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Editorials |

Death by Compassion—Dilemmas and Opportunities in Sedation Delivery: Iatrogenesis Within a Profession in Denial

William F. Dunn, MD, FCCP; Joseph Murphy, MD, FCCP
Author and Funding Information

From the Division of Pulmonary and Critical Care Medicine (Dr Dunn), and the Division of Cardiovascular Diseases (Dr Murphy), College of Medicine, Mayo Clinic.

Correspondence to: William F. Dunn, MD, FCCP, Division of Pulmonary and Critical Care Medicine, College of Medicine, Mayo Clinic, 200 First St SW, Rochester, MN 55905; e-mail: dunn.william@mayo.edu


Financial/nonfinancial disclosures: The authors have reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


© 2010 American College of Chest Physicians


Chest. 2010;138(5):1034-1035. doi:10.1378/chest.10-1731
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Extract

This issue’s installment in the “Transparency in Health Care” series2 addresses the topic of iatrogenesis, which occurs within ICUs at alarming rates. E. Wesley Ely, who together with his team has made great contributions in focusing light on this area, covers the topic in this issue of CHEST (see page 1224).

1Minneapolis Morning Tribune191711March 232VasilevskisEEElyEWSperoffTPunBTBoehmLDittusRSReducing iatrogenic risks: ICU-acquired delirium and weakness–crossing the quality chasmChest20101385122412333Dorland’s Illustrated Medical Dictionary200029th edPhiladelphia, PAWB Saunders Company20884Committee on Quality of Health Care in AmericaInstitute of MedicineTo Err Is Human: Building A Safer Health System2000Washington, DCNational Academies Press5American Association for JusticePreventable medical errors–the sixth biggest killer in Americahttp://www.justice.org/cps/rde/xchg/justice/hs.xsl/8677.htm. Accessed July 5, 20106Institute of Medicine Board on Health Care Services and Committee on Identifying and Preventing Medication ErrorsMedication errors injure 1.5 million people and cost billions of dollars annually; report offers comprehensive strategies for reducing drug-related mistakes [press release]Washington, DCNational AcademiesJuly 20, 2006. http://www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=11623. Accessed July 5, 20107HealthGrades. The Fifth Annual HealthGrades Patient Safety in American Hospitals StudyGolden, COHealthGrades, IncApril, 2008. http://www.healthgrades.com/media/dms/pdf/patientsafetyinamericanhospitalsstudy2008.pdf. Accessed July 5, 20108NanceJJWhy Hospitals Should Fly: The Ultimate Flight Plan to Patient Safety and Quality Care2008Bozeman, MTSecond River Healthcare Press9DunnWFAdamsSCAdamsRWIatrogenic delirium and coma: a “near miss.”Chest200813351217122010ElyEWInouyeSKBernardGRDelirium in mechanically ventilated patients: validity and reliability of the confusion assessment method for the intensive care unit (CAM-ICU)JAMA2001286212703271011van EijkMMJvan MarumRJKlijnIAde WitNKeseciogluJSlooterAJComparison of delirium assessment tools in a mixed intensive care unitCrit Care Med20093761881188512CochranJGanongLHA comparison of nurses’ and patients’ perceptions of intensive care unit stressorsJ Adv Nurs1989141210381043

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