메뉴 건너뛰기




Volumn 17, Issue 2, 2009, Pages 155-164

Adverse events in health care: A literature review

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; HUMAN; MEDICAL ERROR; RISK MANAGEMENT; STATISTICS; UNITED KINGDOM;

EID: 64549090124     PISSN: 09660429     EISSN: 1365263X     Source Type: Journal    
DOI: 10.1111/j.1365-2834.2008.00887.x     Document Type: Article
Times cited : (25)

References (58)
  • 1
    • 2942571128 scopus 로고    scopus 로고
    • The Canadian Adverse Events Study: The incidence of adverse events among hospital patients in Canada
    • Baker G.R., Norton P., Flintoft V. et al. (2004) The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. Canadian Medical Association Journal 170 (11 1678 1686.
    • (2004) Canadian Medical Association Journal , vol.170 , Issue.11 , pp. 1678-1686
    • Baker, G.R.1    Norton, P.2    Flintoft, V.3
  • 2
    • 0035350644 scopus 로고    scopus 로고
    • Improving quality, minimizing error: Making it happen
    • Becher E.C. Chassin M.R. (2001) Improving quality, minimizing error: making it happen. Health Affairs 20 (3 68 81.
    • (2001) Health Affairs , vol.20 , Issue.3 , pp. 68-81
    • Becher, E.C.1    Chassin, M.R.2
  • 3
    • 0025924692 scopus 로고
    • Incidence of adverse events and negligence in hospitalized patients: Results of the Harvard Medical Practice Study
    • Brennan T.A., Leape L.L., Laird N.M. et al. (1991) Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study. New England Journal of Medicine 324 (6 324 376.
    • (1991) New England Journal of Medicine , vol.324 , Issue.6 , pp. 324-376
    • Brennan, T.A.1    Leape, L.L.2    Laird, N.M.3
  • 5
    • 33847075055 scopus 로고    scopus 로고
    • Collins. Harper Collins Publishers. Glasgow.
    • Collins (1999) English Dictionary. Harper Collins Publishers, Glasgow.
    • (1999) English Dictionary.
  • 6
    • 1842852978 scopus 로고    scopus 로고
    • Who, when and where? Identification of patients are risk of an in-hospital adverse event: Implications for nursing practice
    • Considine J. Botti M. (2004) Who, when and where? Identification of patients are risk of an in-hospital adverse event: implications for nursing practice. International Journal of Nursing Practice 10, 21 31.
    • (2004) International Journal of Nursing Practice , vol.10 , pp. 21-31
    • Considine, J.1    Botti, M.2
  • 7
    • 23844532535 scopus 로고    scopus 로고
    • Foundation years training and patient safety - A comprehensive introduction?
    • Cowan J. Kavanagh S. (2005) Foundation years training and patient safety - a comprehensive introduction? Clinical Governance 10 (3 254 260.
    • (2005) Clinical Governance , vol.10 , Issue.3 , pp. 254-260
    • Cowan, J.1    Kavanagh, S.2
  • 11
    • 0003719826 scopus 로고    scopus 로고
    • Department of Health and Children. Stationary Office. Dublin.
    • Department of Health and Children (2001) Quality and Fairness - A Health System for You. Stationary Office, Dublin.
    • (2001) Quality and Fairness - A Health System for You.
  • 12
    • 0036631770 scopus 로고    scopus 로고
    • Computerised physician order entry systems: Mandates and incentives
    • Doolan D.F. Bates D.W. (2002) Computerised physician order entry systems: mandates and incentives. Health Affairs 21 (4 180 188.
    • (2002) Health Affairs , vol.21 , Issue.4 , pp. 180-188
    • Doolan, D.F.1    Bates, D.W.2
  • 13
    • 0642336133 scopus 로고    scopus 로고
    • Incident reports - Correcting processes and reducing errors
    • Dunn D. (2003) Incident reports - correcting processes and reducing errors. Association of Operating Room Nurses 78 (2 212 233.
    • (2003) Association of Operating Room Nurses , vol.78 , Issue.2 , pp. 212-233
    • Dunn, D.1
  • 14
    • 0034619028 scopus 로고    scopus 로고
    • Adverse drug reactions: Definitions, diagnosis, and management
    • Edwards I.R. Aronson J.K. (2000) Adverse drug reactions: definitions, diagnosis, and management. The Lancet 356, 1255 1259.
    • (2000) The Lancet , vol.356 , pp. 1255-1259
    • Edwards, I.R.1    Aronson, J.K.2
  • 15
    • 64549126064 scopus 로고    scopus 로고
    • Clinical perspectives on patient safety
    • In. K. Walshe. R. Boaden. eds. pp. Open University Press. Berkshire.
    • Esmail A. (2006) Clinical perspectives on patient safety. In Patient Safety: Research Into Practice (K. Walshe R. Boaden eds pp. 9 18. Open University Press, Berkshire.
    • (2006) Patient Safety: Research into Practice , pp. 9-18
    • Esmail, A.1
  • 16
    • 7044226470 scopus 로고    scopus 로고
    • Strategies for detecting adverse drug events among older persons in the ambulatory setting
    • Field T., Gurwitz J., Harrold L. et al. (2004) Strategies for detecting adverse drug events among older persons in the ambulatory setting. Journal of the American Informatics Association 11, 492 498.
    • (2004) Journal of the American Informatics Association , vol.11 , pp. 492-498
    • Field, T.1    Gurwitz, J.2    Harrold, L.3
  • 17
    • 14144249902 scopus 로고    scopus 로고
    • Fatal medical errors estimated to be larger than expected
    • Fine A. (2004) Fatal medical errors estimated to be larger than expected. Managed Care Quarterly 12 (4 12 13.
    • (2004) Managed Care Quarterly , vol.12 , Issue.4 , pp. 12-13
    • Fine, A.1
  • 18
    • 0010906457 scopus 로고
    • Towards a theory of Medical Fallibility
    • In. H.T. Engelhart. D. Callahan. eds. pp. Hastings Centre. Hastings-on-Hudson, NY.
    • Gorowitz J. MacIntyre A. (1976) Towards a theory of Medical Fallibility. In Science, Ethics and Medicine (H.T. Engelhart D. Callahan eds pp. 248 274. Hastings Centre, Hastings-on-Hudson, NY.
    • (1976) Science, Ethics and Medicine , pp. 248-274
    • Gorowitz, J.1    MacIntyre, A.2
  • 19
    • 0345851249 scopus 로고
    • Total quality management: Empirical, conceptual and practical issues
    • Hackman J.R. Wageman R. (1995) Total quality management: empirical, conceptual and practical issues. Administrative Science Quarterly 40 (2 309 342.
    • (1995) Administrative Science Quarterly , vol.40 , Issue.2 , pp. 309-342
    • Hackman, J.R.1    Wageman, R.2
  • 20
    • 64549090275 scopus 로고    scopus 로고
    • Health Care Commission. Commission for Healthcare Audit Inspection. London.
    • Health Care Commission (2006) State of Health Care. Commission for Healthcare Audit Inspection, London.
    • (2006) State of Health Care.
  • 21
    • 0024403458 scopus 로고
    • A study of medical injury and medical malpractice: An overview
    • Hiatt H. (1989) A study of medical injury and medical malpractice: an overview. New England Journal of Medicine 321, 480 484.
    • (1989) New England Journal of Medicine , vol.321 , pp. 480-484
    • Hiatt, H.1
  • 23
    • 0042566142 scopus 로고    scopus 로고
    • Investigation into the reasons for preventable drug related admissions to a medical admission unit: Observational study
    • Howard R.L. (2003) Investigation into the reasons for preventable drug related admissions to a medical admission unit: observational study. Quality and Safety in Health Care 12, 280 285.
    • (2003) Quality and Safety in Health Care , vol.12 , pp. 280-285
    • Howard, R.L.1
  • 24
    • 0003413171 scopus 로고    scopus 로고
    • Institute of Medicine. National Academy Press. Washington D.C.
    • Institute of Medicine (1999) To Err is Human: Building a Safer Health System. National Academy Press, Washington D.C.
    • (1999) To Err Is Human: Building A Safer Health System.
  • 26
    • 10044275267 scopus 로고    scopus 로고
    • Medical errors: The perspective of the insurer
    • James T. (2004) Medical errors: the perspective of the insurer. Journal of Surgical Oncology 88, 195 199.
    • (2004) Journal of Surgical Oncology , vol.88 , pp. 195-199
    • James, T.1
  • 28
    • 33746398576 scopus 로고    scopus 로고
    • Strategies to reduce medication errors with reference to older adults
    • Joanna Briggs Institute
    • Joanna Briggs Institute (2006) Strategies to reduce medication errors with reference to older adults. Nursing Standard 20 (41 53 57.
    • (2006) Nursing Standard , vol.20 , Issue.41 , pp. 53-57
  • 29
    • 0026507208 scopus 로고
    • The economic consequence of medical injuries. Implications for a no-fault insurance plan
    • Johnson J.A., Brennan T.A, Newhouse J.P. et al. (1992) The economic consequence of medical injuries. Implications for a no-fault insurance plan. Journal of the American Medical Association 267 (18 2487 2492.
    • (1992) Journal of the American Medical Association , vol.267 , Issue.18 , pp. 2487-2492
    • Johnson, J.A.1    Brennan, T.A.2    Newhouse, J.P.3
  • 36
    • 0034608839 scopus 로고    scopus 로고
    • Institute of medicine medical error figures are not exaggerated
    • Leape L.L. (2000) Institute of medicine medical error figures are not exaggerated. New England Journal of Medicine 284 (1 95 97.
    • (2000) New England Journal of Medicine , vol.284 , Issue.1 , pp. 95-97
    • Leape, L.L.1
  • 37
    • 0026022279 scopus 로고
    • The nature of adverse events in hospitalised patients results of the Harvard Medical Practice Study II
    • Leape L.L., Brennan T.A., Laird N. et al. (1991) The nature of adverse events in hospitalised patients results of the Harvard Medical Practice Study II. New England Journal of Medicine 324 (6 377 384.
    • (1991) New England Journal of Medicine , vol.324 , Issue.6 , pp. 377-384
    • Leape, L.L.1    Brennan, T.A.2    Laird, N.3
  • 38
    • 0034608973 scopus 로고    scopus 로고
    • Death due to medical errors are exaggerated in Institute of Medicine Report
    • McDonald C.J., Weiner M. Hui S.L. (2000) Death due to medical errors are exaggerated in Institute of Medicine Report. Journal American Medical Association 284 (1 93 95.
    • (2000) Journal American Medical Association , vol.284 , Issue.1 , pp. 93-95
    • McDonald, C.J.1    Weiner, M.2    Hui, S.L.3
  • 41
    • 23644461837 scopus 로고    scopus 로고
    • National Patient Safety Agency. Available at. , accessed on 12th May 2008.
    • National Patient Safety Agency (2004) Seven steps to patient safety: An overview guide for NHS staff. Available at: http://www.npsa.nhs.uk/ patientsafety/improvingpatientsafety/patient-safety-tools-and-guidance/1steps, accessed on 12th May 2008.
    • (2004) Seven Steps to Patient Safety: An Overview Guide for NHS Staff.
  • 43
    • 34247150084 scopus 로고    scopus 로고
    • National Patient Safety Agency. Available at. , accessed on 20 February 2007.
    • National Patient Safety Agency (2006) Quarterly National Reporting and Learning System Data Summery Summer 2006. Available at: http://www.npsa.nhs.uk/ site/media/documents/1847-FINAL.APPENDIX.PSO-QTRLY.pdf, accessed on 20 February 2007.
    • (2006) Quarterly National Reporting and Learning System Data Summery Summer 2006.
  • 44
    • 64549114993 scopus 로고    scopus 로고
    • Organisation for Economic Cooperation and Development. Available at. , accessed on 10 September 2007.
    • Organisation for Economic Cooperation and Development (2007) Health Care Quality Indicators Project. Available at: http://www.oecd.org/health.hcqi, accessed on 10 September 2007.
    • (2007) Health Care Quality Indicators Project.
  • 45
    • 55049108745 scopus 로고    scopus 로고
    • Psychological approaches to patient safety
    • In. K. Walshe. R. Boaden. eds. pp. Open University Press. Maidenhead.
    • Parker D. Lawton R. (2006) Psychological approaches to patient safety. In Patient Safety: Research Into Practice (K. Walshe R. Boaden eds pp. 31 40. Open University Press, Maidenhead.
    • (2006) Patient Safety: Research into Practice , pp. 31-40
    • Parker, D.1    Lawton, R.2
  • 47
    • 34547669232 scopus 로고    scopus 로고
    • Malpractice litigation and medical costs in Mississippi
    • Roberts B. Hoch I. (2007) Malpractice litigation and medical costs in Mississippi. Health Economics 16 (8 841 859.
    • (2007) Health Economics , vol.16 , Issue.8 , pp. 841-859
    • Roberts, B.1    Hoch, I.2
  • 48
    • 0346503013 scopus 로고    scopus 로고
    • The role of leadership in instilling a culture of safety: Lessons from the literature
    • Ruchlin H.S., Dubbs N.L. Callahan M.A. (2004) The role of leadership in instilling a culture of safety: lessons from the literature. Journal of Healthcare Management 49 (1 47 59.
    • (2004) Journal of Healthcare Management , vol.49 , Issue.1 , pp. 47-59
    • Ruchlin, H.S.1    Dubbs, N.L.2    Callahan, M.A.3
  • 50
    • 0032701645 scopus 로고    scopus 로고
    • Costs of medical injuries in Utah and Colarado
    • Thomas E.J., Studdart D.M., Newhouse J.P. et al. (1999) Costs of medical injuries in Utah and Colarado. Inquiry 36 (3 255 264.
    • (1999) Inquiry , vol.36 , Issue.3 , pp. 255-264
    • Thomas, E.J.1    Studdart, D.M.2    Newhouse, J.P.3
  • 51
    • 0034146799 scopus 로고    scopus 로고
    • Incidence and types of adverse events and negligent care in Utah and Colorado
    • Thomas E.J., Studdart D.M., Burstein H.R. et al. (2000a) Incidence and types of adverse events and negligent care in Utah and Colorado. Medical Care 38 (3 247 249.
    • (2000) Medical Care , vol.38 , Issue.3 , pp. 247-249
    • Thomas, E.J.1    Studdart, D.M.2    Burstein, H.R.3
  • 52
    • 0033754459 scopus 로고    scopus 로고
    • A comparison of iatrogenic injury studies in Australia and USA 1: Context, methods, case-mix, population, patients and hospital characteristics
    • Thomas E.J., Studdart D.M., Runicman W. et al. (2000b) A comparison of iatrogenic injury studies in Australia and USA 1: Context, methods, case-mix, population, patients and hospital characteristics. International Journal for Quality in Health Care 12 (5 371 378.
    • (2000) International Journal for Quality in Health Care , vol.12 , Issue.5 , pp. 371-378
    • Thomas, E.J.1    Studdart, D.M.2    Runicman, W.3
  • 53
    • 33244477667 scopus 로고    scopus 로고
    • Impact of nursing on hospital patient mortality: A focused review and related policy implications
    • Tourangeau A.E., Cranley L.A. Jeffs L. (2006) Impact of nursing on hospital patient mortality: a focused review and related policy implications. Quality and Safety in Health Care 15, 4 8.
    • (2006) Quality and Safety in Health Care , vol.15 , pp. 4-8
    • Tourangeau, A.E.1    Cranley, L.A.2    Jeffs, L.3
  • 54
    • 0035799063 scopus 로고    scopus 로고
    • Adverse events in British Hospitals: Preliminary retrospective record review
    • Vincent C., Neale G. Woloshynowych M. (2001) Adverse events in British Hospitals: preliminary retrospective record review. British Medical Journal 322, 517 519.
    • (2001) British Medical Journal , vol.322 , pp. 517-519
    • Vincent, C.1    Neale, G.2    Woloshynowych, M.3
  • 55
    • 27744485017 scopus 로고    scopus 로고
    • A framework for integrating NANDA, NIC, and NOC terminology in electronic patient records
    • Von Krogh G., Dale C. Nåden D. (2005) A framework for integrating NANDA, NIC, and NOC terminology in electronic patient records. Journal of Nursing Scholarship 37 (3 275 281.
    • (2005) Journal of Nursing Scholarship , vol.37 , Issue.3 , pp. 275-281
    • Von Krogh, G.1    Dale, C.2    Nåden, D.3
  • 56
    • 34648870028 scopus 로고    scopus 로고
    • Sociological contributions to patient safety
    • In. K. Walshe. R. Boaden. eds. pp. Open University Press. Maidenhead.
    • West E. (2006) Sociological contributions to patient safety. In Patient Safety: Research Into Practice (K. Walshe R. Boaden eds pp. 19 30. Open University Press, Maidenhead.
    • (2006) Patient Safety: Research into Practice , pp. 19-30
    • West, E.1


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.