An analysis of the causes of adverse events from the Quality in Australian Health Care Study

Medical Journal of Australia

Volumn 170, Issue 9, 1999, Pages 411-415

  Wilson, Ross McL ^a   Harrison, Bernadette T ^a   Gibberd, Robert W ^b   Hamilton, John D ^b  

^a ROYAL NORTH SHORE HOSPITAL   (Australia)

^b UNIVERSITY OF NEWCASTLE   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; AUSTRALIA; COGNITION; CONSULTATION; DATA ANALYSIS; ERROR; HEALTH CARE; HEALTH CARE QUALITY; HUMAN; IATROGENIC DISEASE; MAJOR CLINICAL STUDY; MEDICAL EDUCATION; MEDICAL SPECIALIST; OUTCOMES RESEARCH; PRACTICE GUIDELINE; TECHNICAL AID;

EID: 0033519201     PISSN: 0025729X     EISSN: None     Source Type: Journal    
DOI: 10.5694/j.1326-5377.1999.tb127814.x     Document Type: Article

References (12)

1. Wilson RMcL, Runciman WB, Gibberd RW, et al. The Quality in Australian Health Care Study. Med J Aust 1995; 163: 458-471.
2. Brennan TA, Leape LL, Laird N, et al. Incidence of adverse events and negligence in hospitalised patients: results of the Harvard Medical Practice Study I. N Engl J Med 1991; 324: 377-384.
3. Andrews LB, Stocking C, Krizek T, et al. An alternative strategy for studying adverse events in medical care. Lancet 1997; 349: 309-313.
4. The Final Report of the Taskforce on Quality in Australian Health Care. Appendix 7. Canberra: AGPS, June 1996. 〈http://www.health.gov.au/pubs/hlthcare/toc.htm〉
5. Weed LL. New connections between medical knowledge and patient care. BMJ 1997; 315:231-235.
6. Cook RI, Woods DD. Operating at the sharp end: the complexity of human error. Human performance in anaesthesia: a corpus of cases. Report to the Anaesthesia Patient Safety Foundation, 1991. Columbus, Ohio: The Ohio State University: 255-307.
7. Classen DC, Pestonick SL, Evans RS, et al. Adverse drug events in hospitalised patients: excess length of stay, extra costs and attributable mortality. JAMA 1997; 227: 301-306.
8. Evans RS, Pestonick SL, Classen DC, et al. A computer-assisted management program for antibiotics and other anti-infective agents. N Engl J Med 1997; 338: 231-238.
9. Bates DW, Boyle DL, Vander Vliet MB, et al. Relationship between medication errors and adverse drug events. J Gen Intern Med 1995; 10: 199-205.
10. Leape LL. A systems analysis approach to medical error. J Eval Clin Pract 1997; 3: 213-222.
11. Nocera A, Khursandi DS. Doctors' working hours: can the profession afford to let the courts decide what is reasonable. Med J Aust 1998; 168: 616-618.
12. Leape LL. Error in medicine. JAMA 1994; 272: 1851-1857.