The Center for Medication Safety and Clinical Improvement

Recommended reading

Agency for Healthcare Research and Quality. 20 tips to help prevent medical errors in children. Rockville, MD: Agency for Healthcare Research and Quality. 2003.

Ashley ES, Kirk K, Fowler VG. Patient detection of a drug dispensing error by use of physician-provided drug samples. Pharmacother. 2002;22:1642-1643.

Barker KN, Flynn EA, Pepper GA, PhD, Bates DW, Mikeal RL. Medication errors observed in 36 health care facilities. Arch Intern Med 2002;162:1897-1903.

Bates DW, Ebell M, Gotlieb E, Zapp J, Mullins HC. Proposal for electronic medical records in U.S. primary care. J Am Med Inf Assoc. 2003;10:1-10.

Bates DW, Boyle DL, Vander Vliet MB, Schneider J, Leape L. Relationship between medication errors and adverse drug events. J Gen Intern Med 1995;10:199-205.

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.

Bates DW, Spell N, Cullen DJ, et al. The costs of adverse drug events in hospitalized patients. JAMA. 1997; 277:307-311.

Bates DW, Spell Nathan; Cullen David J, Burdick Elisabeth, Laird Nan, Peterson Laura A., Small Tephen D., Sweitzer Bobbie J, Leape Lucian L. The costs of adverse drug events in hospitalized patients. JAMA 1997. Jan 22/29; 277(4): 3007-311.

Bates DW, et al. Medication errors and ADEs. J Gen Intern Med, 1995;10 (4): 199-205.

Bates DW. Computerized Physician Order Entry (CPOE). AHRQ Report, 2001, 6.

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. J Amer Med Assoc 1994; 272:1851-7.

Classen DC, Pestonik SL, Evans RS, Lloyd JF, Burke JP. Adverse drug events in hospitalized patients. JAMA 1997; 277:301-306.

Cullen DJ, Sweitzer BJ, Bates, DW, et al.. Preventable adverse drug events in hospitalized patients: A comparative study of intensive care and general units. Critical Care Med 1997; 25:1289-1297.

Goldspiel BR, DeChristoforo R, Daniels CE. Continuous-improvement approach for reducing the number of chemotherapy-related medication errors. Am J Health-Syst Pharm. 2000; 57:S4-S9.

Eskew JA, Jacobi J, Buss WF, et al. Using innovative technologies to set new safety standards for the infusion of intravenous medications. Hosp Pharm. 2002; 37:1179-1189.

Frankel A, Graydon-Baker E, Neppl C, Simmonds T, Gustafson M, Gandhi TK. Patient safety leadership walkrounds. Jt Comm J Qual Safety. 2003;29:16-26.

Hammond J, Bermann M, Chen B, Kushins L. Incorporation of a computerized human patient simulator in critical care training: a preliminary report. J Trauma. 2002;53:1064-1067.

Hsia DC. Medicare quality improvement: bad apples or bad systems?. JAMA. 2003;289:354-356.

Hugh TB. New strategies to prevent laparascopic bile duct injury: surgeons can learn from pilots. Surgery. 2002;132:826-835.

Ihler E. Patient-physician communication. JAMA. 2003;289:91-96.

Kaushal R, Bates DW, Landrigan C, et al. Medication errors and adverse drug events in pediatric in patients. JAMA 2001; 285:2114-2120.

Kaushal R, Bates DW. Information technology and medication safety: What is the benefit? Quality & Safety in Health Care 2002; 11:261-265.

Kohn, LT, JM Corrigan and MS Donaldson, ed. To Err is Human: Building a Safer Health System. Washington, DC: National Academy Press 1999.

Lazarou J, Pomeranz BH, Corey PN. Incidence of adverse drug reaction in hospitalized patients. JAMA 1998; 279:1200-1205.

Leape LL, Bates DW, Cullen DJ et al. Systems analysis of adverse drug events. JAMA 1995; 274:35-43.

Lesar TS. Tenfold medication dose prescribing errors. Ann Pharmacother. 2002;36:1833-1839.

Medical malpractice verdicts, settlement and statistical analysis, Jury Verdict Research. Referenced by: Albert, T. Liability insurance crisis: Bigger awards just one factor. April 15, 2002. Available at: http://www.ama-assn.org

Ovretveit J, Bate P, Cleary P, et al. Quality collaboratives: lessons from research. Qual Safety Health Care. 2002;11:345-351.

Phillips J, Beam S, Brinker A, Holquist C, Honic P, Lee LY, Pamer C. Retrospectrive analysis of mortalities associated with medication errors. Am J Health-Syst Pharm. 2001; 58:1835-1841.

Potts AL, Barr FE, Gregory DF, Patel NR. Effect of CPOE on Medication Prescribing Errors. Presented by CPOE Summit. 2002.

Rothschild JM, Federico FA, Gandhi TK. Analysis of medication-related malpractice claims: Causes, preventability, and costs. Arch Intern Med 2002; 162:2414-2420.

Schneider, P. J. Using technology to enhance measurement of drug-use safety. Am J Health-Syst Pharm 2002; 59:2330-2.

Thomas EJ, Brennan TA. Incidence and types of preventable adverse events in elderly patients: population based review of medical records. British Medical Journal 2000; 320:741-744.

Thomas EJ, Studdert DM, Burstin HR, et al. Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care 2000; 38:261-271.

Thomas EJ. Studdert DM, NewhouseJP. et al. Costs of medical injuries in Utah and Colorado. Inquiry 1999; 36:255-264.

Tinetti ME. Preventing falls in elderly persons. N Engl J Med. 2003;348:42-49.

Robertson WO. Errors in prescribing. American Society of Health-System Pharmacists. February 15 1995; 52.

Weeks WB, Bagian JP. Making the business case for patient safety. Jt Comm J Qual Safety. 2003;29:51-54.

Williams E, Talley R. The use of failure mode effect and critically analysis in medication error subcommittee. Hospital Pharmacy 1994; 29(4): 331-332, 334-337.
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