the Key Errors Threatening Patient Transfusion Safety. Transfusion, 54 (1), 66–73.
Mehtsun, W. T., Ibrahim, A. M., Diener-West, M., Pronovost, P. J., & Makary, M. A. (2013). Surgical Never Events in the United States. Surgery, 153 (4), 465–472.
Melymuka, K. (2002). Knowledge Management Helps Cut Errors by Half. Computerworld, 36 (28), 44–48.
Mercola, J. M. (2013). New Report: Preventable Medical Mistakes Account for One-Sixth of All Annual Deaths in the United States. Colby Family Chiropractic 100 Year Lifestyle Affiliate Chiropractor in Woodstock GA.
Michalak, S. M., Rolston, J. D., & Lawton, M. T. (2016). Prospective, Multidisciplinary Recording of Perioperative Errors in Cerebrovascular Surgery: Is Error in The Eye of the Beholder? Journal of Neurosurgery, 124 (6), 1794–1804.
Miladinia, M., Zarea, K., Baraz, S., Nouri, E., Pishgooie, A. H., & Baeis, M. (2016). Pediatric Nurses’ Medication Error: The Self-reporting of Frequency, Types and Causes. International Journal of Pediatrics, 4 (3), 1439–1444.
Mohajan, H. K. (2015). Tuberculosis is a Fatal Disease among Some Developing Countries of the World. American Journal of Infectious Diseases and Microbiology, 3 (1), 18–31.
Mohajan, H. K. (2018). Aspects of Mathematical Economics, Social Choice and Game Theory. PhD Dissertation, Jamal Nazrul Islam Research Centre for Mathematical and Physical Sciences (JNIRCMPS), University of Chittagong, Chittagong, Bangladesh.
Morimoto, T., Gandhi, T., Seger, A., Hsieh, T., & Bates, D. (2004). Adverse Drug Events and Medication Errors: Detection and Classification Methods. Quality & Safety in Health Care, 13 (4), 306–314.
The United States National Coordinating Council for Medication Error Reporting and Prevention, NCC MERP (2015). About Medication Errors. http://www.nccmerp.org/about-medication-errors
Neilly, J., Mills, P. D., Eldridge, N., Dunn, E. J., Samples, C., Turner, J. R., Revere, A., DePalma, R. G., & Bagian, J. P. (2009). Incorrect Surgical Procedures Within and Outside of the Operating Room. Archives of Surgery, 144 (11), 1028–1034.
National Health Services, NHS (2004). National Accounts 2001–2003. The Stationery Office, April 2004, United Kingdom.
NHS Blood and Transplant (2011). Will I Need a Blood Transfusion? http://hospital.blood.co.uk/library/pdf/2011_Will_I_Need_English_v3.pdf
National Nosocomial Infections Surveillance (NNIS) System Report (2004). National Nosocomial Infections Surveillance System Report. Data Summary from January 1992 through June 2004, Issued October 2004. American Journal of Infection Control, 32, 470–485.
Nwosu A. (2015). The Horror of Wrong-Site Surgery Continues: Report of Two Cases in a Regional Trauma Centre in Nigeria. Patient Safety in Surgery, 9 (1), 6.
Otto, C. N. (2011). Patient Safety and the Medical Laboratory Using the IOM Aims. Clinical Laboratory Science, 24 (2), 108–113.
Panesar, S. S., Noble, D. J., Mirza, S. B., Patel, B., Mann, B., Emerton, M., Cleary, K., Sheikh, A., & Bhandary, M. (2011). Can the Surgical Checklist Reduce the Risk of Wrong Site Surgery in Orthopaedics? Can the Checklist Help? Supporting Evidence from Analysis of a National Patient Incident Reporting system. Journal of Orthopaedic Surgery and Research, 6 (1), 18.
Rajasekar, H. (2015). An Evaluation of Success of Electronic Health Records in Reducing Preventable Medical Error Rates in the United States: A Detailed Report. Journal of Health & Medical Informatics, 6 (6), 1000210.
Ragusa, P. S., Bitterman, A., Auerbach, B., & Healy III, W. A. (2016). Effectiveness of Surgical Safety Checklists in Improving Patient Safety. Orthopedics, 39 (2), e307–e310.
Reinerten, J. L. (2000). Let’s Talk about Error. British Medical Journal (BMJ), 320 (7237), 730.
Richardson, J. (2003). Economics and Health System Reform. Paper Presented to the Australian Health Care Summit, 17–19 August 2003, Canberra.
Ring, D. C., Herndon, J. H., Meyer, G. S. (2010). Case 34–2010: A 65-year-old Woman with an Incorrect Operation on the Left Hand. The New England Journal of Medicine, 363 (20), 1950–1957.
Rosser, W., Dovey, S., Bordman, R., White, D., Crighton, E., & Drummond, N. (2005). Medical Errors in Primary Care: Results of an International Study of Family Practice. Canadian Family Physician, 51, 387–392.
Sahu, S., Verma, H., & Verma, A. (2014). Adverse Events Related To Blood Transfusion. Indian Journal of Anaesthesia, 58 (5), 543–551.
Salmani, N. & Tafti, B. F. (2016). Frequency, Type and Causes of Medication Errors in Pediatric Wards of Hospitals in Yazd, the Central of Iran. International Journal of Pediatrics, 4 (9), 3475–3487.
Singh, H. (Ed.) (2014). Helping Health Care Organizations to Define Diagnostic Errors as Missed Opportunities in Diagnosis. Joint Commission Journal on Quality and Patient Safety, 40 (3), 99–101.
Singh, H., Giardina, T. D., Meyer, A. N. D., Forjuoh, S. N., Reis, M. D., & Thomas, E. J. (2013). Types and Origins of Diagnostic Errors in Primary Care Settings. JAMA Internal Medicine, 173 (6), 418–425.
Smith, M. L., & Forster, H. P. (2000). Morally Managing Medical Mistakes. Cambridge Quarterly of Healthcare Ethics, 9 (1), 38–53.
Spiess, B. D. (2001). Blood Transfusion: The Silent Epidemic. The Annals of Thoracic Surgery, 72 (5), S1832–S1837.
St. Paul Fire and Marine Company (1985). Hospital Medication Claims. Malpractice Digest, 12, 3.
Suchitra, J. B., & Lakshmidevi, N. (2009). Surgical Site Infections: Assessing Risk Factors, Outcomes and Antimicrobial Sensitivity Patterns. African Journal of Microbiology Research, 3, 175–179.
Tang, F. I., Sheu, S. J., Yu, S., Wei, I. L., & Chen, C. H. (2007). Nurses Relate the Contributing Factors Involved in Medication Errors. Journal of Clinical Nursing, 16 (3), 447–457.
Toy, P., Popovsky, M. A., Abraham, E., Ambruso, D. R., Holness, L. G., Kopko, P. M., McFarland, J. G., Nathens, A. B., Silliman, C. C., & Stroncek, D. (2005). Transfusion-Related Acute Lung Injury: Definition and Review. National Heart, Lung and Blood Institute Working Group on TRALI. Critical Care Medicine, 33 (4), 721–726.
Trowbridge, R. L. (2008). Twelve Tips for Teaching Avoidance of Diagnostic Errors. Medical Center, 30 (5), 496–500.
Unruh, K., & Pratt, W. (2006). Patients as Actors: The Patient’s Role in Detecting, Preventing, and Recovering from Medical Errors. International Journal of Medical Informatics, 76 (1), S236–S244.
Vozikis, A., & Riga, M. (2012). Patterns of Medical Errors: A Challenge for Quality Assurance in the Greek Health System. In Mehmet Savsar (Ed.), Chapter 14, pp. 245–266. Quality Assurance and Management. InTech Publisher.
Wachter, R. M. (2010a). Patient Safety at Ten: Unmistakable Progress, Troubling Gaps. Health Affairs, 29 (1), 165–173.
Wachter, R. M. (2010b). Why Diagnostic Errors Don’t Get Any Respect-and What can be Done about Them. Health Affairs, 29 (9), 1605–1610.
Waterman, A. D., Garbutt, J., Hazel, E., Dunagan, W. C., Levinson, W., Fraser, V. J., & Gallagher, T. H. (2007). The Emotional Impact of Medical Errors on Practicing Physicians in the United States and Canada. The Joint Commission Journal on Quality and Patient Safety, 33 (8), 467–475.
Weiser, T. G., Regenbogen, S. E., Thompson, K. D., Haynes, A. B., Lipsitz, S. R., Berry, W. R., & Gawande, A. A. (2008). An Estimation of the Global Volume of Surgery, a Modelling Strategy Based on Available Data. Lancet, 372 (9633), 139–144.
Wenzel, R. P. (2011). Prevention and Control of Nosocomial Infections (3rd Ed.). Leeds, Williams and Wilkins.
Wilson, R. M., Harrison, B. T., Gibberd, R. W., & Hamilton, J. D. (1999). An Analysis of the Causes of Adverse Events from the Quality in Australian Health Care Study. Medical Journal of Australia, 170 (9), 411–415.
Wilson, R. M., Runciman, W. B., Gibberd, R. W., Harrison, B. T., Newby, L., & Hamilton, J. D. (1995). The Quality in Australian Health Care Study. Medical Journal of Australia, 163 (9), 458–471.
World Health Organization, WHO (2008). Summary of the Evidence on Patient Safety: Implications for Research. World Health Alliance for Patient Safety. Geneva, Switzerland.
WHO (2009). The International Classification for Patient Safety. World Alliance for Patient Safety. Final Technical Report, Geneva: Switzerland.
WHO (2013). World Alliance for Patient Safety: Forward Programme, 2008–2009. www.who.int/patientsafety/en
WHO (2016). Diagnostic Errors: Technical Series on Safer Primary Care. Geneva: Switzerland.
Wu, A. (2000). Medical Error: The Second Victim. British Medical Journal (BMJ), 320 (2737), 726–727.
Yle (2013). Medication Errors Becoming an Epidemic. http://yle.fi/uutiset/medical_errors_becoming_epidemic/6438319.