Redefining and improving patient safety

Methods of Information in Medicine

Volumn 41, Issue 4, 2002, Pages 271-276

  Ball, Marion J ^a   Douglas, Judith V ^a  

^a NONE   (United States)

Author keywords

Decision support; Medical errors; Medical informatics; Patient safety; Qualitycare

Indexed keywords

ARTICLE; AUTOMATION; DECISION SUPPORT SYSTEM; ELECTRONIC MEDICAL RECORD; EVIDENCE BASED MEDICINE; HEALTH CARE QUALITY; IATROGENIC DISEASE; MEDICAL INFORMATICS; MEDICAL RECORD; PATIENT CARE; PATIENT MONITORING; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SAFETY; UNITED STATES;

EID: 0036397667     PISSN: 00261270     EISSN: None     Source Type: Journal    
DOI: 10.1055/s-0038-1634487     Document Type: Article

References (39)

1. Kohn LT, Corrigan JM, Donaldson MS (eds). To Err Is Human: Building a Safer Health System. Washington DC: National Academy Press 2000.
2. st Century. Washington DC: National Academy Press 2001.
3. Hongsermeier T. Quoted in: Reducing Medical Errors, Improving Patient Safety: Taking the Next Step. A HeathLeaders Roundable. Special Supplement. HealthLeaders June 2001.
4. Chapman NE. From behind closed doors. Healthcare Informatics 2001 (November); 37-42.
5. Ball MJ, Douglas JD. IT [Information Technology], Patient Safety, and Quality Care. Journal of Health Information Management 2001; 15 (4). Accessed at www.himss.org/templates/journals 4/4/2002.
6. Vincent C, Neale G, Woloshynowych M. Adverse Events in British Hospitals: Preliminary Retrospective Record Review. Brit Med J 2001; 332: 517-9.
7. Blendon RJ, Schoen C, Donelan K, et al. Physicians' views on quality of care: a five countrycomparison. Health Affairs 2001; 20 (3):234-43.
8. Joint Commission on the Accreditation of Healthcare Organizations. Chicago, IL: JCAHO 2001.
9. American Hospital Association. Strategies for Leadership: Hospital Executives and Their Role in Patient Safety. Chicago, IL: AHA 2001.
10. President's Information Technology Advisory Committee. Transforming Health Care Through Information Technology. Washington DC: PITAC 2001.
11. Agency for Healthcare Research and Quality. Summary. In: Making Health Care Safer: A Critical Analysis of Patient Safety Practices 2001. Rockville, MD: AHRQ, 1-8.
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. New England Journal of Medicine 1991; 324: 370-6. Also, Leape LL, Brennan TA, Laird NM, et al. The nature of adverse events in hospitalized patients: results of the Harvard Medical Practice Study II. N Engl J Med 1991: 324 (6): 377-84.
13. 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. New England Journal of Medicine 1991; 324: 370-6. Also, Leape LL, Brennan TA, Laird NM, et al. The nature of adverse events in hospitalized patients: results of the Harvard Medical Practice Study II. N Engl J Med 1991: 324 (6): 377-84.
14. Thomas EJ, Studdert DM, Newhouse JP, et al. Costs of medical injures in Utah and Colorado. Inquiry 1999; 36: 255-64.
15. Wald H, Shojania KG. Incident Reporting. In: Making Health Care Safer: A Critical Analysis of Patient Safety Practices 2001. Rockville, MD: AHRQ, 41-50.
16. Wald H, Shojania KG. Prevention of misidentifications: strategies to avoid wrong-site surgery. In: Making Health Care Safer: A Critical Analysis of Patient Safety Practices 2001. Rockville, MD: AHRQ, 498-502.
17. Krizek T. Surgical error: ethical issues of adverse events. Archives of Surgery 2000; 135: 1359-66.
18. Gillespie G. I.T. helps show error of providers' ways. Health Data Management 2000 (September). www.healthdatamanagement.com. Accessed 1/9/2002. Also, personal correspondence, David S. Spencer to Marion J. Ball, June 22, 2001; September 6, 2001. Also, see Patient SAFE Strategies at www.PTSafe.com. Accessed 1/18/2002.
19. Gillespie G. I.T. helps show error of providers' ways. Health Data Management 2000 (September). www.healthdatamanagement.com. Accessed 1/9/2002. Also, personal correspondence, David S. Spencer to Marion J. Ball, June 22, 2001; September 6, 2001. Also, see Patient SAFE Strategies at www.PTSafe.com. Accessed 1/18/2002.
20. Beers JB, Berger MA. Medical error - sources and solutions. In: HIMSS Proc 2001, CD version, vol. 1, session 17.
21. Bates DW, Cohen M, Leape LL, et al. Reducing the frequency of errors in medicine using information technology. JAMIA 2001;8 (4):299-308.
22. Bates DW, Leape LL, Cullen DJ, et al. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA 1998; 280 (15): 1311-6.
23. Bates DW, Miller EB, Cullen DJ, et al. Patient risk factors for adverse drug events in hospitalized patients. Arch Intern Med 1999; 159: 2553-660.
24. Agency for Healthcare Research and Quality. Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. 2001. www.ahrq.gov/qual/aderia/aderia.htm.Accessed 11/18/01.
25. Kaushal R, Bates DW, Landrigan C, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA 2001;285:2114-20.
26. Lesar TS, Briceland L, Stein DS. Factors related to errors in medication prescribing. JAMA 1997; 277 (4): 312-7.
27. Kilbridge P, Classen D. A Process Model of Inpatient Medication Management and Information Technology Interventions to Improve Patient Safety. 2001 Research Series, Vol 1. Irving, TX: Voluntary Hospitals of America (VHA) 2001.
28. California HealthCare Foundation. Innovations in Physician Prescribing. Oakland, CA: CHCF 2001 (October).
29. Metzger J, Slye D. Inpatient e-ordering. Healthcare Informatics 2001(May), 63-8.
30. Leape LL. Can we make health care safe? In: Reducing Medical Errors and Improving Patient Safety: Success Stories from the Front Lines of Medicine, Accelerating Change Today (ACT) for America's Health, eds. S Findlay, A Keefe. February 2000, p 2-3. The National Coalition on Health Care and the Institute for Healthcare Improvement. Accessed at www.ihi.org/resources/act/medical_errors.pdf 4/4/2002.
31. Metzger J, Tursico F. Computerized Physician Order Entry: A Look at the Vendor Marketplace and Getting Started. Washington, DC: The Leapfrog Group. Available at www. leapfroggroup.org. Accessed 12/01/2001.
32. Phillips DP, Christenfeld N, Glynn LM. Increase in US medication error deaths between 1983 and 1993. Lancet 1998;351:643-44.
33. James BC. Information Technology in Support of Process Management. Presentation to the Institute of Medicine Annual Meeting, Washington DC, October 15, 2001.
34. Weed LL. Knowledge Coupling: New Premises and New Tools for Medical Care and Education. New York: Springer-Verlag 1991.
35. Kuhn KA, Giuse DA. From hospital information systems to health information systems: problem, challenges, perspectives. Methods of Information in Medicine 2001; 40 (4): 275-87.
36. Fessler JM, Gremy F. Ethical problems in health information systems. Methods Inf Med 2001; 40 (4): 359-61.
37. Murff HJ, Kannary R. Physician satisfaction with two order entry systems. JAMIA 2001; 8 (5): 499-509.
38. Sim I, Gorman P, Greenes RA, et al. Clinical decision support systems for the practice of evidence-based medicine. JAMIA 2001; 8 (6): 527-34.
39. Berwick DM. Lessons from a novice. Taken from his comments at a conference in St. Paul, MN published with hi permission by the Institute for Safe Medication Practices on their web site. www.ismp.org/Pages/PatientSafety/html. Accessed 12/21/2001.