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Volumn 20, Issue 2, 2005, Pages 79-89

Developing a multidisciplinary medication safety program in a hospital;Programa multidisciplinario de prevención de errores de medicación en un hospital

Author keywords

Adverse effects; Hospitals; Medication errors; Medication Systems; Safety management

Indexed keywords

AUTOMATION; CONTINUING EDUCATION; CULTURAL ANTHROPOLOGY; HEALTH CARE MANAGEMENT; HEALTH CARE POLICY; HEALTH CARE SYSTEM; HEALTH SERVICE; HOSPITAL; HOSPITAL MANAGEMENT; HOSPITALIZATION; MEDICATION ERROR; NURSE; PHARMACIST; PHYSICIAN; PRACTICE GUIDELINE; PROPHYLAXIS; REVIEW; SAFETY;

EID: 17844371034     PISSN: 1134282X     EISSN: None     Source Type: Journal    
DOI: 10.1016/s1134-282x(08)74727-4     Document Type: Review
Times cited : (10)

References (57)
  • 1
    • 3142617410 scopus 로고    scopus 로고
    • Efectos adversos en la asistencia hospitalaria
    • Barc
    • Aranaz JM, Aibar C, Gea MT, León MT. Efectos adversos en la asistencia hospitalaria. Med Clin (Barc). 2004;123:21-5.
    • (2004) Med Clin , vol.123 , pp. 21-25
    • Aranaz, J.M.1    Aibar, C.2    Gea, M.T.3    León, M.T.4
  • 2
    • 0026022279 scopus 로고
    • The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II
    • Leape LL, Brennan TA, Laird NL, Lawthers AG, Localio R, Barnes BA, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med. 1991;324:377-84.
    • (1991) N Engl J Med , vol.324 , pp. 377-384
    • Leape, L.L.1    Brennan, T.A.2    Laird, N.L.3    Lawthers, A.G.4    Localio, R.5    Barnes, B.A.6
  • 3
    • 0034931547 scopus 로고    scopus 로고
    • Exploring the causes of adverse events in NHS hospital practice
    • Neale G, Woloshynowych M, Vincent C. Exploring the causes of adverse events in NHS hospital practice. J R Soc Med. 2001;94:322-30.
    • (2001) J R Soc Med , vol.94 , pp. 322-330
    • Neale, G.1    Woloshynowych, M.2    Vincent, C.3
  • 4
    • 2942571128 scopus 로고    scopus 로고
    • The Canadian Adverse Events study: The incidence of adverse events among hospital patients in Canada
    • Baker GR, Norton PG, Flintoft V, Biais R, Brown A, Cox J, et al. The Canadian Adverse Events study: the incidence of adverse events among hospital patients in Canada. CMAJ. 2004;170:1678-86.
    • (2004) CMAJ , vol.170 , pp. 1678-1686
    • Baker, G.R.1    Norton, P.G.2    Flintoft, V.3    Biais, R.4    Brown, A.5    Cox, J.6
  • 5
    • 0036093777 scopus 로고    scopus 로고
    • Ingresos hospitalarios causados por medicamentos: Incidencia, características y coste
    • Madrid
    • Alonso Hernández P, Otero López MJ, Maderuelo Fernández JA. Ingresos hospitalarios causados por medicamentos: incidencia, características y coste. Farmacia Hosp (Madrid). 2002;26:77-89.
    • (2002) Farmacia Hosp , vol.26 , pp. 77-89
    • Alonso Hernández, P.1    Otero López, M.J.2    Maderuelo Fernández, J.A.3
  • 8
    • 0037420274 scopus 로고    scopus 로고
    • Incidence and preventability of adverse drug events among older persons in the ambulatory setting
    • Gurwitz JH, Field TS, Harrold LR, Rothschild J, Debellis K, Seger AC, et al. Incidence and preventability of adverse drug events among older persons in the ambulatory setting. JAMA. 2003;289:1107-16.
    • (2003) JAMA , vol.289 , pp. 1107-1116
    • Gurwitz, J.H.1    Field, T.S.2    Harrold, L.R.3    Rothschild, J.4    Debellis, K.5    Seger, A.C.6
  • 9
    • 0029066463 scopus 로고
    • Incidence of adverse drug events and potential adverse drug events. Implications for prevention
    • Bates DW, Cullen DJ, Laird N, Petersen L, Small SD, Servi D, 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.J.2    Laird, N.3    Petersen, L.4    Small, S.D.5    Servi, D.6
  • 10
    • 0142119240 scopus 로고    scopus 로고
    • Errores de medicación y gestión de riesgos
    • Otero López MJ. Errores de medicación y gestión de riesgos. Rev Esp Salud Pública. 2003;77:527-40.
    • (2003) Rev Esp Salud Pública , vol.77 , pp. 527-540
    • Otero López, M.J.1
  • 12
    • 0004225223 scopus 로고    scopus 로고
    • London: Stationery Office
    • Expert Group on Learning from Adverse Events in the NHS. An organisation with a memory. London: Stationery Office, 2000. Disponible en: www.doh.gov.uk/orgmemreport/index.htm
    • (2000) An Organisation with a Memory
  • 15
    • 85030804342 scopus 로고    scopus 로고
    • Quality of care: Patient safety. WHA55.18
    • Geneva, 18 May
    • World Health Organization. Quality of care: patient safety. WHA55.18. Fifty-fifth World Health Assembly. Geneva, 18 May 2002. Disponible en: www.who.int/multimedia
    • (2002) Fifty-fifth World Health Assembly
  • 16
    • 0037745240 scopus 로고    scopus 로고
    • The Hague, 22 November
    • Council of Europe and WHO Regional Office for Europe. Consensus document. Expert Meeting on Medication Safety. The Hague, 22 November 2002. disponible en: www.coe.int/T/E/Social_Cohesion/soc-sp/Public_Health/Pharma_and_Medicine
    • (2002) Consensus Document. Expert Meeting on Medication Safety
  • 17
    • 0034681819 scopus 로고    scopus 로고
    • Human error: Models and management
    • Reason J. Human error: models and management. BMJ. 2000;320:768-70.
    • (2000) BMJ , vol.320 , pp. 768-770
    • Reason, J.1
  • 19
    • 17844402076 scopus 로고    scopus 로고
    • El papel del farmacéutico en la prevención de los errores de medicación
    • Barcelona: Fundación Promedic
    • Otero MJ. El papel del farmacéutico en la prevención de los errores de medicación. En: Formación Continuada para Farmacéuticos de Hospital II. Módulo 3. Barcelona: Fundación Promedic; 2004. p. 5-44.
    • (2004) Formación Continuada para Farmacéuticos de Hospital II. Módulo 3 , pp. 5-44
    • Otero, M.J.1
  • 20
    • 0142081215 scopus 로고    scopus 로고
    • Healthcare risk managers prepare for new JCAHO patient safety requirements
    • ECRI. Healthcare risk managers prepare for new JCAHO patient safety requirements. The Risk Management Reporter. 2001:20(4):1-9.
    • (2001) The Risk Management Reporter , vol.20 , Issue.4 , pp. 1-9
  • 22
    • 0037502038 scopus 로고    scopus 로고
    • Risk analysis and treatment
    • Cohen MR, editor. Washington (DC): American Pharmaceutical Association
    • Cohen MR, Smetzer JL. Risk analysis and treatment. En: Cohen MR, editor. Medication Errors. Washington (DC): American Pharmaceutical Association; 1999. p. 20.1-20.34.
    • (1999) Medication Errors
    • Cohen, M.R.1    Smetzer, J.L.2
  • 24
    • 0142081213 scopus 로고    scopus 로고
    • Errores de medicación
    • Bonal Falgas J, Domínguez-Gil Hurlé, Gamundi Planas MC, et al, editores. Madrid: SCM, SL (Doyma)
    • a ed. Madrid: SCM, SL (Doyma); 2002. p. 713-47.
    • (2002) a Ed. , pp. 713-747
    • Otero, M.J.1    Martin, R.2    Robles, D.3    Codina, C.4
  • 26
    • 0036992304 scopus 로고    scopus 로고
    • Using information technology to screen for adverse drug events
    • Bates DW. Using information technology to screen for adverse drug events. Am J Health-Syst Pharm. 2002;59:2317-9.
    • (2002) Am J Health-Syst Pharm , vol.59 , pp. 2317-2319
    • Bates, D.W.1
  • 27
    • 0036995234 scopus 로고    scopus 로고
    • Practitioner intervention-reporting systems for measuring the quality of drug use
    • Lesar TS. Practitioner intervention-reporting systems for measuring the quality of drug use. Am J Health-Syst Pharm. 2002;59:2320-2.
    • (2002) Am J Health-Syst Pharm , vol.59 , pp. 2320-2322
    • Lesar, T.S.1
  • 28
    • 0036997144 scopus 로고    scopus 로고
    • Using chart review to screen for medication errors and adverse drug events
    • Kaushal R. Using chart review to screen for medication errors and adverse drug events. Am J Health-Syst Pharm. 2002;59:2323-5.
    • (2002) Am J Health-Syst Pharm , vol.59 , pp. 2323-2325
    • Kaushal, R.1
  • 29
    • 0036992117 scopus 로고    scopus 로고
    • Voluntary reporting of medication errors
    • Shaw Phillips MA. Voluntary reporting of medication errors. Am J Health-Syst Pharm. 2002;59:2326-8.
    • (2002) Am J Health-Syst Pharm , vol.59 , pp. 2326-2328
    • Shaw Phillips, M.A.1
  • 30
    • 0036992305 scopus 로고    scopus 로고
    • Using technology to enhance measurement of drug-use safety
    • Schneider PJ. Using technology to enhance measurement of drug-use safety. Am J Health-Syst Pharm. 2002;59:2330-2.
    • (2002) Am J Health-Syst Pharm , vol.59 , pp. 2330-2332
    • Schneider, P.J.1
  • 31
    • 0036886094 scopus 로고    scopus 로고
    • Measuring medication safety in hospitals. Workshop summaries
    • Schneider PJ. Measuring medication safety in hospitals. Workshop summaries. Am J Health-Syst Pharm. 2002;59:2333-6.
    • (2002) Am J Health-Syst Pharm , vol.59 , pp. 2333-2336
    • Schneider, P.J.1
  • 35
    • 17844407996 scopus 로고    scopus 로고
    • The reports are in... or are they? Awareness of medication error reporting programs needs a boost
    • Feb.
    • Institute for Safe Medication Practices. The reports are in... or are they? Awareness of medication error reporting programs needs a boost. ISMP Medication Safety Alert! 2003;8:6 Feb.
    • (2003) ISMP Medication Safety Alert! , vol.8 , pp. 6
  • 36
    • 0035873981 scopus 로고    scopus 로고
    • Medical errors: Creating the tension for change
    • Gordon BM. Medical errors: creating the tension for change. Am J Health-Syst Pharm. 2001;58:908-12.
    • (2001) Am J Health-Syst Pharm , vol.58 , pp. 908-912
    • Gordon, B.M.1
  • 37
    • 0036517649 scopus 로고    scopus 로고
    • Medication error identification is a key to prevention: A performance improvement approach
    • Hritz RW, Everly JL, Care SA. Medication error identification is a key to prevention: a performance improvement approach. J Healthcare Qual. 2002;24:10-7.
    • (2002) J Healthcare Qual , vol.24 , pp. 10-17
    • Hritz, R.W.1    Everly, J.L.2    Care, S.A.3
  • 41
    • 17844408785 scopus 로고    scopus 로고
    • Computer adverse drug event (ADE) detection and alerts
    • Making health care safer: a critical analysis of patient safety practices. Rockville (MD): Agency for Healthcare Research and Quality, July
    • Gandhi TK, Bates DW. Computer adverse drug event (ADE) detection and alerts. En: Making health care safer: a critical analysis of patient safety practices. Rockville (MD): Agency for Healthcare Research and Quality, July 2001. AHRQ publication n.o 01-E058.
    • (2001) AHRQ Publication N.o 01-E058
    • Gandhi, T.K.1    Bates, D.W.2
  • 42
    • 0025719244 scopus 로고
    • Computerized surveillance of adverse drug events in hospital patients
    • Classen DC, Pestotnik SL, Evans RS, Burke JP. Computerized surveillance of adverse drug events in hospital patients. JAMA. 1991;266:2847-51.
    • (1991) JAMA , vol.266 , pp. 2847-2851
    • Classen, D.C.1    Pestotnik, S.L.2    Evans, R.S.3    Burke, J.P.4
  • 44
    • 0032556151 scopus 로고    scopus 로고
    • A computer alert system to prevent injury from adverse drug events. Development and evaluation in a community teaching hospital
    • Raschke RA, Gollihare B, Wunderlich TA, Guirdry JR, Leibowitz AI, Peirce JC, et al. A computer alert system to prevent injury from adverse drug events. Development and evaluation in a community teaching hospital. JAMA. 1998;280:1317-20.
    • (1998) JAMA , vol.280 , pp. 1317-1320
    • Raschke, R.A.1    Gollihare, B.2    Wunderlich, T.A.3    Guirdry, J.R.4    Leibowitz, A.I.5    Peirce, J.C.6
  • 45
    • 0037699987 scopus 로고    scopus 로고
    • Adverse drug event trigger tool: A practical methodology for measuring medication related harm
    • Rozich JD, Haraden CR, Resar RK. Adverse drug event trigger tool: a practical methodology for measuring medication related harm. Qual Saf Health Care. 2003;12:194-200.
    • (2003) Qual Saf Health Care , vol.12 , pp. 194-200
    • Rozich, J.D.1    Haraden, C.R.2    Resar, R.K.3
  • 47
    • 0038110957 scopus 로고    scopus 로고
    • Errores de medicación: Estandarización de la terminología y clasificación. Resultados de la beca Ruiz-Jarabo 2000
    • Madrid
    • Otero López MJ, Codina Jané C, Tamés Alonso MJ, Pérez Encinas M, en representación del Grupo de Trabajo Ruiz-Jarabo 2000. Errores de medicación: estandarización de la terminología y clasificación. Resultados de la beca Ruiz-Jarabo 2000. Farmacia Hosp (Madrid). 2003;27:137-49.
    • (2003) Farmacia Hosp , vol.27 , pp. 137-149
    • Otero López, M.J.1    Codina Jané, C.2    Tamés Alonso, M.J.3    Pérez Encinas, M.4
  • 49
    • 0026004751 scopus 로고
    • Severity-indexed, incident report-based medication error-reporting program
    • Hartwig SC, Denger SD, Schneider PJ. Severity-indexed, incident report-based medication error-reporting program. Am J Hosp Pharm. 1991;48:2611-6.
    • (1991) Am J Hosp Pharm , vol.48 , pp. 2611-2616
    • Hartwig, S.C.1    Denger, S.D.2    Schneider, P.J.3
  • 50
    • 0002101072 scopus 로고    scopus 로고
    • High-alert medications: Safeguarding against errors
    • Cohen MR, editor. Washington (DC): American Pharmaceutical Association
    • Cohen MR, Kilo CM. High-alert medications: safeguarding against errors. En: Cohen MR, editor. Medication Errors. Washington (DC): American Pharmaceutical Association; 1999.
    • (1999) Medication Errors
    • Cohen, M.R.1    Kilo, C.M.2
  • 51
    • 0142017247 scopus 로고    scopus 로고
    • Instituto para el Uso Seguro de los Medicamentos
    • ISMP-España. Instituto para el Uso Seguro de los Medicamentos. Notificación de errores al ISMP-España. Disponible en: www.usal.es/ismp
    • Notificación de Errores Al ISMP-España
  • 52
    • 34047108541 scopus 로고    scopus 로고
    • Strategies and tips for maximizing failure mode and effect analysis in an organization
    • Summer
    • American Society for Healthcare Risk Management. Strategies and tips for maximizing failure mode and effect analysis in an organization. ASHRM J. 2002 (Summer);9-12.
    • (2002) ASHRM J , pp. 9-12
  • 54
    • 0028271622 scopus 로고
    • Failure mode and effect analysis: A novel approach to avoiding dangerous medication errors and accidents
    • Cohen MR, Senders J, Davis NM. Failure mode and effect analysis: a novel approach to avoiding dangerous medication errors and accidents. Hosp Pharm. 1994;29:319-24,326-8, 330.
    • (1994) Hosp Pharm , vol.29 , pp. 319-324
    • Cohen, M.R.1    Senders, J.2    Davis, N.M.3
  • 55
    • 3142766060 scopus 로고    scopus 로고
    • Nuevas iniciativas para mejorar la seguridad de la utilizacion de los medicamentos en los hospitales
    • Otero MJ. Nuevas iniciativas para mejorar la seguridad de la utilizacion de los medicamentos en los hospitales. Rev Esp Salud Pública. 2004;78:323-39.
    • (2004) Rev Esp Salud Pública , vol.78 , pp. 323-339
    • Otero, M.J.1
  • 56
    • 0142049441 scopus 로고    scopus 로고
    • Evaluating and improving your medication use system
    • Cousins DD, editor. Oakbrook Terrace (IL): Joint Commission
    • Hanold LS, Vinson BE, Rubino A. Evaluating and improving your medication use system. En: Cousins DD, editor. Medication use: a systems approach to reducing errors. Oakbrook Terrace (IL): Joint Commission; 1998. p. 75-115.
    • (1998) Medication Use: A Systems Approach to Reducing Errors , pp. 75-115
    • Hanold, L.S.1    Vinson, B.E.2    Rubino, A.3
  • 57
    • 0034681863 scopus 로고    scopus 로고
    • Safe health care: Are we up to it?
    • Leape LL, Berwick D. Safe health care: are we up to it? BMJ. 2000;320:725-6.
    • (2000) BMJ , vol.320 , pp. 725-726
    • Leape, L.L.1    Berwick, D.2


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