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Neurology 2003;61:254-257
© 2003 American Academy of Neurology
Brief Communications

Medical errors on an inpatient neurology service

Samuel Frank, MD and Robert Holloway, MD MPH

From the University of Rochester School of Medicine and Dentistry, Rochester, NY.

Address correspondence and reprint requests to Dr. Samuel Frank, Instructor of Neurology, Fellow in Experimental Therapeutics (Movement Disorders), University of Rochester School of Medicine and Dentistry, 1351 Mt. Hope Avenue, Suite 220, Rochester, NY 14620; e-mail: sam.frank{at}ctcc.rochester.edu

It has been proposed that "near misses" or "close calls" could serve as a focus for corrective action. Voluntary, anonymous error data were collected for 4 weeks and 235 events were reported: 168 were near misses and 67 resulted in adverse patient consequences. Of the 35 errors relating to diet, 17 (49%) resulted in adverse patient consequences, compared with only 5 of 43 (12%) of the errors related to medication.




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