Publications by authors named "Kristen Fletcher"

Introduction: A physician's first patient harm event oftentimes occurs during the intern year. Residents encounter and are responsible for medical errors, yet little training is offered in how to properly cope with these events. Earlier and more in-depth education about how to process patient harm events is needed.

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Article Synopsis
  • The study aimed to evaluate whether a standardized root cause analysis (RCA2) selection algorithm by the Veterans Affairs would effectively identify high-risk events for further investigation.
  • Researchers analyzed a year's worth of physician-reported incident data to assess potential harm and frequency, applying specific scoring systems to classify the events.
  • Results showed that the RCA2 algorithm recommended investigating 56.7% of safety events, significantly more than the current process which only identified 17.3%, indicating that the standardized approach could improve patient safety evaluations.
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Attentional deficits are frequently seen in isolation as the presenting sign and symptom of neurodegenerative disease, manifest as mild cognitive impairment (MCI). Persistent ADHD in the geriatric population could well be misconstrued as MCI, leading to the incorrect assumption that such persons are succumbing to a neurodegenerative disease process. Alternatively, the molecular, neuroanatomic, or neurochemical abnormalities seen in ADHD may contribute to the development of de novo late life neurodegenerative disease.

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