Information technology and medication safety: What is the benefit?

Quality and Safety in Health Care

Volumn 11, Issue 3, 2002, Pages 261-265

  Kaushal, R ^a   Bates, D W ^a  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

DRUG;

ARTICLE; AUTOMATION; COMPUTER; DEVICE; DRUG INDUCED DISEASE; DRUG SAFETY; HOSPITAL DISCHARGE; HOSPITAL PATIENT; HUMAN; INFORMATION SCIENCE; INTERNET; MEDICAL INFORMATICS; MEDICAL INFORMATION; MEDICAL RECORD; OUTPATIENT; PHARMACY; PRESCRIPTION; ROBOTICS; TECHNOLOGY;

EID: 0036753523     PISSN: 09638172     EISSN: None     Source Type: Journal    
DOI: 10.1136/qhc.11.3.261     Document Type: Article

References (56)

1. Leape LL, Brennan TA, Laird NM, et al. The nature of adverse events in hospitalized patients: Results from the Harvard Medical Practice Study II. N Engl J Med 1991;324:377-84.
2. Thomas EJ, Studdert DM, Burstin HR, et al. Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care 2000;38:261-71.
3. Brennan TA, Leape LL, Laird N, et al. Incidence of adverse events and negligence in hospitalized patients: Results from the Harvard Medical Practice Study I. N Engl J Med 1991;324:370-6.
4. Institute of Medicine. To Err is Human: Building a Safer Health System. Washington, DC: National Academy Press, 1999.
5. McDonald CJ, Weiner M, Hui SL. Deaths due to medical errors are exaggerated in Institute of Medicine report. JAMA 2000;284:93-5.
6. Brennan TA. The Institute of Medicine report on medical errors: Could it do harm? N Engl J Med 2000;342:1123-5.
7. Bates DW, Gawande AA. The impact of the internet on quality measurement. Health Aff 2000;19:104-14.
8. Bates DW, Cullen D, Loird N, et al. Incidence of adverse drug events and potential adverse drug events: Implications for prevention. JAMA 1995;274:29-34.
9. Leape LL, Bates DW, Cullen DJ, et al. Systems analysis of adverse drug events. JAMA 1995;274:35-43.
10. Bates DW, Spell N, Cullen D, et al. The costs of adverse drug events in hospitalized patients. JAMA 1997;227:307-11.
11. Classen DC, Pestotnik SL, Evans RS, et al. Adverse drug events in hospitalized patients. Excess length of stay, extra costs, and attributable mortality. JAMA 1997;277:301-6.
12. Bates DW, Leape LL, Petrycki S. Incidence and preventability of adverse drug events in hospitalized adults. J Gen Intern Med 1993;8:289-94.
13. 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.
14. Kaushal R, Bates DW, Landrigan C, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA 2001;285:2114-20.
15. Cypress BW. Drug Utilization in Office Visits to Primary Care Physicians: National Ambulatory Medical Care Survey, 1980. Department of Health and Human Services publication (PHS) 82-1250. Public Health Service, 1982 (www.senate.gov).
16. Kellaway GS, McCrae E. Intensive monitoring for adverse drug effects in patients discharged from acute medical wards. NZ Med J 1973;78:525-8.
17. Hutchinson TA, Flegel KM, Kramer MS, et al. Frequency, severity and risk factors for adverse drug reactions in adult outpatients: A prospective study. J Chronic Dis 1986;39:533-42.
18. Gandhi TK, Weingart SN, Leape LL, et al. Medication errors and potential adverse drug events among outpatients. J Gen Intern Med 2000;15: 16.
19. Reason J. Human Error. Cambridge: Cambridge University Press, 1990.
20. Leape LL. Error in medicine. JAMA 1994;272:1851-7.
21. Perrow C. Normal Accidents: Living with High-risk Technologies. New York: Basic Books, 1984.
22. Forrester JW., Counterintuitive behavior of social systems. MIT Technol Rev 1971;73:52-68.
23. Berwick DM. Continuous improvement as an ideal in health care. N Engl J Med 1989;320:53-6.
24. Glauber J, Goldmann DA, Homer CJ, et al. Reducing medical error through systems improvement: The management of febrile infants. Pediatrics 2000;105:1330-2.
25. Leape LL, Cullen DJ, Clapp MD, et al. Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. JAMA 1999;282:267-70.
26. Institute for Safe Medication Practices. A Case Riddled with Latent and Active Failures. ISMP Medication Safety Alert, 1998. Available at http://www.ismp.org/MSAarticles/Latent.html(accessed 18 March 2002).
27. Bates DW, Teich J, Lee J, et al. The impact of computerized physician order entry on medication error prevention. J Am Med Inform Assoc 1999;6:313-21.
28. 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;280:1311-6.
29. Teich JM, Merchia PR, Schmiz JL, et al. Effects of computerized physician order entry in prescribing practices. Arch Intern Med 2000;160:2741-7.
30. Chertow GM, Lee J, Kuperman GJ, et al. Guided medication dosing for inpatients with renal insufficiency. JAMA 2001;286:2839-44.
31. Overhage JM, Tierney WM, Zhou XH, et al. A randomized trial of "corollary orders" to prevent errors of omission. J Am Med Inform Assoc 1997;4:364-75.
32. Evans RS, Classen DC, Pestonik SL, et al. Improving empiric antibiotic setection selection using computer decision support. Arch Interri Intern Med 1994;154:878-84.
33. Evans RS, Pestotnik SL, Classen DC, et al. A computer-assisted management program for antibiotics and other antiinfective agents. N Engl J Med 1998;33B:232-8.
34. Burton ME, Ash CL, Hill DP Jr, et al. A controlled trial of the cost benefit of computerized Bayesian aminaglycoside administration. Clin Pharmacol Ther 1991;49:685-94.
35. Casner PR, Reilly R, Ho H. A randomized controlled trial of computerized pharmacokinetic theophylline dosing versus empiric physician dosing. Clin Pharmacol Ther 1993;53:684-90.
36. Hurley SF, Dziukas U, McNeil JJ, et al. A randomized controlled clinical trial of pharmacokinetic theophylline dosing. Am Rev Respir Dis 1986;134:1219-24.
37. Mungall DR, Anbe D, Forrester PL, et al. A prospective randomized comparison of the accuracy of computer-assisted versus GUSTO nomogram: Directed heparin therapy. Clin Pharmacol Ther 1994;55:591-6.
38. White RH, Hong R, Venook AP, et al. Initiation of warfarin therapy: Comparison of physician dosing with computer-assisted dosing. J Gen Intern Med 1987;2:141-8.
39. Weaver PE. Random Sampling for Quality Assurance of the RxOBOT Dispensing System. Presentation to the American Society of Health Systems Pharmacists Mid-Year Clinical Meeting, Las Vegas, Nevada, 1998.
40. Barker KN. The effects of an experimental medication system on medication errors and costs. I. Introduction and errors study. Am J Hosp Pharm 1969;26:324-33.
41. Barker KN, Pearson RE, Hepler CD, et al. Effect of an automated bedside dispensing machine on medication errors. Am J Hosp Pharm 1984;41:1352-8.
42. Barker KN, Allan EL. Research on drug-use-system errors. Am J Health-Syst Pharm 1995;52:400-3.
43. Chester MI, Zilz DA. Effects of bar coding on a pharmacy stock replenishment system. Am J Hosp Pharm 1989;46:1380-5.
44. Meyer GE, Brandell R, Smith JE, et al. Use of bar codes in inpatient drug distribution. Am J Hosp Pharm 1991;48:953-66.
45. Bates DW, Cousins DD, Flynn E, et al. Consensus Development Conference Statement on the safety of intravenous drug delivery systems: Balancing safety and cost. Hosp Pharmacy 2000;35:150-5.
46. Koren G, Barzilay Z, Greenwald M. Tenfold errors in administration of drug doses: A neglected iatrogenic disease in pediatrics. Pediatrics 1986;77:848-9.
47. Gandhi TK, Weingart SN, Seger A, et al. Impact of basic computerized prescribing on outpatient medication errors and adverse drug events (abstract). J Gen Intern Med 2000;16:195.
48. Gawande A, Bates DW. The use of information technology in improving medical performance. Part III. Patient support tools. Medscape General Medicine 22 Feb 2000. Available at http://www.medscape.com (accessed 18 March 2002).
49. Kuperman GJ, Sussman A, Schneider LI, et al. Towards improving the accuracy of the clinical database: Allowing outpatients to review their computerized data. Proceedings AMIA Annual Symposium 1998:220-4.
50. Ash JS, Gorman PN, Hersh WR. Physician order entry in US hospitals. Proceedings AMIA Annual Symposium 1998:235-9.
51. Ringold DJ, Santell JP, Schneider PJ. ASHP national survey of pharmacy practice in acute care settings: Dispensing and administration - 1999. Am J Health Syst Pharm 2000;57:1759-75.
52. Glaser J, Teich JM, Kuperman G. Impact of information events on medical care. Proceedings of the 1996 HIMMS Annual Conference. Chicago: Healthcare Information and Management Systems Society, 1996:1-9.
53. Milstein A, Galvin RS, Delbanco SF, et al. Improving the safety of health care: The Leapfrog initiative. Eff Clin Pract 2000;3:313-6.
54. Anon. California Senate Bill No. 1875. Statutes of 2000, Chapter 816, 28 September 2000.
55. Medicare Payment Advisory Commission. Report to the Congress. Selected Medicare Issues. Washington, DC: Medicare Payment Advisory Commission, 1999.
56. Anon. Medication Errors Reduction Act of 2001. S. 824, 107th Congress, 1st Session, 2001.