Impact of a statewide reporting system on medication error reduction

Journal of Patient Safety

Volumn 2, Issue 3, 2006, Pages 116-123

  Rask, Kimberly ^a,c   Hawley, Jonathan ^a   Davis, Anne ^b   Naylor, Dorothy ^b   Thorpe, Kenneth ^a  

^a EMORY UNIVERSITY   (United States)

^b Georgia Hospital Association   (United States)

^c EMORY UNIVERSITY   (United States)

Author keywords

Hospital quality improvement; Medication errors; Patient safety

Indexed keywords

EID: 33749826679     PISSN: 15498417     EISSN: 15498425     Source Type: Journal    
DOI: 10.1097/01.jps.0000226323.37963.19     Document Type: Article

References (12)

1. 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 of the Harvard Medical Practice Study. N Engl J Med. 1991;324:370-376.
3. 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;324:377-384.
4. What is a medication error? Coordinating Council for Medication Error Reporting and Prevention. Available at: http://www.nccmerp.org/aboutMedErrors. html. Accessed May 15, 2005.
5. 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.
6. Barker KN, Flynn EA, Pepper GA, et al. Medication errors observed in 36 health care facilities. Arch Intern Med. 2002;162:1897-1903.
7. 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.
8. Kaushal R, Shojania KG, Bates DW. Effect of computerized physician order entry and clinical decision support systems on medication safety. Arch Intern Med. 2003;163:1409-1416.
9. Rask KR, Schuessler LD, Naylor D. A voluntary error-reporting system at work: the Georgia experience. JCJQPS, 2006. In press.
10. Hicks RW, Cousins DD, Williams RL. Selected medication-error data from USP's MEDMARX program for 2002. Am J Health Syst Pharm. 2004;61:993-1000.
11. Jones KJ, Cochran G, Hicks RW, et al. Translating research into practice: voluntary reporting of medication errors in critical access hospitals. J Rural Health. 2004;20(4):335-343.
12. Classen DC, Metzger J. Improving medication safety: the measurement conundrum and where to start. Int J Qual Health Care. 2003;15(1):i41-i47.