Medication safety program reduces adverse drug events in a community hospital

Quality and Safety in Health Care

Volumn 14, Issue 3, 2005, Pages 169-174

  Cohen, M M ^a,b   Kimmel, N L ^b   Benage, M K ^b   Cox, M J ^b   Sanders, N ^b   Spence, D ^b   Chen, J ^b  

^a NEW YORK UNIVERSITY   (United States)

^b MISSOURI BAPTIST MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIBIOTIC AGENT; DIGOXIN; DROTRECOGIN; HEPARIN; INSULIN; LEPIRUDIN; ORAL ANTIDIABETIC AGENT; PHOSPHATE; POTASSIUM; WARFARIN;

ARTICLE; CLINICAL PROTOCOL; COMMUNITY HOSPITAL; DISEASE SEVERITY; DRUG SAFETY; ENTERIC FEEDING; GASTROINTESTINAL HEMORRHAGE; HEALTH PROGRAM; HOSPITAL COST; HOSPITAL DISCHARGE; HOSPITAL PATIENT; HUMAN; HYPOGLYCEMIA; INTERNATIONAL NORMALIZED RATIO; MEDICAL AUDIT; MEDICATION ERROR; POSTOPERATIVE NAUSEA; POSTOPERATIVE VOMITING; PRESCRIPTION; SIDE EFFECT; TOTAL PARENTERAL NUTRITION; VENOUS THROMBOEMBOLISM;

ADVERSE DRUG REACTION REPORTING SYSTEMS; CLINICAL PHARMACY INFORMATION SYSTEMS; DELIVERY OF HEALTH CARE, INTEGRATED; DRUG THERAPY; DRUG UTILIZATION REVIEW; HOSPITAL COSTS; HOSPITALS, COMMUNITY; HOSPITALS, VOLUNTARY; HUMANS; LENGTH OF STAY; MEDICATION ERRORS; MEDICATION SYSTEMS, HOSPITAL; MISSOURI; ORGANIZATIONAL CULTURE; SAFETY MANAGEMENT;

EID: 20644455961     PISSN: 14753898     EISSN: None     Source Type: Journal    
DOI: 10.1136/qshc.2004.010942     Document Type: Article

References (31)

1. Leape LL, Brennan TA, Laird N, 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.
2. Institute for Safe Medication Practices (ISMP). www.ismp.org (accessed 1 December 2004).
3. Massachusetts Coalition for the Prevention of Medical Errors. MHA best practice recommendations to reduce medication errors. Burlington: Massachusetts Coalition for the Prevention of Medical Errors, 2001. Available at http://www.mhalink.org (accessed 1 December 2004).
4. American Hospital Association. AHA initiative: improving medication safety. Chicago, IL: American Hospital Association, 2002. Available at http://www.aha.org (accessed 1 December 2003).
5. Shojania KG, Duncan BW, McDonald KM, et al. Making health care safer: a critical analysis of patient safety practices, Evidence Report/Technology Assessment No 43. AHRQ publication 01-E058. Rockville, MD: Agency for Healthcare Research and Quality, 2001.
6. Evans RS, Pestotnik SL, Classen DC, et al. A computer-assisted management program for antibiotics and other antiinfective agents. N Engl J Med 1998;338:232-8.
7. McMullin ST, Reichley RM, Watson LA, et al. Impact of a web-based clinical information system on cisapride drug interactions and patient safety. Arch Intern Med 1999;159:2077-82.
8. Bates DW, Teich JM, Lee J, et al. The impact of computerized physician order entry on medication errors prevention. J Am Med Inform Assoc 1999;6:313-21.
9. Celi LA, Hassan E, Manquard C, et al. The eICU: it's not just telemedicine. Crit Care Med 2001;29(Suppl):N183-9.
10. Gebhart F. VA facility slashes drug errors via bar-coding. Drug Topics 1999;1:44.
11. Bazzoli F. Medication errors. Automation holds promise of prevention. Health Data Manag 1995;3:30-32, 34, 36-39.
12. Oren E, Shaffer ER, Guglielmo BJ. Impact of emerging technologies on medication errors and adverse drug events. Am J Health-Syst Pharm 2003;60:1447-58.
13. Murray MD. Automated medication dispensing devices. In:Making health care safer:a critical analysis of patient safety practices. AHRQ, UCSF-Stanford University Evidence-based Practice Center, June 2001. http://www.ahrq.gov/ clinic/ptsafely/chap11.htm (accessed 30 September 2004).
14. Cohen MM, Kimmel NL, Benage MK, et al. Implementation of a hospitalwide patient safety program. Jt Comm J Qual Safety 2004;30:424-31.
15. Stamatis DH. Failure mode and effects analysis: FMEA from theory to execution. Milwaukee, WI: ASQC Quality Press, 1995.
16. Cohen MM, Eustis MA, Gribbins RE. Changing the culture of patient safety: Leadership's role in health care quality improvement. Jt Comm J Qual Safety 2003;29:329-35.
17. Rozich JD, Haraden CR, Resar RK. Adverse drug event tool: a practical methodology for measuring medication related harm. Qual Saf Health Care 2003;12:194-200.
18. National Coordinating Council for Medication Error Reporting and Prevention. http://www.mers-tm.net (accessed 1 December 2004).
19. Institute of Medicine: To err is human. Building a safer health system. Washington DC: National Academy Press, 2000.
20. Quality Interagency Coordination Task Force. Doing what counts for patient safety: Federal actions to reduce medical errors and their impact. Washington, DC: US Department of Health and Human Services, 2000.
21. Kizer KW. The National Quality Forum seeks to improve health care. Acad Med 2000;75:320-1.
22. Findlay S, ed. Reducing medical errors and improving patient safety - success stories from the front lines of medicine. Washington, DC: National Coalition on Healthcare and the Institute for Healthcare Improvement, 2000.
23. Cohen MR, ed. Medication errors. Washington, DC: American Pharmaceutical Association, 1999.
24. American Hospital Association. Improving medication safety. AHA Quality Advisory 7 December, 1999.
25. The Leapfrog Group for Patient Safety. Rewarding higher standards. http://www.leapfroggroup.org (accessed 1 December 2004).
26. Bates DW, Gawande AA. Improving safety with information technology. N Engl J Med 2003;348:2526-34.
27. Berwick DM. Errors today and errors tomorrow. N Engl J Med 2003;348:2570-2.
28. 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.
29. Bales DW, Spell N, Cullen DJ, et al. The costs of adverse drug events in hospitalized patients. JAMA 1997;277:307-11.
30. Food, Drug Administration (FDA). Bar code label requirement for human drug products and blood: proposed rule. Fed Reg 2003;68:12499-534.
31. Weeks WB, Waldron J, Foster T, et al. The organizational costs of preventable medical errors. Jt Comm J Qual Improv 2001;27:533-9.