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Lessons from the past.

Publication ,  Journal Article
Robertson, AF; Baker, JP
Published in: Semin Fetal Neonatal Med
February 2005

This article considers errors of care in neonatology. In the 19th century errors that resulted in high infant mortality were shaped by the social environment, and in this setting the development of the incubator failed. In the early 20th century, with the emergence of the modern hospital as a technological, science-driven system, physicians had more control of patients' environments, and thus medical errors could occur from systematic care and affected larger numbers. Later in the 20th century, the development of randomized controlled trials and systematic reviews began to improve care and to decrease the risks associated with new treatment methods. Large variations in practice still exist between physicians as individuals and institutions. Considering these variations as risks has led to the use of institutional databases, benchmarking and clinical care guidelines. The efficacy and safety of these methods is unproven. Risks will never disappear from medicine. The question of what risks are 'acceptable' is, in general, unanswerable.

Duke Scholars

Published In

Semin Fetal Neonatal Med

DOI

ISSN

1744-165X

Publication Date

February 2005

Volume

10

Issue

1

Start / End Page

23 / 30

Location

Netherlands

Related Subject Headings

  • United States
  • Risk Management
  • Pregnancy
  • Pediatrics
  • Neonatology
  • Medical Errors
  • Infant, Newborn
  • Infant Care
  • Incubators, Infant
  • Iatrogenic Disease
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Robertson, A. F., & Baker, J. P. (2005). Lessons from the past. Semin Fetal Neonatal Med, 10(1), 23–30. https://doi.org/10.1016/j.siny.2004.09.006
Robertson, Alex F., and Jeffrey P. Baker. “Lessons from the past.Semin Fetal Neonatal Med 10, no. 1 (February 2005): 23–30. https://doi.org/10.1016/j.siny.2004.09.006.
Robertson AF, Baker JP. Lessons from the past. Semin Fetal Neonatal Med. 2005 Feb;10(1):23–30.
Robertson, Alex F., and Jeffrey P. Baker. “Lessons from the past.Semin Fetal Neonatal Med, vol. 10, no. 1, Feb. 2005, pp. 23–30. Pubmed, doi:10.1016/j.siny.2004.09.006.
Robertson AF, Baker JP. Lessons from the past. Semin Fetal Neonatal Med. 2005 Feb;10(1):23–30.
Journal cover image

Published In

Semin Fetal Neonatal Med

DOI

ISSN

1744-165X

Publication Date

February 2005

Volume

10

Issue

1

Start / End Page

23 / 30

Location

Netherlands

Related Subject Headings

  • United States
  • Risk Management
  • Pregnancy
  • Pediatrics
  • Neonatology
  • Medical Errors
  • Infant, Newborn
  • Infant Care
  • Incubators, Infant
  • Iatrogenic Disease