Adverse events in primary care identified from a risk-management database

Journal of Family Practice

Volumn 45, Issue 1, 1997, Pages 40-46

  Fischer, Gayle ^a   Fetters, Michael D ^b   Munro, Ann P ^b   Goldman, Edward B ^b  

^a UNIVERSITY OF ROCHESTER   (United States)

^b UNIVERSITY OF MICHIGAN   (United States)

Author keywords

Diagnostic errors; Iatrogenic disease; Medication errors; Primary health care; Risk management; Total quality management

Indexed keywords

ARTICLE; COMPLICATION; DATA BASE; DEATH; DIAGNOSTIC ERROR; DISABILITY; HUMAN; IATROGENIC DISEASE; PREVALENCE; PRIMARY MEDICAL CARE; RISK MANAGEMENT;

ACADEMIC MEDICAL CENTERS; ADULT; AMBULATORY CARE; CAUSE OF DEATH; CROSS-SECTIONAL STUDIES; DIAGNOSTIC ERRORS; FEMALE; HUMANS; INFORMATION SYSTEMS; MALE; MALPRACTICE; MEDICAL ERRORS; MICHIGAN; OUTCOME ASSESSMENT (HEALTH CARE); PREVALENCE; PRIMARY HEALTH CARE; RISK MANAGEMENT; THERAPEUTICS; WOUNDS AND INJURIES;

EID: 0030878929     PISSN: 00943509     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (17)

1. Gorovitz S, MacIntyre A. Toward a theory of medical fallibility. J Med Philos 1976; 1:51-71.
2. Peterson LM, Brennan T. Medical ethics and medical injuries: taking our duties seriously. J Clin Ethics 1990; 1:207-11.
3. Fetters MD. Error in medicine. JAMA 1995; 274:458.
4. Leape LL, Lawthers AG, Brennan A, Johnson WG. Preventing medical injury. QRB Qual Rev Bull 1993; May:144-9.
5. Brennan TA, Localio AR, Leape LL, et al. Identification of adverse events occurring during hospitalization: a cross-sectional study of litigation, quality assurance, and medical records at two teaching hospitals. Ann Intern Med 1990; 112:221-6.
6. Gurwitz JH, Sanchez-Cross MT, Eckler MA, Matulis J. The epidemiology of adverse and unexpected events in the long-term care setting. J Am Geriatr Soc 1994; 42:33-8.
7. White KL, Williams TF, Greenberg BG. The ecology of medical care. N Engl J Med 1961; 265:885-92.
8. Hilfiker D. Sounding board: facing our mistakes. N Engl J Med 1984; 310:118-22.
9. Ely J, Levinson W, Elder N, Mainous A, Vinson D. Perceived causes of family physicians' errors. J Fam Pract 1995; 40:337-44.
10. Newman M. The emotional impact of mistakes on family physicians. Arch Fam Med 1996; 5:71-5.
11. Britten N, Brant S, Cairns A, et al. Continued prescribing of inappropriate drugs in general practice. J Clin Pharm Ther 1995; 20:199-205.
12. Brennan TA, Leape LL, Laird NM, et al. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. N Engl J Med 1991; 324:370-6.
13. American College of Surgeons. Data sources and coordination. In: Patient safety manual. Rockville, Md: Bader and Associates, 1985.
14. O'Neil AC, Petersen LA, Cook EF, Bates DW, Lee TH, Brennan TA. Physician reporting compared with medical-record review to identify adverse medical events. Ann Intern Med 1993; 119:370-6.
15. Cullen DJ, Bates DW, Small SD, Cooper JB, Nemeskal AR, Leape LL. The incident reporting system does not detect adverse drug events: a problem for quality improvement. Jt Comm J Qual Improv 1995; 21:541-8.
16. Brennan TA, Lee TH, O'Neil AC, Petersen LA. Integrating providers into quality improvement: a pilot project at one hospital. Qual Man Health Care 1992; 1:29-35.
17. Witman AB, Park DM, Hardin SB. A survey of internal medicine patients in an academic setting. Arch Intern Med 1996; 2565-9.