-
1
-
-
0003413171
-
-
The Institute of Medicine. Washington: National Academy Press
-
The Institute of Medicine. To err is human: building a safer health system. Washington: National Academy Press, 2000.
-
(2000)
To Err Is Human: Building A Safer Health System
-
-
-
2
-
-
30944439510
-
The 100,000 Lives Campaign: Setting a goal and a deadline for improving health care quality
-
Berwick DM, Calkins DR, McCannon CJ, et al. The 100,000 Lives Campaign: setting a goal and a deadline for improving health care quality. JAMA 2006;295:324-7.
-
(2006)
JAMA
, vol.295
, pp. 324-327
-
-
Berwick, D.M.1
Calkins, D.R.2
McCannon, C.J.3
-
3
-
-
47749130878
-
The incidence and nature of in-hospital adverse events: A systematic review
-
de Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care 2008;17:216-23.
-
(2008)
Qual Saf Health Care
, vol.17
, pp. 216-223
-
-
De Vries, E.N.1
Ramrattan, M.A.2
Smorenburg, S.M.3
-
4
-
-
59449089116
-
A surgical safety checklist to reduce morbidity and mortality in a global population
-
Haynes AB, Weiser TG, Berry WR, 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.R.3
-
5
-
-
78649439268
-
Temporal trends in rates of patient harm resulting from medical care
-
Landrigan CP, Parry GJ, Bones CB, et al. Temporal trends in rates of patient harm resulting from medical care. N Engl J Med 2010;363: 2124-34.
-
(2010)
N Engl J Med
, vol.363
, pp. 2124-2134
-
-
Landrigan, C.P.1
Parry, G.J.2
Bones, C.B.3
-
6
-
-
2942571128
-
The Canadian Adverse Events Study: The incidence of adverse events among hospital patients in Canada
-
Baker GR, Norton PG, Flintoft V, et al. The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. CMAJ 2004;170:1678-86.
-
(2004)
CMAJ
, vol.170
, pp. 1678-1686
-
-
Baker, G.R.1
Norton, P.G.2
Flintoft, V.3
-
7
-
-
11144354248
-
Ottawa Hospital Patient Safety Study: Incidence and timing of adverse events in patients admitted to a Canadian teaching hospital
-
Forster AJ, Asmis TR, Clark HD, et al. Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. CMAJ 2004;170:1235-40.
-
(2004)
CMAJ
, vol.170
, pp. 1235-1240
-
-
Forster, A.J.1
Asmis, T.R.2
Clark, H.D.3
-
8
-
-
0025924692
-
Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study i
-
Brennan TA, Leape LL, Laird NM, et al. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. N Engl J Med 1991;324:370-6.
-
(1991)
N Engl J Med
, vol.324
, pp. 370-376
-
-
Brennan, T.A.1
Leape, L.L.2
Laird, N.M.3
-
9
-
-
0035799063
-
Adverse events in British hospitals: Preliminary retrospective record review
-
Vincent C, Neale G, Woloshynowych M. Adverse events in British hospitals: preliminary retrospective record review. BMJ 2001;322: 517-9.
-
(2001)
BMJ
, vol.322
, pp. 517-519
-
-
Vincent, C.1
Neale, G.2
Woloshynowych, M.3
-
11
-
-
0034146799
-
Incidence and types of adverse events and negligent care in Utah and Colorado
-
Thomas EJ, Studdert DM, Burstin HR, et al. Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care 2000;38:261-71.
-
(2000)
Med Care
, vol.38
, pp. 261-271
-
-
Thomas, E.J.1
Studdert, D.M.2
Burstin, H.R.3
-
12
-
-
18844483083
-
Adverse events in New Zealand public hospitals I: Occurrence and impact
-
Davis P, Lay-Yee R, Briant R, et al. Adverse events in New Zealand public hospitals I: occurrence and impact. N Z Med J 2002;115:U271.
-
(2002)
N Z Med J
, vol.115
-
-
Davis, P.1
Lay-Yee, R.2
Briant, R.3
-
13
-
-
67449083886
-
A modification of the Elixhauser comorbidity measures into a point system for hospital death using administrative data
-
van Walraven C, Austin PC, Jennings A, et al. A modification of the Elixhauser comorbidity measures into a point system for hospital death using administrative data. Med Care 2009;47:626-33.
-
(2009)
Med Care
, vol.47
, pp. 626-633
-
-
Van Walraven, C.1
Austin, P.C.2
Jennings, A.3
-
14
-
-
0033754590
-
A comparison of iatrogenic injury studies in Australia and the USA. II: Reviewer behaviour and quality of care
-
Runciman WB, Webb RK, Helps SC, et al. A comparison of iatrogenic injury studies in Australia and the USA. II: reviewer behaviour and quality of care. Int J Qual Health Care 2000;12:379-88.
-
(2000)
Int J Qual Health Care
, vol.12
, pp. 379-388
-
-
Runciman, W.B.1
Webb, R.K.2
Helps, S.C.3
-
15
-
-
67650076113
-
Global priorities for patient safety research
-
on behalf of the Research Priority Setting Working Group of the WHO World Alliance for Patient Safety.
-
Bates DW, Larizgoitia I, Prasopa-Plaizier N, et al.; on behalf of the Research Priority Setting Working Group of the WHO World Alliance for Patient Safety. Global priorities for patient safety research. BMJ 2009; 338:b1775.
-
(2009)
BMJ
, vol.338
-
-
Bates, D.W.1
Larizgoitia, I.2
Prasopa-Plaizier, N.3
-
16
-
-
0141922804
-
Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization
-
Zhan C, Miller MR. Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. JAMA 2003;290:1868-74.
-
(2003)
JAMA
, vol.290
, pp. 1868-1874
-
-
Zhan, C.1
Miller, M.R.2
-
17
-
-
77949910338
-
Clinical and economic outcomes attributable to health care-associated sepsis and pneumonia
-
Eber MR, Laxminarayan R, Perencevich EN, et al. Clinical and economic outcomes attributable to health care-associated sepsis and pneumonia. Arch Intern Med 2010;170:347-53.
-
(2010)
Arch Intern Med
, vol.170
, pp. 347-353
-
-
Eber, M.R.1
Laxminarayan, R.2
Perencevich, E.N.3
-
18
-
-
0031012726
-
The costs of adverse drug events in hospitalized patients. Adverse Drug Events Prevention Study Group
-
Bates DW, Spell N, Cullen DJ, et al. The costs of adverse drug events in hospitalized patients. Adverse Drug Events Prevention Study Group. JAMA 1997;277:307-11.
-
(1997)
JAMA
, vol.277
, pp. 307-311
-
-
Bates, D.W.1
Spell, N.2
Cullen, D.J.3
-
19
-
-
0031032055
-
Adverse drug events in hospitalized patients: Excess length of stay, extra costs, and attributable mortality
-
Classen DCM, Pestotnik SLM, Evans RSP, 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.M.1
Pestotnik, S.L.M.2
Evans, R.S.P.3
-
20
-
-
0037244466
-
Measuring errors and adverse events in health care
-
Thomas EJ, Petersen LA. Measuring errors and adverse events in health care. J Gen Intern Med 2003;18:61-7.
-
(2003)
J Gen Intern Med
, vol.18
, pp. 61-67
-
-
Thomas, E.J.1
Petersen, L.A.2
-
21
-
-
0034643402
-
The Institute of Medicine report on medical errors. Could it do harm?
-
Brennan TA. The Institute of Medicine report on medical errors. Could it do harm? N Engl J Med 2000;342:1123-5.
-
(2000)
N Engl J Med
, vol.342
, pp. 1123-1125
-
-
Brennan, T.A.1
-
22
-
-
33746909153
-
Tracking progress in patient safety: An elusive target
-
Pronovost PJ, Miller MR, Wachter RM. Tracking progress in patient safety: an elusive target. JAMA 2006;296:696-9.
-
(2006)
JAMA
, vol.296
, pp. 696-699
-
-
Pronovost, P.J.1
Miller, M.R.2
Wachter, R.M.3
-
23
-
-
0033971043
-
Using the Veterans Administration National Surgical Quality Improvement Program to improve patient outcomes
-
Neumayer L, Mastin M, Vanderhoof L, et al. Using the Veterans Administration National Surgical Quality Improvement Program to improve patient outcomes. J Surg Res 2000;88:58-61.
-
(2000)
J Surg Res
, vol.88
, pp. 58-61
-
-
Neumayer, L.1
Mastin, M.2
Vanderhoof, L.3
-
24
-
-
0036139529
-
The comparative assessment and improvement of quality of surgical care in the Department of Veterans Affairs
-
Khuri SF, Daley J, Henderson WG. The comparative assessment and improvement of quality of surgical care in the Department of Veterans Affairs. Arch Surg 2002;137:20-7.
-
(2002)
Arch Surg
, vol.137
, pp. 20-27
-
-
Khuri, S.F.1
Daley, J.2
Henderson, W.G.3
-
25
-
-
34249314015
-
Use of national surgical quality improvement program data as a catalyst for quality improvement
-
Rowell KS, Turrentine FE, Hutter MM, et al. Use of national surgical quality improvement program data as a catalyst for quality improvement. J Am Coll Surg 2007;204:1293-300.
-
(2007)
J Am Coll Surg
, vol.204
, pp. 1293-1300
-
-
Rowell, K.S.1
Turrentine, F.E.2
Hutter, M.M.3
-
26
-
-
0021910709
-
The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals
-
Haley RW, Culver DH, White JW, et al. The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals. Am J Epidemiol 1985;121:182-205.
-
(1985)
Am J Epidemiol
, vol.121
, pp. 182-205
-
-
Haley, R.W.1
Culver, D.H.2
White, J.W.3
-
27
-
-
0029384423
-
The incident reporting system does not detect adverse drug events: A problem for quality improvement
-
Cullen DJ, Bates DW, Small SD, et al. The incident reporting system does not detect adverse drug events: a problem for quality improvement. Jt Comm J Qual Improv 1995;21:541-8.
-
(1995)
Jt Comm J Qual Improv
, vol.21
, pp. 541-548
-
-
Cullen, D.J.1
Bates, D.W.2
Small, S.D.3
-
28
-
-
0347706929
-
A look into the nature and causes of human errors in the intensive care unit. 1995
-
discussion 147-8
-
Donchin Y, Gopher D, Olin M, et al. A look into the nature and causes of human errors in the intensive care unit. 1995. Qual Saf Health Care 2003;12:143-7, discussion 147-8.
-
(2003)
Qual Saf Health Care
, vol.12
, pp. 143-147
-
-
Donchin, Y.1
Gopher, D.2
Olin, M.3
-
29
-
-
0345471068
-
Evaluation of two methods for quality improvement in intensive care: Facilitated incident monitoring and retrospective medical chart review
-
Beckmann U, Bohringer C, Carless R, et al. Evaluation of two methods for quality improvement in intensive care: facilitated incident monitoring and retrospective medical chart review. Crit Care Med 2003;31:1006-11.
-
(2003)
Crit Care Med
, vol.31
, pp. 1006-1011
-
-
Beckmann, U.1
Bohringer, C.2
Carless, R.3
-
30
-
-
0041629637
-
Detection of errors by attending physicians on a general medicine service
-
Chaudhry SI, Olofinboba KA, Krumholz HM. Detection of errors by attending physicians on a general medicine service. J Gen Intern Med 2003;18:595-600.
-
(2003)
J Gen Intern Med
, vol.18
, pp. 595-600
-
-
Chaudhry, S.I.1
Olofinboba, K.A.2
Krumholz, H.M.3
-
31
-
-
0024795294
-
Reliability and validity of judgments concerning adverse events suffered by hospitalized patients
-
Brennan TA, Localio RJ, Laird NL. Reliability and validity of judgments concerning adverse events suffered by hospitalized patients. Med Care 1989;27:1148-58.
-
(1989)
Med Care
, vol.27
, pp. 1148-1158
-
-
Brennan, T.A.1
Localio, R.J.2
Laird, N.L.3
-
32
-
-
0027435499
-
Comparison of concurrent and retrospective methods of detecting adverse drug reactions
-
Madsen JJ. Comparison of concurrent and retrospective methods of detecting adverse drug reactions. Am J Hosp Pharm 1993;50:2556-7.
-
(1993)
Am J Hosp Pharm
, vol.50
, pp. 2556-2557
-
-
Madsen, J.J.1
-
33
-
-
0141922804
-
Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization
-
Zhan C, Miller MR. Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. JAMA 2003; 290: 1868-74.
-
(2003)
JAMA
, vol.290
, pp. 1868-1874
-
-
Zhan, C.1
Miller, M.R.2
-
34
-
-
0029299542
-
Evaluation of screening criteria for adverse events in medical patients
-
Bates DW, O'Neil AC, Petersen LA, et al. Evaluation of screening criteria for adverse events in medical patients. Med Care 1995;33: 452-62.
-
(1995)
Med Care
, vol.33
, pp. 452-462
-
-
Bates, D.W.1
O'Neil, A.C.2
Petersen, L.A.3
-
35
-
-
0034244668
-
Use of administrative data to find substandard care: Validation of the complications screening program
-
Weingart SN, Iezzoni LI, Davis RB, et al. Use of administrative data to find substandard care: validation of the complications screening program. Med Care 2000;38:796-806.
-
(2000)
Med Care
, vol.38
, pp. 796-806
-
-
Weingart, S.N.1
Iezzoni, L.I.2
Davis, R.B.3
-
36
-
-
0034241668
-
Does clinical evidence support ICD-9-CM diagnosis coding of complications?
-
McCarthy EP, Iezzoni LI, Davis RB, et al. Does clinical evidence support ICD-9-CM diagnosis coding of complications? Med Care 2000;38:868-76.
-
(2000)
Med Care
, vol.38
, pp. 868-876
-
-
McCarthy, E.P.1
Iezzoni, L.I.2
Davis, R.B.3
-
38
-
-
0031023762
-
An alternative strategy for studying adverse events in medical care
-
Andrews LB, Stocking C, Krizek T, et al. An alternative strategy for studying adverse events in medical care. Lancet 1997;349:309-13.
-
(1997)
Lancet
, vol.349
, pp. 309-313
-
-
Andrews, L.B.1
Stocking, C.2
Krizek, T.3
-
39
-
-
0029066463
-
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
-
40
-
-
0027231164
-
Incidence and preventability of adverse drug events in hospitalized adults
-
Bates DW, Leape LL, Petrycki S. Incidence and preventability of adverse drug events in hospitalized adults. J Gen Intern Med 1993;8: 289-94.
-
(1993)
J Gen Intern Med
, vol.8
, pp. 289-294
-
-
Bates, D.W.1
Leape, L.L.2
Petrycki, S.3
-
41
-
-
33750523434
-
Adverse events detected by clinical surveillance on an obstetric service
-
Forster AJ, Fung I, Caughey S, et al. Adverse events detected by clinical surveillance on an obstetric service. Obstet Gynecol 2006;108: 1073-83.
-
(2006)
Obstet Gynecol
, vol.108
, pp. 1073-1083
-
-
Forster, A.J.1
Fung, I.2
Caughey, S.3
-
42
-
-
0035907650
-
Detecting and reducing hospital adverse events: Outcomes of the Wimmera clinical risk management program
-
Wolff AM, Bourke J, Campbell IA, et al. Detecting and reducing hospital adverse events: outcomes of the Wimmera clinical risk management program. Med J Aust 2001;174:621-5.
-
(2001)
Med J Aust
, vol.174
, pp. 621-625
-
-
Wolff, A.M.1
Bourke, J.2
Campbell, I.A.3
-
43
-
-
0036147808
-
Detecting and reducing adverse events in an Australian rural base hospital emergency department using medical record screening and review
-
Wolff AM, Bourke J. Detecting and reducing adverse events in an Australian rural base hospital emergency department using medical record screening and review. Emerg Med J 2002;19:35-40.
-
(2002)
Emerg Med J
, vol.19
, pp. 35-40
-
-
Wolff, A.M.1
Bourke, J.2
-
44
-
-
0141484568
-
Detecting adverse events for patient safety research: A review of current methodologies
-
Murff HJ, Patel VL, Hripcsak G, et al. Detecting adverse events for patient safety research: a review of current methodologies. J Biomed Inform 2003;36:131-43.
-
(2003)
J Biomed Inform
, vol.36
, pp. 131-143
-
-
Murff, H.J.1
Patel, V.L.2
Hripcsak, G.3
-
45
-
-
14544299227
-
Validation of a discharge summary term search method to detect adverse events
-
Forster AJ, Andrade J, van Walraven C. Validation of a discharge summary term search method to detect adverse events. J Am Med Inform Assoc 2005;12:200-6.
-
(2005)
J Am Med Inform Assoc
, vol.12
, pp. 200-206
-
-
Forster, A.J.1
Andrade, J.2
Van Walraven, C.3
-
46
-
-
0037634403
-
Electronically screening discharge summaries for adverse medical events
-
Murff HJ, Forster AJ, Peterson JF, et al. Electronically screening discharge summaries for adverse medical events. J Am Med Inform Assoc 2003;10:339-50.
-
(2003)
J Am Med Inform Assoc
, vol.10
, pp. 339-350
-
-
Murff, H.J.1
Forster, A.J.2
Peterson, J.F.3
-
47
-
-
0035118454
-
A computerized method for identifying incidents associated with adverse drug events in outpatients
-
Honigman B, Light P, Pulling RM, et al. A computerized method for identifying incidents associated with adverse drug events in outpatients. Int J Med Inform 2001;61:21-32.
-
(2001)
Int J Med Inform
, vol.61
, pp. 21-32
-
-
Honigman, B.1
Light, P.2
Pulling, R.M.3
-
48
-
-
0141459501
-
A tiered approach is more cost effective than traditional pharmacist-based review for classifying computer-detected signals as adverse drug events
-
Hope C, Overhage JM, Seger A, et al. A tiered approach is more cost effective than traditional pharmacist-based review for classifying computer-detected signals as adverse drug events. J Biomed Inform 2003;36:92-8.
-
(2003)
J Biomed Inform
, vol.36
, pp. 92-98
-
-
Hope, C.1
Overhage, J.M.2
Seger, A.3
-
49
-
-
0031920237
-
Identifying adverse drug events: Development of a computer-based monitor and comparison with chart review and stimulated voluntary report
-
Jha AK, Kuperman GJ, Teich JM, et al. Identifying adverse drug events: development of a computer-based monitor and comparison with chart review and stimulated voluntary report. J Am Med Inform Assoc 1998;5:305-14.
-
(1998)
J Am Med Inform Assoc
, vol.5
, pp. 305-314
-
-
Jha, A.K.1
Kuperman, G.J.2
Teich, J.M.3
-
50
-
-
0037018943
-
The reliability of medical record review for estimating adverse event rates
-
Thomas EJ, Lipsitz SR, Studdert DM, et al. The reliability of medical record review for estimating adverse event rates. Ann Intern Med 2002;136:812-6.
-
(2002)
Ann Intern Med
, vol.136
, pp. 812-816
-
-
Thomas, E.J.1
Lipsitz, S.R.2
Studdert, D.M.3
-
51
-
-
34547606153
-
Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse event classification
-
Forster AJ, O'Rourke K, Shojania KG, et al. Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse event classification. J Clin Epidemiol 2007;60: 892-901.
-
(2007)
J Clin Epidemiol
, vol.60
, pp. 892-901
-
-
Forster, A.J.1
O'Rourke, K.2
Shojania, K.G.3
-
52
-
-
0034681752
-
Medical error: The second victim
-
Wu AW. Medical error: the second victim. BMJ 2000;320:726-7.
-
(2000)
BMJ
, vol.320
, pp. 726-727
-
-
Wu, A.W.1
-
53
-
-
0344236291
-
Discussion of medical errors in morbidity and mortality conferences
-
Pierluissi E, Fischer MA, Campbell AR, et al. Discussion of medical errors in morbidity and mortality conferences. JAMA 2003;290: 2838-42.
-
(2003)
JAMA
, vol.290
, pp. 2838-2842
-
-
Pierluissi, E.1
Fischer, M.A.2
Campbell, A.R.3
-
54
-
-
77951250557
-
Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department
-
McDonnell C, Laxer RM, Roy WL. Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. Jt Comm J Qual Patient Saf 2010;36:117-25.
-
(2010)
Jt Comm J Qual Patient Saf
, vol.36
, pp. 117-125
-
-
McDonnell, C.1
Laxer, R.M.2
Roy, W.L.3
|