메뉴 건너뛰기




Volumn 19, Issue 6, 2010, Pages 562-567

Checking it twice: An evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model

Author keywords

[No Author keywords available]

Indexed keywords

ANTINEOPLASTIC AGENT;

EID: 78650411571     PISSN: 14753898     EISSN: 14753901     Source Type: Journal    
DOI: 10.1136/qshc.2009.032862     Document Type: Article
Times cited : (53)

References (28)
  • 1
    • 0003413171 scopus 로고    scopus 로고
    • Kohn LT, Corrigan JM, Donaldson MS, eds. ,Institute of Medicine,National Academy of Sciences. Washington: National Academy Press
    • Kohn LT, Corrigan JM, Donaldson MS, eds. To err is human: Building a safer health system. Institute of Medicine, National Academy of Sciences. Washington: National Academy Press, 2000.
    • (2000) To Err is Human: Building a Safer Health System
  • 2
    • 0026022279 scopus 로고
    • The nature of adverse events in hospitalized patients
    • Results of the Harvard Medical Practice Study II
    • 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.
    • (1991) N Engl J Med , vol.324 , pp. 377-384
    • Leape, L.L.1    Brennan, T.A.2    Laird, N.3
  • 3
    • 0031032055 scopus 로고    scopus 로고
    • Adverse drug events in hospitalized patients: Excess length of stay, extra costs, and attributable mortality
    • Classen DC, Pestonik 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.
    • (1997) JAMA , vol.277 , pp. 301-306
    • Classen, D.C.1    Pestonik, S.L.2    Evans, R.S.3
  • 4
    • 0029066463 scopus 로고
    • Incidence of adverse drug events and potential adverse drug events: Implications for prevention
    • ADE Prevention Study Group
    • Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse drug events: Implications for prevention. ADE Prevention Study Group. JAMA 1995;274:29-34.
    • (1995) JAMA , vol.274 , pp. 29-34
    • Bates, D.W.1    Cullen, D.J.2    Laird, N.3
  • 5
    • 0038805213 scopus 로고    scopus 로고
    • Programming errors contribute to death from patient-controlled analgesia: Case report and estimate of probability
    • Vicente K, Kada-Bekhaled K, Hillel G, et al. Programming errors contribute to death from patient-controlled analgesia: Case report and estimate of probability. Can J Anaesth 2003;50:328-32.
    • (2003) Can J Anaesth , vol.50 , pp. 328-32
    • Vicente, K.1    Kada-Bekhaled, K.2    Hillel, G.3
  • 6
    • 78650333591 scopus 로고    scopus 로고
    • Design flaw predisposes abbott lifecare PCA plus II pump to dangerous medication errors
    • Institute for Safe Medication Practices,Institute for Safe Medication Practices,accessed 1 Mar 2010
    • Institute for Safe Medication Practices. Design flaw predisposes Abbott Lifecare PCA plus II pump to dangerous medication errors. ISMP Medication Safety Alert 2000;5:2. http://www.ismp.org/Newsletters/acutecare/archives/May00. asp#May31,2000 and http://www.ismp-canada.org/download/safetyBulletins/ ISMPCSB2005-01.pdf (accessed 1 Mar 2010).
    • (2000) ISMP Medication Safety Alert , vol.5 , pp. 2
  • 7
    • 34249274812 scopus 로고    scopus 로고
    • Misprogram a PCA pump? It's easy!
    • Institute for Safe Medication Practices
    • Institute for Safe Medication Practices. Misprogram a PCA pump? It's easy! ISMP Medication Safety Alert 2004;9:1.
    • (2004) ISMP Medication Safety Alert , vol.9 , pp. 1
  • 9
    • 72249096341 scopus 로고    scopus 로고
    • Lowering the risk of medication errors: Independent double checks
    • Institute for Safe Medication Practices Canada,accessed 1 Mar 2010
    • Institute for Safe Medication Practices Canada. Lowering the risk of medication errors: Independent double checks. Safety Bulletin 2005;5. http://www.ismp-canada.org/download/safetyBulletins/ISMPCSB2005-01.pdf (accessed 1 Mar 2010).
    • (2005) Safety Bulletin , vol.5
  • 10
    • 78650398527 scopus 로고    scopus 로고
    • Top 10 drugs reported as causing harm through medication error
    • accessed 1 March 2010.Institute for Safe Medication Practices Canada
    • Institute for Safe Medication Practices Canada. Top 10 drugs reported as causing harm through medication error. Safety Bulletin 2006;6. http://www.ismp-canada.org/download/safetyBulletins/ISMPCSB2006-01Top10.pdf (accessed 1 March 2010).
    • (2006) Safety Bulletin , pp. 6
  • 11
    • 39349117321 scopus 로고    scopus 로고
    • Effective interventions and implementation strategies to reduce adverse drug events in the veterans affairs (VA) system
    • Mills PD, Neily J, Kinney LM, et al. Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. Qual Saf Health Care 2008;17:37-46.
    • (2008) Qual Saf Health Care , vol.17 , pp. 37-46
    • Mills, P.D.1    Neily, J.2    Kinney, L.M.3
  • 12
    • 34548339702 scopus 로고    scopus 로고
    • The virtues of independent double checksdthey really are worth your time!
    • Institute for Safe Medication Practices
    • Institute for Safe Medication Practices. The virtues of independent double checksdthey really are worth your time! ISMP Medication Safety Alert 2003;8:1.
    • (2003) ISMP Medication Safety Alert , vol.8 , pp. 1
  • 13
    • 0042388765 scopus 로고    scopus 로고
    • Double-checking:Does it work? Medication safety alerts
    • UD
    • U, D. Double-checking: Does it work? Medication safety alerts. Can J Hosp Pharm 2003;56:167-9.
    • (2003) Can J Hosp Pharm , vol.56 , pp. 167-169
  • 14
    • 0032063963 scopus 로고    scopus 로고
    • Using process control charts to monitor dispensing and checking errors
    • Campbell GM, Facchinetti N. Using process control charts to monitor dispensing and checking errors. Am J Health Syst Pharm 1998;55:946-52.
    • (1998) Am J Health Syst Pharm , vol.55 , pp. 946-952
    • Campbell, G.M.1    Facchinetti, N.2
  • 15
    • 78650398017 scopus 로고    scopus 로고
    • College of Nurses of Ontario,Practice standard: Medication, Toronto, Ontario, Canada
    • College of Nurses of Ontario. Practice standard: Medication, Toronto, Ontario, Canada. 2005. http://www.cno.org/docs/prac/41007-Medication.pdf.
    • (2005)
  • 16
    • 59449089116 scopus 로고    scopus 로고
    • A surgical safety checklist to reduce morbidity and mortality in a global population
    • Haynes AB, Weiser TG, Berry W, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med 2009;360:491-9.
    • (2009) N Engl J Med , vol.360 , pp. 491-499
    • Haynes, A.B.1    Weiser, T.G.2    Berry, W.3
  • 17
    • 27144495832 scopus 로고    scopus 로고
    • Getting teams to talk: Development and pilot implementation of a checklist to promote interprofessional communication in the OR
    • Lingard L, Espin S, Rubin S, et al. Getting teams to talk: Development and pilot implementation of a checklist to promote interprofessional communication in the OR. Qual Saf Health Care 2005;14:340-6.
    • (2005) Qual Saf Health Care , vol.14 , pp. 340-346
    • Lingard, L.1    Espin, S.2    Rubin, S.3
  • 18
    • 33845880922 scopus 로고    scopus 로고
    • An intervention to decrease catheter-related bloodstream infections in the ICU
    • Pronovost P, Needham D, Berenholtz S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006;355: 2725-3.
    • (2006) N Engl J Med , vol.355 , pp. 2725-2723
    • Pronovost, P.1    Needham, D.2    Berenholtz, S.3
  • 19
    • 38149081351 scopus 로고    scopus 로고
    • Development of medical checklists for improved quality of patient care
    • Hales B, Terblanche M, Fowler R, et al. Development of medical checklists for improved quality of patient care. Int J Qual Health Care 2008;2091: 22-30.
    • (2008) Int J Qual Health Care , vol.2091 , pp. 22-30
    • Hales, B.1    Terblanche, M.2    Fowler, R.3
  • 20
    • 77951818059 scopus 로고    scopus 로고
    • Cohen MR, ed. Medication errors. 2nd edn. Washington: American Pharmacists Association
    • Cohen MR. Preventing medication errors in cancer chemotherapy. In: Cohen MR, ed. Medication errors. 2nd edn. Washington: American Pharmacists Association 2006:445-68.
    • (2006) Preventing Medication Errors in Cancer Chemotherapy , pp. 445-68
    • Cohen, M.R.1
  • 23
    • 0036580468 scopus 로고    scopus 로고
    • Using health care failure mode and effect analysis: The VA national center for patient safety's prospective risk analysis system
    • DeRosier J, Stalhandske E, Bagian JP, et al. Using health care failure mode and effect analysis: The VA National Center for Patient Safety's prospective risk analysis system. Jt Comm J Qual Improv 2002;27:248-67.
    • (2002) Jt Comm J Qual Improv , vol.27 , pp. 248-267
    • DeRosier, J.1    Stalhandske, E.2    Bagian, J.P.3
  • 24
    • 0004223940 scopus 로고
    • Cambridge:Cambridge University Press
    • Reason J. Human error. Cambridge: Cambridge University Press, 1990.
    • (1990) Human Error
    • Reason, J.1
  • 25
    • 0001202375 scopus 로고
    • Error detection processes in statistical problem solving
    • Allwood CM. Error detection processes in statistical problem solving. Cogn Sci 1984;8:413-37.
    • (1984) Cogn Sci , vol.8 , pp. 413-437
    • Allwood, C.M.1
  • 27
    • 0027610491 scopus 로고
    • Cockpit checklists: Concepts, design and use
    • Degani A, Weiner EL. Cockpit checklists: Concepts, design and use. Hum Factors 1993;35:345-59.
    • (1993) Hum Factors , vol.35 , pp. 345-359
    • Degani, A.1    Weiner, E.L.2


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.