当前位置： SCI文献检索 > Journal of Hospital Medicine期刊下所有文献 > Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan.

Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan.

Abstract：

BACKGROUND:Cognitive errors in the course of clinical decision-making are prevalent in many cases of medical injury. We used information on verdict's judgment from closed claims files to determine the important cognitive factors associated with cases of medical injury. METHODS:Data were collected from claims closed between 2001 to 2005 at district courts in Tokyo and Osaka, Japan. In each case, we recorded all the contributory cognitive, systemic, and patient-related factors judged in the verdicts to be causally related to the medical injury. We also analyzed the association between cognitive factors and cases involving paid compensation using a multivariable logistic regression model. RESULTS:Among 274 cases (mean age 49 years old; 45% women), there were 122 (45%) deaths and 67 (24%) major injuries (incomplete recovery within a year). In 103 cases (38%), the verdicts ordered hospitals to pay compensation (median; 8,000,000 Japanese Yen). An error in judgment (199/274, 73%) and failure of vigilance (177/274, 65%) were the most prevalent causative cognitive factors, and error in judgment was also significantly associated with paid compensation (odds ratio, 1.9; 95% confidence interval [CI], 1.0-3.4). Systemic causative factors including poor teamwork (11/274, 4%) and technology failure (5/274, 2%) were less common. CONCLUSIONS:The closed claims analysis based on verdict's judgment showed that cognitive errors were common in cases of medical injury, with an error in judgment being most prevalent and closely associated with compensation payment. Reduction of this type of error is required to produce safer healthcare.

journal_name

J Hosp Med

journal_title

Journal of hospital medicine

authors

Tokuda Y,Kishida N,Konishi R,Koizumi S

doi

10.1002/jhm.820

subject

Has Abstract

pub_date

2011-03-01 00:00:00

pages

109-14

issue

3

eissn

1553-5592

issn

1553-5606

journal_volume

6

pub_type

杂志文章

相关文献

Journal of Hospital Medicine文献大全
  • Hospital Ward Adaptation During the COVID-19 Pandemic: A National Survey of Academic Medical Centers.

    abstract：IMPORTANCE:Although intensive care unit (ICU) adaptations to the coronavirus disease of 2019 (COVID-19) pandemic have received substantial attention , most patients hospitalized with COVID-19 have been in general medical units. OBJECTIVE:To characterize inpatient adaptations to care for non-ICU COVID-19 patients. DES...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.12788/jhm.3476

    authors： Auerbach A,O'Leary KJ,Greysen SR,Harrison JD,Kripalani S,Ruhnke GW,Vasilevskis EE,Maselli J,Fang MC,Herzig SJ,Lee T,HOMERuN COVID-19 Collaborative Group.

    更新日期：2020-08-01 00:00:00

  • Comparative effectiveness of macrolides and quinolones for patients hospitalized with acute exacerbations of chronic obstructive pulmonary disease (AECOPD).

    abstract：BACKGROUND:Meta-analyses of randomized trials have found that antibiotics are effective in acute exacerbations of chronic obstructive pulmonary disease (AECOPD), but there is insufficient evidence to guide antibiotic selection. Current guidelines offer conflicting recommendations. OBJECTIVE:To compare the effectivenes...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章,多中心研究

    doi：10.1002/jhm.628

    authors： Rothberg MB,Pekow PS,Lahti M,Brody O,Skiest DJ,Lindenauer PK

    更新日期：2010-05-01 00:00:00

  • Screening for depression in hospitalized medical patients.

    abstract：:Depression among hospitalized patients is often unrecognized, undiagnosed, and therefore untreated. Little is known about the feasibility of screening for depression during hospitalization, or whether depression is associated with poorer outcomes, longer hospital stays, and higher readmission rates. We searched PubMed...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章,评审

    doi：10.12788/jhm.2693

    authors： IsHak WW,Collison K,Danovitch I,Shek L,Kharazi P,Kim T,Jaffer KY,Naghdechi L,Lopez E,Nuckols T

    更新日期：2017-02-01 00:00:00

  • Routine rapid HIV testing in hospitals: another opportunity for hospitalists to improve care.

    abstract：BACKGROUND:The Centers for Disease Control and Prevention recommends routinely offering HIV testing to inpatients at hospitals with an HIV seroprevalence rate of greater than 1% or an AIDS diagnosis rate of greater than 1.0 per 1000 discharges. This recommendation has not been widely adopted, perhaps because of one of ...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章,评审

    doi：10.1002/jhm.66

    authors： Greenwald JL

    更新日期：2006-03-01 00:00:00

  • Pediatric weekend admission and increased unplanned readmission rates.

    abstract：:Outcomes for patients hospitalized on weekends are often worse for adults-the so-called "weekend effect." Less is known about the weekend effect for children. We examined 55,383 hospitalizations at a tertiary care children's hospital. We used logistic regression to examine the associations of weekend admission and wee...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.1002/jhm.2426

    authors： Auger KA,Davis MM

    更新日期：2015-11-01 00:00:00

  • Childhood obesity and in-hospital asthma resource utilization.

    abstract：OBJECTIVE:To examine the relationship between pediatric obesity and inpatient length of stay (LOS), resource utilization, readmission rates, and total billed charges for in-hospital status asthmaticus. DESIGN/METHODS:We conducted a cross-sectional study of patients 5 to 17 years old hospitalized with status asthmaticu...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.1002/jhm.2296

    authors： Bettenhausen J,Puls H,Queen MA,Peacock C,Burrus S,Miller C,Daly A,Colvin JD

    更新日期：2015-03-01 00:00:00

  • Opportunities and Challenges for Improving the Patient Experience in the Acute and Postacute Care Setting Using Patient Portals: The Patient's Perspective.

    abstract：:Efforts to improve the patient experience are increasingly focusing on engaging patients and their "care partners" by using patient portals. The Acute Care Patient Portal Task Force was supported by the Gordon and Betty Moore Foundation to convene a national meeting of an interdisciplinary group of stakeholders, inclu...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.12788/jhm.2860

    authors： Dalal AK,Bates DW,Collins S

    更新日期：2017-12-01 00:00:00

  • Prognosticating with the Hospitalized Patient 1-year Mortality Risk Score Using Information Abstracted from the Medical Record.

    abstract：BACKGROUND:Predicting death risk in patients with diverse conditions is difficult. The Hospitalized-patient One-year Mortality Risk (HOMR) score accurately determines death risk in adults admitted to hospital using health administrative data unavailable to clinicians and most researchers. OBJECTIVE:Determine if HOMR i...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.12788/jhm.2713

    authors： Casey G,Walraven CV

    更新日期：2017-04-01 00:00:00

  • Impact of Society of Hospital Medicine workshops on hospitalists' knowledge and perceptions of health care-associated infections and antimicrobial resistance.

    abstract：BACKGROUND:Health care-associated infections and antimicrobial resistance threaten the safety of hospitalized patients. New prevention strategies are necessary to address these problems. In response, the Society of Hospital Medicine (SHM) in collaboration with the Centers for Disease Control and Prevention developed an...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.1002/jhm.223

    authors： Bush-Knapp ME,Budnitz T,Lawton-Ciccarone RM,Sinkowitz-Cochran RL,Brinsley-Rainisch KJ,Dressler DD,Williams MV

    更新日期：2007-07-01 00:00:00

  • Leveraging the Outpatient Pharmacy to Reduce Medication Waste in Pediatric Asthma Hospitalizations.

    abstract：BACKGROUND AND OBJECTIVE:Previous local quality improvement focused on discharging patients with inhaled corticosteroids (ICS) "in-hand" decreased healthcare reutilization after hospitalization for an asthma exacerbation. However, as a result of these new processes, some patients admitted for an asthma exacerbation rec...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.12788/jhm.3275

    authors： Hoefgen ER,Jones Y,Courter J,Hare A,Garcia JAT,Simmons J

    更新日期：2020-01-01 00:00:00

  • Hospitalist Value in an ACO World.

    abstract：:The accountable care organization (ACO) concept is advocated as a promising value-based payment model that could successfully realign the current payment system to financially reward improvements in quality and efficiency. Focusing on the care of hospitalized patients and controlling a substantive portion of variable ...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.12788/jhm.2965

    authors： Li J,Williams MJ

    更新日期：2018-04-01 00:00:00

  • Treatment of inpatient hyperglycemia beginning in the emergency department: a randomized trial using insulins aspart and detemir compared with usual care.

    abstract：OBJECTIVE:We examined the impact of an aspart insulin protocol for treatment of hyperglycemia in the emergency department (ED) coupled with rapid initiation of a detemir-aspart insulin protocol for patients admitted to the hospital. RESEARCH DESIGN AND METHODS:ED patients with type 2 diabetes mellitus and a blood gluc...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章,随机对照试验

    doi：10.1002/jhm.866

    authors： Bernard JB,Munoz C,Harper J,Muriello M,Rico E,Baldwin D

    更新日期：2011-05-01 00:00:00

  • Cost of Acute Kidney Injury in Hospitalized Patients.

    abstract：BACKGROUND:The economic burden of acute kidney injury (AKI) is not well understood. OBJECTIVE:To estimate the effects of AKI on hospitalization costs and length of stay (LOS). DESIGN:Using data from the 2012 National Inpatient Sample, we compared hospitalization costs and LOS with and without AKI. We used a generaliz...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.12788/jhm.2683

    authors： Silver SA,Long J,Zheng Y,Chertow GM

    更新日期：2017-02-01 00:00:00

  • Opioid utilization and opioid-related adverse events in nonsurgical patients in US hospitals.

    abstract：BACKGROUND:Recent studies in the outpatient setting have demonstrated high rates of opioid prescribing and overdose-related deaths. Prescribing practices in hospitalized patients are unexamined. OBJECTIVE:To investigate patterns and predictors of opioid utilization in nonsurgical admissions to US hospitals, variation ...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.1002/jhm.2102

    authors： Herzig SJ,Rothberg MB,Cheung M,Ngo LH,Marcantonio ER

    更新日期：2014-02-01 00:00:00

  • Use of dexmedetomidine for sedation of children hospitalized in the intensive care unit.

    abstract：BACKGROUND:Dexmedetomidine is a potentially useful sedative for hospitalized children, but there is little published data regarding its safety, dosage, or efficacy. OBJECTIVE:To report our experience with dexmedetomidine for the sedation of hospitalized children. DESIGN:Retrospective case series. SETTING:Pediatric I...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.1002/jhm.282

    authors： Carroll CL,Krieger D,Campbell M,Fisher DG,Comeau LL,Zucker AR

    更新日期：2008-03-01 00:00:00

  • Perceptions of readmitted patients on the transition from hospital to home.

    abstract：BACKGROUND:Hospital leaders have had mixed success reducing readmissions Little is known about the readmitted patient's perspective. METHODS:A cross-sectional 36-item survey was administered to 1084 readmitted inpatients of The Hospital of the University of Pennsylvania (an urban academic medical center) and Penn Pres...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.1002/jhm.1966

    authors： Kangovi S,Grande D,Meehan P,Mitra N,Shannon R,Long JA

    更新日期：2012-11-01 00:00:00

  • A Protean Protein.

    abstract：BACKGROUND: OBJECTIVE: DESIGN, SETTING, PATIENTS: INTERVENTION: MEASUREMENTS: CONCLUSIONS: ...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.12788/jhm.3102

    authors： Nawas MT,Walker EJ,Richie MB,White AA,Hsu G

    更新日期：2019-02-01 00:00:00

  • SPEAKers at the National Society of Hospital Medicine Meeting: A Follow-UP Study of Gender Equity for Conference Speakers from 2015 to 2019. The SPEAK UP Study.

    abstract：:Women continue to be underrepresented as speakers at national conferences, and research has shown similar trends in hospital medicine. The Society of Hospital Medicine (SHM) Annual Meeting has historically had an open call peer review process for workshop speakers and, in 2019, expanded the process for didactic speake...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.12788/jhm.3401

    authors： Northcutt N,Papp S,Keniston A,Kara A,Kisuule F,Mandel C,Mathews B,Del Pino-Jones A,Smith D,Vuernick K,Burden M,Society of Hospital Medicine Diversity, Equity and Inclusion Special Interest Group.

    更新日期：2020-04-01 00:00:00

  • Improving appropriateness of acid-suppressive medication use via computerized clinical decision support.

    abstract：:As part of the Choosing Wisely Campaign, the Society of Hospital Medicine identified reducing inappropriate use of acid-suppressive medication for stress ulcer prophylaxis as 1 of 5 key opportunities to improve the value of care for hospitalized patients. We designed a computerized clinical decision support interventi...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.1002/jhm.2260

    authors： Herzig SJ,Guess JR,Feinbloom DB,Adra M,Afonso KA,Howell MD,Marcantonio ER

    更新日期：2015-01-01 00:00:00

  • The impact of individual variation analysis on myocardial perfusion imaging utilization within a hospitalist group.

    abstract：BACKGROUND:Increased recognition of ionizing radiation risks has placed an emphasis on the appropriate use of myocardial perfusion imaging (MPI). Hospitalists frequently order MPI in the evaluation of chest pain and are thus at the forefront of its inpatient utilization. METHODS:We collected baseline figures for a gro...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.1002/jhm.2288

    authors： Bohossian HB,Park AW,Holcroft C

    更新日期：2015-03-01 00:00:00

  • Reconsidering Hospital Readmission Measures.

    abstract：:Current hospital readmission measures are part of the Centers for Medicare & Medicaid Services Five-Star Quality Rating System but are inadequate for reporting hospital quality. We review potential biases in the readmission measures and offer policy recommendations to address these biases. Hospital readmission rates a...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.12788/jhm.2799

    authors： Pronovost PJ,Brotman DJ,Hoyer EH,Deutschendorf A

    更新日期：2017-12-01 00:00:00

  • Hospitals during recession and recovery: vulnerable institutions and quality at risk.

    abstract：:For generations, American hospitals have been considered recession-proof, but there is reason to believe the current economic crisis is an exception. Hospitals have shown declining financial margins and decreased admissions. The severe recession has adversely affected many hospitals' finances, creating a risk of closu...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章,评审

    doi：10.1002/jhm.654

    authors： Sussman JB,Halasyamani LK,Davis MM

    更新日期：2010-05-01 00:00:00

  • Introducing the Hospitalist Morale Index: A new tool that may be relevant for improving provider retention.

    abstract：OBJECTIVE:To develop a valid instrument to assess morale and explore the relationship between morale and intent to leave employment due to unhappiness. PATIENTS AND METHODS:An expert panel identified 46 drivers of hospitalist morale. In May 2009, responders of our single-site pilot survey rated each driver in terms of...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章,评审

    doi：10.1002/jhm.2543

    authors： Chandra S,Wright SM,Ghazarian S,Kargul GM,Howell EE

    更新日期：2016-06-01 00:00:00

  • Bedside diagnosis of dysphagia: a systematic review.

    abstract：:Dysphagia is associated with aspiration, pneumonia, and malnutrition, but remains challenging to identify at the bedside. A variety of exam protocols and maneuvers are commonly used, but the efficacy of these maneuvers is highly variable. We conducted a comprehensive search of 7 databases, including MEDLINE, Embase, a...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章,评审

    doi：10.1002/jhm.2313

    authors： O'Horo JC,Rogus-Pulia N,Garcia-Arguello L,Robbins J,Safdar N

    更新日期：2015-04-01 00:00:00

  • Beyond warfarin: a patient-centered approach to selecting novel oral anticoagulants for stroke prevention in atrial fibrillation.

    abstract：BACKGROUND:Warfarin reduces stroke in patients with atrial fibrillation. However, its narrow therapeutic index and need for chronic monitoring are barriers to its optimal utilization in many patients. The recent introduction of 3 novel oral anticoagulants (NOACs), as alternatives to warfarin, may change the eligibility...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章,评审

    doi：10.1002/jhm.2201

    authors： Patel KK,Mehdirad AA,Lim MJ,Ferreira SW,Mikolajczak PC,Stolker JM

    更新日期：2014-06-01 00:00:00

  • Esophageal variceal bleeding in hospitalized patients with cirrhosis.

    abstract：:Esophageal variceal bleeding (EVB) is a frequent complication in cirrhotic patients resulting in considerable mortality and morbidity. The aim of this study was to investigate the occurrence, impact, and trends of EVB in hospitalized cirrhotic patients on a nationwide level in the United States. We interrogated data f...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.1002/jhm.2360

    authors： Pant C,Desai M,Deshpande A,Taylor R,Olyaee M,Gilroy R

    更新日期：2015-07-01 00:00:00

  • Bridging the gap between evidence and practice in acute decompensated heart failure management.

    abstract：:Registry data indicate a gap between evidence-based guidelines and current management of patients with acute decompensated heart failure (ADHF). Bridging this gap is crucial given the frequency and cost of hospitalization for this disorder. Patients with ADHF require rapid assessment to determine appropriate treatment...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章,评审

    doi：10.1002/jhm.395

    authors： Michota FA Jr,Amin A

    更新日期：2008-11-01 00:00:00

  • Pediatric hospitalist preoperative evaluation of children with neuromuscular scoliosis.

    abstract：WHAT'S NEW:This is the first study of a pediatric hospitalist preoperative clinic. Pediatric hospitalists frequently make significant recommendations for patients with neuromuscular scoliosis prior to spinal surgery, especially those with medical complexity. Certain clinical criteria are statistically significantly ass...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.1002/jhm.2101

    authors： Rappaport DI,Cerra S,Hossain J,Sharif I,Pressel DM

    更新日期：2013-12-01 00:00:00

  • Hospital Medicine Has a Specialty Code. Is the Memo Still in the Mail?

    abstract：:The Centers for Medicare and Medicaid Services awarded Hospital Medicine a Medicare specialty code, "C6", in 2016. We examined the early uptake of C6 code using the 2017 Medicare Part B utilization data. We also compared the actual C6 specialty code usage against estimated rates of overall hospitalist billing using th...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.12788/jhm.3303

    authors： Flansbaum B,Leykum L,Lapps J

    更新日期：2020-02-01 00:00:00

  • Analysis of an electromagnetic tube placement device versus a self-advancing nasal jejunal device for postpyloric feeding tube placement.

    abstract：BACKGROUND:Initiation of enteral feeding is an important part of the best practice model for critically ill patients. Although nasogastric feeding is appropriate for the majority of patients requiring short-term nutrition support, certain patients benefit greatly from postpyloric feeding. OBJECTIVE:To determine which ...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.1002/jhm.2122

    authors： Boyer N,McCarthy MS,Mount CA

    更新日期：2014-01-01 00:00:00