Making Health Care Safe: Are We Up to it?

Journal of Pediatric Surgery

Volumn 39, Issue 3, 2004, Pages 258-266

  Leape, Lucian L ^a  

^a HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CAREER; CHILD HEALTH CARE; CLINICAL EDUCATION; CLINICAL PRACTICE; COMPETENCE; CONFERENCE PAPER; HEALTH CARE FINANCING; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HEALTH SERVICE; HUMAN; MALPRACTICE; MEDICAL ERROR; MEDICAL RECORD; NEGLIGENCE; OUTCOMES RESEARCH; PEDIATRIC SURGERY; PRACTICE GUIDELINE; PRIORITY JOURNAL; RISK ASSESSMENT; STANDARDIZATION; ARTICLE; ECONOMICS; GOVERNMENT; GOVERNMENT REGULATION; IATROGENIC DISEASE; METHODOLOGY; ORGANIZATION; SAFETY; UNITED STATES;

GOVERNMENT REGULATION; GUIDELINE ADHERENCE; HUMANS; IATROGENIC DISEASE; INSTITUTE OF MEDICINE (U.S.); MEDICAL ERRORS; QUALITY ASSURANCE, HEALTH CARE; SAFETY MANAGEMENT; UNITED STATES; UNITED STATES DEPARTMENT OF VETERANS AFFAIRS;

EID: 1542408812     PISSN: 00223468     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jpedsurg.2003.11.003     Document Type: Conference Paper

References (29)

1. Kohn KT, Corrigan JM, Donaldson MS: To Err is Human: Building a Safer Health System. (1999). National Academy Press, Washington, DC
2. 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 324:370-376, 1991
3. Leape LL, Lawthers AG, Brennan TA, et al: Preventing medical injury. Qual Rev Bull 19:144-149, 1993
4. NTSB: Airline Safety Data, 1982-1998. Washington, DC, National Transportation Safety Board, 1999
5. Reason J: Human Error. Cambridge, Cambridge University Press, 1990
6. Brennan TA, Leape LL: Adverse events, negligence in hospitalized patients: Results from the Harvard Medical Practice Study. Perspectives in Healthcare Risk Management 11:2-7, 1991
7. 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 324:377-384, 1991
8. Leape L: Error in medicine. JAMA 272:1851-1857, 1994
9. Knox R: Doctor's orders killed cancer patient. The Boston Globe. Boston, 1995,:1.
10. Bates DW, Cullen DJ, Laird N, et al: Incidence of adverse drug events and potential adverse drug events. JAMA 274:29-34, 1995
11. Leape LL, Bates DW, Cullen DJ, et al: Systems analysis of adverse drug events. JAMA 274:35-43, 1995
12. Bates DW, Spell N, Cullen DJ, et al: Costs of adverse drug events in hospitalized patients. JAMA 277:307-311, 1997
13. Classen D, Pestotnik S, Evans R, et al: Adverse drug events in hospitalized patients Excess length of stay. extra costs, attributable mortality. JAMA 227:301-306, 1997
14. Cullen DJ, Sweitzer BJ, Bates DW, et al: Preventable adverse drug events in hospitalized patients: A comparative study of intensive care and general care units. Crit Care Med 25:1289-1297, 1997
15. Cullen DJ, Bates DW, Small SD, et al: The incident reporting system does not detect adverse drug events. J Qual Improv 21:541-548. 1995
16. Varley P: Vision and strategy: Paul H. O'Neill at OMB & Alcoa. Cambridge, Kennedy School of Government, Harvard University, 1992
17. Leape L, Kabcenell A, Berwick DM, et al: Reducing Adverse Drug Events. Boston, MA, Institute for Healthcare Improvement, 1998
18. Leape LL, Kabcenell AI, Gandhi TK, et al: Reducing adverse drug events: Lessons from a breakthrough series collaborative. Jt Comm J Qual Improv 26:321-331, 2000
19. 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 280:1311-1316, 1998
20. Bates DW, Teich JM, Lee J, et al: The impact of computerized physician order entry on medication error prevention. J Am Med Inform Assoc 6:313-321, 1999
21. Leape LL, Cullen DJ, Clapp MD, et al: Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. JAMA 282:267-270, 1999
22. Qu IC: Doing What Counts for Patient Safety: Federal Actions to Reduce Medical Errors and their Impact. (2000). AHRQ, Washington, DC
23. National Quality Forum: Serious Reportable Events in Patient Safety: A National Quality Forum Consensus Report. Washington, DC, 2002
24. National Quality Forum: Safe Practices for Better Healthcare. Washington, DC, 2003
25. Bagian JP, Gosbee J, Lee CZ, et al: The Veterans Affairs root cause analysis system in action. Joint Commission Journal on Quality Improvement 28:531-545, 2002
26. Bagian JP, Lee C, Gosbee J, et al: Developing and deploying a patient safety program in a large health care delivery system: You can't fix what you don't know about. Joint Commission Journal on Quality Improvement 27:522-532, 2001
27. Bagian JP, Gosbee JW, Lee CZ: Partners in prevention: The VA-NASA Patient Safety Reporting System. Federal Practitioner March:10-11, 15, 2001
28. Barker KN, Flynn EA, Pepper GA, et al: Medication errors observed in 36 health care facilities. Arch Intern Med 162:1897-1903, 2002
29. Hilfiker D: Facing our mistakes. N Engl J Med 310:118-122, 1984