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Volumn 75, Issue 12, 2006, Pages 809-817

The need for organizational change in patient safety initiatives

Author keywords

Incident reporting systems; Medical errors; Organizational change

Indexed keywords

COMPUTER SIMULATION; DATA REDUCTION; HEALTH CARE; HOSPITAL DATA PROCESSING; INFORMATION TECHNOLOGY;

EID: 33750682305     PISSN: 13865056     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ijmedinf.2006.05.043     Document Type: Article
Times cited : (48)

References (42)
  • 1
    • 33645428654 scopus 로고    scopus 로고
    • Kohn K.T., Corrigan J.M., and Donaldson M.S. (Eds), Institute of Medicine, National Academy Press, Washington, DC
    • In: Kohn K.T., Corrigan J.M., and Donaldson M.S. (Eds). To Err is Human: Building a Safer Health System. (2001), Institute of Medicine, National Academy Press, Washington, DC
    • (2001) To Err is Human: Building a Safer Health System.
  • 2
    • 0036250320 scopus 로고    scopus 로고
    • Morbidity and mortality from medical errors: an increasingly serious public health problem
    • Phillips D.P., and Bredder C.C. Morbidity and mortality from medical errors: an increasingly serious public health problem. Ann. Rev. Pub. Health 23 (2002) 135-150
    • (2002) Ann. Rev. Pub. Health , vol.23 , pp. 135-150
    • Phillips, D.P.1    Bredder, C.C.2
  • 3
    • 0032522873 scopus 로고    scopus 로고
    • Incidence of adverse drug reactions in hospitalized patients: a meta-analysis of prospective studies
    • Lazarou J., Pomeranz B.H., and Corey P.N. Incidence of adverse drug reactions in hospitalized patients: a meta-analysis of prospective studies. J. Am. Med. Assoc. 279 (1998) 1200-1205
    • (1998) J. Am. Med. Assoc. , vol.279 , pp. 1200-1205
    • Lazarou, J.1    Pomeranz, B.H.2    Corey, P.N.3
  • 5
    • 33750705386 scopus 로고    scopus 로고
    • Institute of Medicine, Crossing the Quality Chasm: A New Health System for the 21st Century. National Academy Press, Washington, DC, 2001.
  • 6
    • 0037079030 scopus 로고    scopus 로고
    • Reporting of adverse events
    • Leape L.L. Reporting of adverse events. New England J. Med. 347 20 (2002) 1633-1638
    • (2002) New England J. Med. , vol.347 , Issue.20 , pp. 1633-1638
    • Leape, L.L.1
  • 7
    • 0029384423 scopus 로고
    • The incident reporting system does not detect adverse drug events: a problem for quality improvement
    • Cullen D.J., Bates D.W., Small S.D., et al. The incident reporting system does not detect adverse drug events: a problem for quality improvement. J. Qual. Im. 21 (1995) 541-548
    • (1995) J. Qual. Im. , vol.21 , pp. 541-548
    • Cullen, D.J.1    Bates, D.W.2    Small, S.D.3
  • 8
    • 18644383685 scopus 로고    scopus 로고
    • Five years after to err is human: what have we learned
    • Leape L.L., and Berwick D.M. Five years after to err is human: what have we learned. J. Am. Med. Assoc. 293 (2005) 2384-2390
    • (2005) J. Am. Med. Assoc. , vol.293 , pp. 2384-2390
    • Leape, L.L.1    Berwick, D.M.2
  • 9
    • 0032033923 scopus 로고    scopus 로고
    • Some hopes and concerns regarding medical event-reporting systems: lessons from the NASA aviation safety reporting system
    • Billings C.E. Some hopes and concerns regarding medical event-reporting systems: lessons from the NASA aviation safety reporting system. Arch. Pathol. Lab. Med. 122 3 (1998) 214-215
    • (1998) Arch. Pathol. Lab. Med. , vol.122 , Issue.3 , pp. 214-215
    • Billings, C.E.1
  • 10
    • 33750701927 scopus 로고    scopus 로고
    • Veterans Administration Patient Safety reporting System (PSFS), http://www.psrs.arc.nasa.gov/.
  • 11
    • 33750712849 scopus 로고    scopus 로고
    • Bagian on patient safety initiative
    • Mears D., White S.V., and James P. Bagian on patient safety initiative. J. Health Care Qual. 24 15-16 (2002) 24
    • (2002) J. Health Care Qual. , vol.24 , Issue.15-16 , pp. 24
    • Mears, D.1    White, S.V.2    James, P.3
  • 12
    • 33750722904 scopus 로고    scopus 로고
    • Institute for Safe Medication Practices Medication Error Program, http://www.ismp.org/pasgesd/communication.asp.
  • 14
    • 0347052853 scopus 로고    scopus 로고
    • Development of a web-based event reporting system in an academic environment
    • Mekhjian H.S., Bentley T.D., Ahmad A., and Harsh G. Development of a web-based event reporting system in an academic environment. J. Am. Med. Inform. Assoc. 11 1 (2004) 11-18
    • (2004) J. Am. Med. Inform. Assoc. , vol.11 , Issue.1 , pp. 11-18
    • Mekhjian, H.S.1    Bentley, T.D.2    Ahmad, A.3    Harsh, G.4
  • 15
    • 4243199175 scopus 로고    scopus 로고
    • Event reporting to a primary care safety reporting system: A report from the ASIPS collaborative
    • Fernald D.H., Pace W.D., et al. Event reporting to a primary care safety reporting system: A report from the ASIPS collaborative. Ann. Family Med. 2 (2004) 327-332
    • (2004) Ann. Family Med. , vol.2 , pp. 327-332
    • Fernald, D.H.1    Pace, W.D.2
  • 17
    • 31544482442 scopus 로고    scopus 로고
    • Results of a survey on medical error reporting systems in Korean hospitals
    • Kim J., and Bates D.W. Results of a survey on medical error reporting systems in Korean hospitals. Int. J. Med. Inform. 75 2 (2006) 148-155
    • (2006) Int. J. Med. Inform. , vol.75 , Issue.2 , pp. 148-155
    • Kim, J.1    Bates, D.W.2
  • 18
    • 0142151425 scopus 로고    scopus 로고
    • Voluntary medication error reporting program in a Japanese national university hospital
    • Furukawa H., Bunko H., Tsuchiya F., and Miyamoto K. Voluntary medication error reporting program in a Japanese national university hospital. Ann. Pharmacother. 37 11 (2003) 1716-1722
    • (2003) Ann. Pharmacother. , vol.37 , Issue.11 , pp. 1716-1722
    • Furukawa, H.1    Bunko, H.2    Tsuchiya, F.3    Miyamoto, K.4
  • 19
    • 13444249584 scopus 로고    scopus 로고
    • Monitoring incident report in the healthcare process to improve quality in hospitals
    • Le Duff F., Daniel S., Kamendje B., Le Beux P., and Duvauferrier R. Monitoring incident report in the healthcare process to improve quality in hospitals. Int. J. Med. Inform. 74 2-4 (2005) 111-117
    • (2005) Int. J. Med. Inform. , vol.74 , Issue.2-4 , pp. 111-117
    • Le Duff, F.1    Daniel, S.2    Kamendje, B.3    Le Beux, P.4    Duvauferrier, R.5
  • 22
    • 33750701554 scopus 로고    scopus 로고
    • R.W. Hicks, J.P. Santell, D.D. Cousins, R.L. Williams, MEDMARX Fifth Anniversary Data Report: A Chartbook of 2003 Findings and Trends 1999-2003, 2004.
  • 23
    • 33750737117 scopus 로고    scopus 로고
    • National Coordinating Council for Medication Error Reporting and Prevention, What is a Medication Error?, 1998.
  • 24
    • 27644591867 scopus 로고    scopus 로고
    • Clinical cognition and biomedical informatics: Issues of patient safety
    • Patel V.L., and Currie L.M. Clinical cognition and biomedical informatics: Issues of patient safety. Int. J. Med. Inform. 74 11-12 (2005) 559-561
    • (2005) Int. J. Med. Inform. , vol.74 , Issue.11-12 , pp. 559-561
    • Patel, V.L.1    Currie, L.M.2
  • 25
    • 3042749829 scopus 로고    scopus 로고
    • Managing the three 'P's to improve patient safety: Nursing administration's role in managing information technology
    • Simpson R.L. Managing the three 'P's to improve patient safety: Nursing administration's role in managing information technology. Int. J. Med. Inform. 73 7-8 (2004) 111-117
    • (2004) Int. J. Med. Inform. , vol.73 , Issue.7-8 , pp. 111-117
    • Simpson, R.L.1
  • 26
    • 33750700917 scopus 로고    scopus 로고
    • R. Ramanujam, D.J. Keyser, C.A. Sirio, Missing: The logic of organizational change in patient safety initiatives, Unpublished manuscript, 2004.
  • 27
    • 0034681866 scopus 로고    scopus 로고
    • Gaps in the continuity of care and progress on patient safety
    • Cook R., Render M., and Woods D. Gaps in the continuity of care and progress on patient safety. Br. Med. J. 320 (2000) 791-794
    • (2000) Br. Med. J. , vol.320 , pp. 791-794
    • Cook, R.1    Render, M.2    Woods, D.3
  • 28
    • 6944226460 scopus 로고    scopus 로고
    • A system's approach to preventing adverse drug events
    • Krishna S., Balas E.A., and Boren S.A. (Eds), IOS Press, The Netherlands
    • Anderson J.G. A system's approach to preventing adverse drug events. In: Krishna S., Balas E.A., and Boren S.A. (Eds). Information Technology Business Models for Quality Health Care: An EU/US Dialogue (2003), IOS Press, The Netherlands 95-102
    • (2003) Information Technology Business Models for Quality Health Care: An EU/US Dialogue , pp. 95-102
    • Anderson, J.G.1
  • 29
    • 0035948630 scopus 로고    scopus 로고
    • Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer
    • Hayard R.A., and Hofer T.P. Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. J. Am. Med. Assoc. 286 4 (2001) 415-420
    • (2001) J. Am. Med. Assoc. , vol.286 , Issue.4 , pp. 415-420
    • Hayard, R.A.1    Hofer, T.P.2
  • 30
    • 0036718584 scopus 로고    scopus 로고
    • Evaluating the capability of information technology to prevent adverse drug events: A computer simulation approach
    • Anderson J.G., Jay S.J., Anderson M., and Hunt T.J. Evaluating the capability of information technology to prevent adverse drug events: A computer simulation approach. J. Am. Med. Inform. Assoc. 9 (2002) 479-490
    • (2002) J. Am. Med. Inform. Assoc. , vol.9 , pp. 479-490
    • Anderson, J.G.1    Jay, S.J.2    Anderson, M.3    Hunt, T.J.4
  • 31
    • 4544260415 scopus 로고    scopus 로고
    • Information technology for detecting medication errors and adverse drug events
    • Anderson J.G. Information technology for detecting medication errors and adverse drug events. Expert Opin. Drug Saf. 3 5 (2004) 449-455
    • (2004) Expert Opin. Drug Saf. , vol.3 , Issue.5 , pp. 449-455
    • Anderson, J.G.1
  • 33
    • 1542327773 scopus 로고    scopus 로고
    • Some unintended consequences of information technology in health care: the nature of patient care information system-related errors
    • Ash J.S., Berg M., and Coiera E. Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. J. Am. Med. Inform. Assoc. 11 2 (2004) 104-112
    • (2004) J. Am. Med. Inform. Assoc. , vol.11 , Issue.2 , pp. 104-112
    • Ash, J.S.1    Berg, M.2    Coiera, E.3
  • 36
    • 33748316043 scopus 로고    scopus 로고
    • Organizational development framework for transformational change in patient safety: a guide for hospital senior leaders
    • Youngberg B.J., and Hatlie M.J. (Eds), Jones and Bartlett Publishers, Boston
    • Behal R. Organizational development framework for transformational change in patient safety: a guide for hospital senior leaders. In: Youngberg B.J., and Hatlie M.J. (Eds). The Patient Safety Handbook (2004), Jones and Bartlett Publishers, Boston
    • (2004) The Patient Safety Handbook
    • Behal, R.1
  • 37
    • 0025719244 scopus 로고
    • Computerized surveillance of adverse drug events in hospital patients
    • Classen D.C., Pestotnik S.L., Evans R.S., and Burke J.P. Computerized surveillance of adverse drug events in hospital patients. J. Am. Med. Assoc. 266 (1991) 2847-2851
    • (1991) J. Am. Med. Assoc. , vol.266 , pp. 2847-2851
    • Classen, D.C.1    Pestotnik, S.L.2    Evans, R.S.3    Burke, J.P.4
  • 39
    • 18844437027 scopus 로고    scopus 로고
    • Prevention of prescription errors by computerized, on-line surveillance of drug order entry
    • Oliven A., Michalake I., Zalman D., Dorman E., Yeshurun D., and Odeh M. Prevention of prescription errors by computerized, on-line surveillance of drug order entry. Int. J. Med. Inform. 74 5 (2005) 377-386
    • (2005) Int. J. Med. Inform. , vol.74 , Issue.5 , pp. 377-386
    • Oliven, A.1    Michalake, I.2    Zalman, D.3    Dorman, E.4    Yeshurun, D.5    Odeh, M.6
  • 42
    • 0037322973 scopus 로고    scopus 로고
    • Keep the patients safe
    • Donaldson L. Keep the patients safe. Qual. World 29 2 (2003) 10-12
    • (2003) Qual. World , vol.29 , Issue.2 , pp. 10-12
    • Donaldson, L.1


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