Preventing medication errors: A summary

American Journal of Health-System Pharmacy

Volumn 64, Issue 14 SUPPL., 2007, Pages

  Bates, David W ^a,b  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

Author keywords

Computers, economics; Errors, medication; Hospitals; Institute of Medicine; Patient information; Pharmacy, institutional, hospital; Quality assurance; Risk management; Technology; Toxicity

Indexed keywords

CONFERENCE PAPER; DRUG INFUSION; DRUG LABELING; ELECTRONIC MEDICAL RECORD; HOSPITAL INFORMATION SYSTEM; HUMAN; KIDNEY FAILURE; MEDICAL ORDER; MEDICATION ERROR; PATIENT INFORMATION; PATIENT SAFETY; PATIENT TRANSPORT; PHARMACY; PRACTICE GUIDELINE; PRESCRIPTION; PRIMARY PREVENTION; PRIORITY JOURNAL; PUBLICATION; QUALITY CONTROL; RISK FACTOR; RISK MANAGEMENT; TECHNOLOGY;

EID: 34447539559     PISSN: 10792082     EISSN: None     Source Type: Journal    
DOI: 10.2146/ajhp070190     Document Type: Conference Paper

References (20)

1. Institute of Medicine. To err is human: building a safer health system. L.T. Kohn, J. M. Corrigan, & M. S. Donaldson (Eds.). Washington, DC: National Academy Press, 2000.
2. Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press, 2001.
3. Institute of Medicine. Preventing medication errors: quality chasm series. Washington, DC: National Academy Press, 2006.
4. 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; 280:1311-6.
5. Bates DW, Teich JM, Lee J et al. The impact of computerized physician order entry on medication error prevention. J Am Med Inform Assoc. 1999 Jul-Aug; 6(4):313-21.
6. Chertow GM, Kuperman GJ, Burdick E et al. Guided medication dosing for inpatients with renal insufficiency. JAMA. 2001; 286(22):2839-44.
7. Peterson JF, Kuperman GJ, Shek C et al. Guided prescription of psychotropic medications for geriatric inpatients. Arch Intern Med. 2005; 165(7):802-7.
8. Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. Arch Intern Med. 2003; 163(12):1409-16.
9. Koppel R, Metlay JP, Cohen A et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA. 2005; 293(10):1197-203.
10. Ash JS, Fournier L, Stavri PZ et al. Principles for a successful computerized physician order entry implementation. AMIA Annu Symp Proc. 2003; 36-40.
11. Bates DW. Computerized physician order entry and medication errors: finding a balance. J Biomed Inform. 2005; 38(4):259-61.
12. Han YY, Carcillo JA, Venkataraman ST et al. Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Pediatrics. 2005; 116(6):1506-12. Erratum in: Pediatrics. 2006; 117(2):594.
13. Phibbs CS, Milstein A, Delbanco SD et al. No Proven Link Between CPOE and Mortality. Pediatrics. 2005; 116(6):1506-12.
14. ISMP. "Smart" infusion pumps join CPOE and bar coding as important ways to prevent medication errors. ISMP Medication Safety Alert! 2002 Feb 6.
15. Rothschild JM, Keohane CA, Cook EF et al. A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. Crit Care Med. 2005; 33(3):533-40,679.
16. Taxis K, Barber N. Causes of intravenous medication errors: an ethnographic study. Qual Saf Health Care. 2003; 12(5):343-7.
17. Bates DW, Vanderveen T, Seger DL et al. Variability in intravenous medication practices: implications for medication safety. Jt Comm J Pt Safety Qual. 2005; 31(4):203-10.
18. San Diego Patient Safety Consortium. Getting Started Kit: Safe Administration of High-Risk IV Medications, Intra- and Inter-Hospital Standardization: Drug Concentrations and Dosing Units. How-to Guide, 2006. www.cardinalhealth.com/clinicalcenter/ (accessed 2007 Jan 24).
19. Cina JL, Gandhi TK, Churchill W et al. How many hospital pharmacy medication dispensing errors go undetected? Jt Comm J Qual Patient Saf. 2006; 32(2):73-80.
20. Poon EG, Cina JL, Churchill W et al. Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. Ann Intern Med. 2006; 145(6):426-34.