-
1
-
-
0003413171
-
-
Institute of Medicine. Washington, DC: National Academy Press
-
Institute of Medicine. To Err Is Human. Building a Safer Health System. Washington, DC: National Academy Press; 1999.
-
(1999)
To Err Is Human. Building a Safer Health System
-
-
-
2
-
-
0025924692
-
Incidence of adverse events and negligence in hospitalized patients: Results from the Harvard Medical Practice Study I
-
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: 370-376.
-
(1991)
N. Engl. J. Med.
, vol.324
, pp. 370-376
-
-
Brennan, T.A.1
Leape, L.L.2
Laird, N.3
-
3
-
-
0026022279
-
The nature of adverse events in hospitalized patients: Results from the Harvard Medical Practice Study II
-
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;324:377-384.
-
(1991)
N. Engl. J. Med.
, vol.324
, pp. 377-384
-
-
Leape, L.L.1
Brennan, T.A.2
Laird, N.M.3
-
4
-
-
0034146799
-
Incidence and types of adverse events and negligent care in Utah and Colorado
-
Thomas EJ, Studdert DM, Burstin HR, et al. Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care. 2000;38:261-271.
-
(2000)
Med. Care
, vol.38
, pp. 261-271
-
-
Thomas, E.J.1
Studdert, D.M.2
Burstin, H.R.3
-
5
-
-
0027231164
-
Incidence and preventability of adverse drug events in hospitalized adults
-
Bates DW, Leape LL, Petrycki S. Incidence and preventability of adverse drug events in hospitalized adults. J Gen Intern Med. 1993;8:289-294.
-
(1993)
J. Gen. Intern. Med.
, vol.8
, pp. 289-294
-
-
Bates, D.W.1
Leape, L.L.2
Petrycki, S.3
-
6
-
-
0029066463
-
Incidence of adverse drug events and potential adverse drug events: Implications for prevention
-
Bates DW, Cullen D, Laird N, et al. Incidence of adverse drug events and potential adverse drug events: implications for prevention. JAMA. 1995;274:29-34.
-
(1995)
JAMA
, vol.274
, pp. 29-34
-
-
Bates, D.W.1
Cullen, D.2
Laird, N.3
-
7
-
-
0031012726
-
The costs of adverse drug events in hospitalized patients
-
Bates DW, Spell N, Cullen D, et al. The costs of adverse drug events in hospitalized patients. JAMA. 1997;227:307-311.
-
(1997)
JAMA
, vol.227
, pp. 307-311
-
-
Bates, D.W.1
Spell, N.2
Cullen, D.3
-
8
-
-
0031032055
-
Adverse drug events in hospitalized patients. Excess length of stay, extra costs, and attributable mortality
-
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;277:301-306.
-
(1997)
JAMA
, vol.277
, pp. 301-306
-
-
Classen, D.C.1
Pestotnik, S.L.2
Evans, R.S.3
-
9
-
-
0037420274
-
Incidence and preventability of adverse drug events among older persons in the ambulatory setting
-
Gurwitz JH, Field TS, Harrold LR, et al. Incidence and preventability of adverse drug events among older persons in the ambulatory setting. JAMA. 2003;289:1107-1116.
-
(2003)
JAMA
, vol.289
, pp. 1107-1116
-
-
Gurwitz, J.H.1
Field, T.S.2
Harrold, L.R.3
-
12
-
-
0029999487
-
Deficiencies in calculation and applied mathematics skills in pediatrics among primary care interns
-
Potts MJ, Phelan KW. Deficiencies in calculation and applied mathematics skills in pediatrics among primary care interns. Arch Pediatr Adolesc Med. 1996;150:748-752.
-
(1996)
Arch. Pediatr. Adolesc. Med.
, vol.150
, pp. 748-752
-
-
Potts, M.J.1
Phelan, K.W.2
-
13
-
-
0031824803
-
Errors by paediatric residents in calculating drug doses
-
Rowe C, Koren T, Koren G. Errors by paediatric residents in calculating drug doses. Arch Dis Child. 1998;79:56-58.
-
(1998)
Arch. Dis. Child
, vol.79
, pp. 56-58
-
-
Rowe, C.1
Koren, T.2
Koren, G.3
-
14
-
-
0037061904
-
Large errors in the dosing of medications for children
-
Kozer E, Scolnik D, Keays T, et al. Large errors in the dosing of medications for children. N Engl J Med. 2002;346:1175-1176.
-
(2002)
N. Engl. J. Med.
, vol.346
, pp. 1175-1176
-
-
Kozer, E.1
Scolnik, D.2
Keays, T.3
-
15
-
-
0022446057
-
Tenfold errors in administration of drug doses: A neglected iatrogenic disease in pediatrics
-
Koren G, Barzilay Z, Greenwald M. Tenfold errors in administration of drug doses: a neglected iatrogenic disease in pediatrics. Pediatrics. 1986;77:848-849.
-
(1986)
Pediatrics
, vol.77
, pp. 848-849
-
-
Koren, G.1
Barzilay, Z.2
Greenwald, M.3
-
16
-
-
85065857979
-
Overdose Kills 9-Month-Old at Children's Hospital
-
April 20
-
Goldstein A. Overdose Kills 9-Month-Old at Children's Hospital. Washington Post. April 20, 2001:B1.
-
(2001)
Washington Post
-
-
Goldstein, A.1
-
17
-
-
0034885684
-
A 1000-fold overdose of clonidine caused by a compounding error in a 5-year-old child with attention-deficit/hyperactivity disorder
-
Romano MJ, Dinh A. A 1000-fold overdose of clonidine caused by a compounding error in a 5-year-old child with attention-deficit/hyperactivity disorder. Pediatrics. 2001;108:471-472.
-
(2001)
Pediatrics
, vol.108
, pp. 471-472
-
-
Romano, M.J.1
Dinh, A.2
-
18
-
-
0030475705
-
The truth about doctors' handwriting: A prospective study
-
Berwick DM, Winickoff DE. The truth about doctors' handwriting: a prospective study. BMJ. 1996;313:1657-1658.
-
(1996)
BMJ
, vol.313
, pp. 1657-1658
-
-
Berwick, D.M.1
Winickoff, D.E.2
-
19
-
-
0030977814
-
Pediatric drug therapy in the emergency department: Does it meet FDA-approved prescribing guidelines?
-
McKinzie JP, Wright SW, Wrenn KD. Pediatric drug therapy in the emergency department: does it meet FDA-approved prescribing guidelines? Am J Emerg Med. 1997;15:118-121.
-
(1997)
Am. J. Emerg. Med.
, vol.15
, pp. 118-121
-
-
McKinzie, J.P.1
Wright, S.W.2
Wrenn, K.D.3
-
20
-
-
0026861622
-
Dispensing the wrong medication
-
NS32 32
-
Cohen MR, Davis NM. Dispensing the wrong medication. Am Pharm. 1992;NS32:28-29, 32.
-
(1992)
Am. Pharm.
, pp. 28-29
-
-
Cohen, M.R.1
Davis, N.M.2
-
21
-
-
0017695679
-
Drug usage and adverse drug reactions in paediatric patients
-
Whyte J, Greenan E. Drug usage and adverse drug reactions in paediatric patients. Acta Paediatr Scand. 1977;66:767-775.
-
(1977)
Acta Paediatr. Scand.
, vol.66
, pp. 767-775
-
-
Whyte, J.1
Greenan, E.2
-
22
-
-
0023256955
-
Medication error prevention by clinical pharmacists in two children's hospitals
-
Folli HL, Poole RL, Benitz WE, Russo JC. Medication error prevention by clinical pharmacists in two children's hospitals. Pediatrics. 1987;79:718-722.
-
(1987)
Pediatrics
, vol.79
, pp. 718-722
-
-
Folli, H.L.1
Poole, R.L.2
Benitz, W.E.3
Russo, J.C.4
-
24
-
-
0031899238
-
Errors in the use of medication dosage equations
-
Lesar TS. Errors in the use of medication dosage equations. Arch Pediatr Adolesc Med. 1998;152:340-344.
-
(1998)
Arch. Pediatr. Adolesc. Med.
, vol.152
, pp. 340-344
-
-
Lesar, T.S.1
-
26
-
-
0035946697
-
Medication errors and adverse drug events in pediatric inpatients
-
Kaushal R, Bates DW, Landrigan C, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA. 2001; 285:2114-2120.
-
(2001)
JAMA
, vol.285
, pp. 2114-2120
-
-
Kaushal, R.1
Bates, D.W.2
Landrigan, C.3
-
28
-
-
0036831505
-
Reported adverse drug events in infants and children under 2 years of age
-
[comment]
-
Moore TJ, Weiss SR, Kaplan S, Blaisdell CJ. Reported adverse drug events in infants and children under 2 years of age [comment]. Pediatrics. 2002;110:e53.
-
(2002)
Pediatrics
, vol.110
-
-
Moore, T.J.1
Weiss, S.R.2
Kaplan, S.3
Blaisdell, C.J.4
-
29
-
-
0036500042
-
Comparison of methods for detecting medication errors in 36 hospitals and skilled-nursing facilities
-
Flynn EA, Barker KN, Pepper GA, et al. Comparison of methods for detecting medication errors in 36 hospitals and skilled-nursing facilities. Am J Health Syst Pharm. 2002;59:436-446.
-
(2002)
Am. J. Health Syst. Pharm.
, vol.59
, pp. 436-446
-
-
Flynn, E.A.1
Barker, K.N.2
Pepper, G.A.3
-
30
-
-
0024314358
-
Medication errors in neonatal and paediatric intensive-care units
-
Raju TN, Kecskes S, Thornton JP, et al. Medication errors in neonatal and paediatric intensive-care units. Lancet. 1989;2: 374-376.
-
(1989)
Lancet
, vol.2
, pp. 374-376
-
-
Raju, T.N.1
Kecskes, S.2
Thornton, J.P.3
-
31
-
-
0031657948
-
Medication errors in paediatric practice: Insights from a continuous quality improvement approach
-
Wilson DG, McArtney RG, Newcombe RG, et al. Medication errors in paediatric practice: insights from a continuous quality improvement approach. Eur J Pediatr. 1998;157:769-774.
-
(1998)
Eur. J. Pediatr.
, vol.157
, pp. 769-774
-
-
Wilson, D.G.1
McArtney, R.G.2
Newcombe, R.G.3
-
32
-
-
0033637240
-
Medication errors in a paediatric teaching hospital in the U.K.: Five years operational experience
-
[comment]
-
Ross LM, Wallace J, Paton JY. Medication errors in a paediatric teaching hospital in the U.K.: five years operational experience [comment]. Arch Dis Child. 2000;83:492-497.
-
(2000)
Arch. Dis. Child
, vol.83
, pp. 492-497
-
-
Ross, L.M.1
Wallace, J.2
Paton, J.Y.3
-
33
-
-
0029981778
-
Discharging patients with prescriptions instead of medications: Sequelae in a teaching hospital
-
Johnson KB, Butta JK, Donohue PK, et al. Discharging patients with prescriptions instead of medications: sequelae in a teaching hospital. Pediatrics. 1996;97:481-485.
-
(1996)
Pediatrics
, vol.97
, pp. 481-485
-
-
Johnson, K.B.1
Butta, J.K.2
Donohue, P.K.3
-
34
-
-
0036791209
-
Variables associated with medication errors in pediatric emergency medicine
-
[comment]
-
Kozer E, Scolnik D, Macpherson A, et al. Variables associated with medication errors in pediatric emergency medicine [comment]. Pediatrics. 2002;110:737-742.
-
(2002)
Pediatrics
, vol.110
, pp. 737-742
-
-
Kozer, E.1
Scolnik, D.2
Macpherson, A.3
-
35
-
-
0032816328
-
Pediatric emergency medicine: Legal briefs
-
Selbst SM, Singh S. Pediatric emergency medicine: legal briefs. Pediatr Emerg Care. 1999;15:283-285.
-
(1999)
Pediatr. Emerg. Care
, vol.15
, pp. 283-285
-
-
Selbst, S.M.1
Singh, S.2
-
37
-
-
0025937017
-
Characteristics of medication errors in pediatrics
-
Jonville AP, Autret E, Bavoux F, et al. Characteristics of medication errors in pediatrics. DICP. 1991;25:1113-1118.
-
(1991)
DICP
, vol.25
, pp. 1113-1118
-
-
Jonville, A.P.1
Autret, E.2
Bavoux, F.3
-
39
-
-
0031917313
-
Therapeutic misadventures with acetaminophen: Hepatoxicity after multiple doses in children
-
Heubi JE, Barbacci MB, Zimmerman HJ. Therapeutic misadventures with acetaminophen: hepatoxicity after multiple doses in children. J Pediatr. 1998;132:22-27.
-
(1998)
J. Pediatr.
, vol.132
, pp. 22-27
-
-
Heubi, J.E.1
Barbacci, M.B.2
Zimmerman, H.J.3
-
40
-
-
0031918328
-
Acetaminophen overdose with therapeutic intent
-
[comment]
-
Kearns GL, Leeder JS, Wasserman GS. Acetaminophen overdose with therapeutic intent [comment]. J Pediatr. 1998; 132:5-8.
-
(1998)
J. Pediatr.
, vol.132
, pp. 5-8
-
-
Kearns, G.L.1
Leeder, J.S.2
Wasserman, G.S.3
-
41
-
-
0024429984
-
Repeated acetaminophen overdosing. Causing hepatotoxicity in children. Clinical reports and literature review
-
Henretig FM, Selbst SM, Forrest C, et al. Repeated acetaminophen overdosing. Causing hepatotoxicity in children. Clinical reports and literature review. Clin Pediatr. 1989;28:525-528.
-
(1989)
Clin. Pediatr.
, vol.28
, pp. 525-528
-
-
Henretig, F.M.1
Selbst, S.M.2
Forrest, C.3
-
42
-
-
0034302388
-
Systematic root cause analysis of adverse drug events in a tertiary referral hospital
-
Rex JH, Turnbull JE, Allen SJ, et al. Systematic root cause analysis of adverse drug events in a tertiary referral hospital. Jt Comm J Qual Improv. 2000;26:563-575.
-
(2000)
Jt. Comm. J. Qual. Improv.
, vol.26
, pp. 563-575
-
-
Rex, J.H.1
Turnbull, J.E.2
Allen, S.J.3
-
43
-
-
0004223940
-
-
Cambridge, UK: Cambridge University Press
-
Reason J. Human Error. Cambridge, UK: Cambridge University Press; 1990.
-
(1990)
Human Error
-
-
Reason, J.1
-
44
-
-
0028097184
-
Error in medicine
-
Leape LL. Error in medicine. JAMA. 1994;272:1851-1857.
-
(1994)
JAMA
, vol.272
, pp. 1851-1857
-
-
Leape, L.L.1
-
46
-
-
0002708483
-
Counterintuitive behavior of social systems
-
Forrester JW. Counterintuitive behavior of social systems. MITS Technol Rev. 1971;73:52-68.
-
(1971)
MITS Technol. Rev.
, vol.73
, pp. 52-68
-
-
Forrester, J.W.1
-
47
-
-
0024546594
-
Continuous improvement as an ideal in health care
-
Berwick DM. Continuous improvement as an ideal in health care. N Engl J Med. 1989;320:53-56.
-
(1989)
N. Engl. J. Med.
, vol.320
, pp. 53-56
-
-
Berwick, D.M.1
-
48
-
-
0034076897
-
Reducing medical error through systems improvement: The management of febrile infants
-
[comment]
-
Glauber J, Goldmann DA, Homer CJ, Berwick DM. Reducing medical error through systems improvement: the management of febrile infants [comment]. Pediatrics. 2000;105:1330-1332.
-
(2000)
Pediatrics
, vol.105
, pp. 1330-1332
-
-
Glauber, J.1
Goldmann, D.A.2
Homer, C.J.3
Berwick, D.M.4
-
49
-
-
0037383538
-
Prioritizing strategies for preventing medication errors and adverse drug events in pediatric inpatients
-
Fortescue EB, Kaushal R, Landrigan CP, et al. Prioritizing strategies for preventing medication errors and adverse drug events in pediatric inpatients. Pediatrics. 2003;111:722-729.
-
(2003)
Pediatrics
, vol.111
, pp. 722-729
-
-
Fortescue, E.B.1
Kaushal, R.2
Landrigan, C.P.3
-
51
-
-
0032556180
-
Effect of computerized physician order entry and a team intervention on prevention of serious medication errors
-
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;280:1311-1316.
-
(1998)
JAMA
, vol.280
, pp. 1311-1316
-
-
Bates, D.W.1
Leape, L.L.2
Cullen, D.J.3
-
52
-
-
0033591952
-
Pharmacist participation on physician rounds and adverse drug events in the intensive care unit
-
Leape LL, Cullen DJ, Clapp MD, et al. Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. JAMA. 1999;282:267-270.
-
(1999)
JAMA
, vol.282
, pp. 267-270
-
-
Leape, L.L.1
Cullen, D.J.2
Clapp, M.D.3
-
53
-
-
0032813705
-
The impact of computerized physician order entry on medication error prevention
-
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;6:313-321.
-
(1999)
J. Am. Med. Inform. Assoc.
, vol.6
, pp. 313-321
-
-
Bates, D.W.1
Teich, J.2
Lee, J.3
-
55
-
-
0028353408
-
Improving empiric antibiotic selection using computer decision support
-
Evans RS, Classen DC, Pestonik SL, et al. Improving empiric antibiotic selection using computer decision support. Arch Intern Med. 1994;154:878-884.
-
(1994)
Arch. Intern. Med.
, vol.154
, pp. 878-884
-
-
Evans, R.S.1
Classen, D.C.2
Pestonik, S.L.3
-
59
-
-
0017354864
-
Computer utilization for intravenous nutrition in surgical neonates preliminary report
-
Sharp DS, German JC. Computer utilization for intravenous nutrition in surgical neonates preliminary report. J Pediatr Surg. 1977;12:189-193.
-
(1977)
J. Pediatr. Surg.
, vol.12
, pp. 189-193
-
-
Sharp, D.S.1
German, J.C.2
-
60
-
-
0032006444
-
Three years experience with a patient data management system at a neonatal intensive care unit
-
Urschitz M, Lorenz S, Unterasinger L, et al. Three years experience with a patient data management system at a neonatal intensive care unit. J Clin Monit Comput. 1998;14:119-125.
-
(1998)
J. Clin. Monit. Comput.
, vol.14
, pp. 119-125
-
-
Urschitz, M.1
Lorenz, S.2
Unterasinger, L.3
-
61
-
-
0020550730
-
Computerised nutritional data management in neonatal intensive care
-
Wilson FE, Yu VY, Hawgood S, et al. Computerised nutritional data management in neonatal intensive care. Arch Dis Child. 1983;58:732-736.
-
(1983)
Arch. Dis. Child.
, vol.58
, pp. 732-736
-
-
Wilson, F.E.1
Yu, V.Y.2
Hawgood, S.3
-
62
-
-
0021135595
-
Computers in paediatrics. 11. Microcomputer programmes for total parenteral nutrition in paediatric practice
-
Yip WC, Tay JS, Ho TF, et al. Computers in paediatrics. 11. Microcomputer programmes for total parenteral nutrition in paediatric practice. J Singapore Paediatr Soc. 1984;26:51-58.
-
(1984)
J. Singapore Paediatr. Soc.
, vol.26
, pp. 51-58
-
-
Yip, W.C.1
Tay, J.S.2
Ho, T.F.3
-
63
-
-
0036362428
-
Provider error prevention: Online total parenteral nutrition calculator
-
Lehmann CU, Conner KG, Cox JM. Provider error prevention: online total parenteral nutrition calculator. Proc AMIA Ann Symp. 2002;435-439.
-
(2002)
Proc. AMIA Ann. Symp.
, pp. 435-439
-
-
Lehmann, C.U.1
Conner, K.G.2
Cox, J.M.3
-
64
-
-
0030926106
-
Increased parenteral nutrition calcium and phosphorus for very-low-birth-weight infants using computer software assisted ordering
-
Porcelli PJ, Block SM. Increased parenteral nutrition calcium and phosphorus for very-low-birth-weight infants using computer software assisted ordering. J Am Coll Nutr. 1997;16:283-287.
-
(1997)
J. Am. Coll. Nutr.
, vol.16
, pp. 283-287
-
-
Porcelli, P.J.1
Block, S.M.2
-
65
-
-
25044450125
-
Ward-based clinical pharmacists and serious medication errors in pediatric inpatients
-
Paper presented at: Proceedings of the Annual Meeting of the National Academy of Health. June 28, Nashville, TN
-
Kaushal R, Bates D, McKenna KJ, et al. Ward-based clinical pharmacists and serious medication errors in pediatric inpatients. Paper presented at: Proceedings of the Annual Meeting of the National Academy of Health. June 28, 2003; Nashville, TN.
-
(2003)
-
-
Kaushal, R.1
Bates, D.2
McKenna, K.J.3
-
66
-
-
0036054005
-
Evaluating process changes in a pediatric hospital medication system
-
Marino BL, Branowicki P, Bennett JA, et al. Evaluating process changes in a pediatric hospital medication system. Outcomes Manag. 2002;6:10-15.
-
(2002)
Outcomes Manag.
, vol.6
, pp. 10-15
-
-
Marino, B.L.1
Branowicki, P.2
Bennett, J.A.3
-
67
-
-
0029870311
-
Use and effectiveness of interpreters in an emergency department
-
Baker DW, Parker RM, Williams MV, et al. Use and effectiveness of interpreters in an emergency department. JAMA. 1996; 275:783-788.
-
(1996)
JAMA
, vol.275
, pp. 783-788
-
-
Baker, D.W.1
Parker, R.M.2
Williams, M.V.3
-
68
-
-
0032824107
-
Satisfaction with methods of Spanish interpretation in an ambulatory care clinic
-
Xuo D, Fagan MJ. Satisfaction with methods of Spanish interpretation in an ambulatory care clinic. J Gen Intern Med. 1999; 14:547-550.
-
(1999)
J. Gen. Intern. Med.
, vol.14
, pp. 547-550
-
-
Xuo, D.1
Fagan, M.J.2
-
70
-
-
0022339020
-
Cross-cultural communication. The special case of interpreters in health care
-
Putsch RW III. Cross-cultural communication. The special case of interpreters in health care. JAMA. 1985;254:3344-3448.
-
(1985)
JAMA
, vol.254
, pp. 3344-3448
-
-
Putsch III, R.W.1
-
71
-
-
0842280812
-
Information technology: Its importance to child safety
-
Johnson KB, Davison CL. Information technology: its importance to child safety. Ambul Pediatr. 2004;4:63-71.
-
(2004)
Ambul. Pediatr.
, vol.4
, pp. 63-71
-
-
Johnson, K.B.1
Davison, C.L.2
-
72
-
-
0035998746
-
Trends of medication errors in hospitalized children
-
Koren G. Trends of medication errors in hospitalized children. J Clin Pharmacol. 2002;42:707-710.
-
(2002)
J. Clin. Pharmacol.
, vol.42
, pp. 707-710
-
-
Koren, G.1
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