 |
|
|
Adverse
Drug Events/Reactions and Medication Errors
Automated Medication
Dispensing
Computerized
Physician (Prescriber) Order Entry
Medication Error Prevention
Medication Error Reporting
Medication Error Research
Adverse Drug Events/Reactions and Medication Errors
Bates DW. Drugs and adverse reactions: how worried should we be?
JAMA. 1998;279(15):1216-1217.
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(4):307-11.
Bates DW, Cullen DJ, Laird N. Incidence of adverse drug events and
potential adverse drug events. Implications for prevention. ADE
Prevention Study Group. JAMA. 1995;274(1):29-34.
Berwick DM, Leape LL. Reducing errors in medicine: It is time to take
this more seriously. BMJ. 1999;319(7203):136-137.
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(6):370-376.
Classen DC, Pestotnik SL, Evans RS, Lloyd JF, Burke JP. Adverse drug
events in hospitalized patients. Excess length of stay, extra costs, and
attributable mortality. JAMA. 1997; 277(4):301-306.
Cohen MR, Proulx SM, Crawford SY. Survey of hospital systems and
common serious medication errors. J Healthcare Risk Manage. 1998
(Winter);18(1):16-27.
Coleman IC. Medication errors: Picking up the pieces. Drug Top.
1999;1483-92.
Couris RR, Tataronis GR, DePietro SL, DeBellis RA, Young CR for the
Massachusetts Board of Registration in Pharmacy. Medication Error Study.
Boston, MA: Division of Registration, Commonwealth of Massachusetts.
1999.
Cullen DJ, Sweitzer BJ, Bates DW, Burdick E, Edmondson A, Leape LL.
Preventable adverse drug events in hospitalized patients: a comparative
study of intensive care and general care units. Crit Care Med.
1997;25(8):1289-97.
Davis NM. Drug names that look and sound alike. Hosp Pharm.
1999;341160-1174.
Dean BS, Allan EL, Barber ND, Barker KN. Comparison of medication
errors in an American and a British hospital. Am J Health-Syst Pharm.
1995;522543-2549.
Gholami K, Shalviri G. Factors associated with preventability,
predictability and severity of adverse drug reactions. Ann Pharmocother.
1999;33236-240.
Golz G, Fitchett L. Nurses' perspecitve on a serious adverse drug
event. Am J Health-Syst Pharm. 1999;56):904-907.
Hasegawa GR. Responsibility for medication errors. Am J Heath Syst
Pharm. 1999;56(3):215.
Hutchinson D. Getting to the bottom of a sentinel event. Am J Health-Syst
Pharm. 1999;56(30):2031-2032.
Johnson JA, Bootman JL. Drug-related morbidity and mortality and the
economic impact of pharmaceutical care. Am J Health-Syst Pharm.
1997;54(5):554-8.
Johnson JA, Bootman JL. Drug-Related Morbidity and Mortality: A
Cost-of-Illness Model. Arch Intern Med. 1995; 155(18):1949-1956.
Kistner UA, Keith MR, Sergeant KA, Hokanson JA. Accuracy of
dispensing in a high-volume, hospital-based outpatient pharmacy. Am J
Hosp Pharm. 1994;51(22): 2793-7.
Lambert BL. Predicting look-alike and sound-alike medication errors.
Am J Health-Syst Pharm. 1997;54(10):1161-1171.
Lazarou J, Pomeranz BH, Corey PN. Incidence of adverse drug reactions
in hospitalized patients. JAMA. 1998;279(15):1200-1205.
Leape LL, Bates DW, Cullen DJ et al for the ADE prevention group.
Systems analysis of adverse drug events. JAMA. 1995;274(1):35-43.
Lesar TS, Briceland L, Stein DS. Factors related to errors in
medication prescribing. JAMA. 1997 ;277(4):312-317.
Lesar TS, Lomaestro BM, Pohl H. Medication-prescribing errors in a
teaching hospital. A 9-year experience. Arch Intern Med.
1997;157(14):1569-1576.
Manasse HR. Medication Use in an Imperfect World: Drug Misadventuring
as an Issue of Public Policy. Part 1. Am J Hosp Pharm. 1989;46:929-944.
Manasse HR. Medication Use in an Imperfect World: Drug Misadventuring
as an Issue of Public Policy. Part 2. Am J Hosp Pharm.
1989;46:1141-1152.
Means BJ, Derewicz HJ, Lamy PP. Medication errors in a multidose and
a computer-based unit dose drug distribution system. Am J Hosp Pharm.
1975;32(2):186-91.
Myers CE. Medication misadventures: A policy of openness and
learning. Am J Heath-Syst Pharm.; 56(9):863.
Sanks RJ. A pharmacy manager's perspective on a serious adverse drug
event. Am J Health-Syst Pharm. 1999;56:907-909.
Schneider PJ. A review of the safety of intravenous drug delivery
systems. Hosp Pharm. 1999;34:1044-1056.
Schneider PJ, Gift MG, Lee YP, Rothermich EA, Sill BE. Cost of
medication-related problems at a university hospital. Am J Health-Syst
Pharm. 1995;52(21):2415-2418.
Sellers JA. Too many medication errors, not enough pharmacists.
Am J Health-Syst Pharm. 2000 15;57:337
Automated Medication Dispensing
Borel JM, Rascati KL. Effect of an automated, nursing unit-based
drug-dispensing device on medication errors. Am J Health-Syst Pharm.
1995;52(17):1875-1879.
ISMP. Survey of automated dispensing shows need for practice
improvements and safer design systems. ISMP Medication Safety Alert
(June 16, 1999 issue), 1-4, 1999.
Neuenschwander M. Limiting or increasing opportunities for errors
with dispensing automation. Hosp Pharm. 1996;31:1102-1106.
Computerized Physician (Prescriber) Order Entry
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;6:313-21.
Bates DW, Leape LL, Cullen, et al. Effect of computerized physician
order entry and a team intervention on prevention of serious medication
errors. JAMA. 1998;280(15):1311-1316.
George D, Austin-Bishop N. Error rates for computerized order entry
by physicians versus nonphysicians. Am J Health-Syst Pharm.
2003;60(21):2250-2252.
Han YY, Carcillo JA, et al. Unexpected
Increased Mortality After Implementation of a Commercially Sold
Computerized Physician Order Entry System. Pediatrics.
2005;116(6):1506-1512.
Schiff GD, Rucker TD. Computerized prescribing: building the electronic
infrastructure for better medication usage. JAMA. 1998;279(13):1024-1029.
Upperman JS, Staley P, Friend K, et al. The
Impact of Hospitalwide Computerized Physician Order Entry on Medical
Errors in a Pediatric Hospital. Journal of Pediatric Surgery.
2005;40:57-59.
Medication Error Prevention
Bates DW. Using information technology to reduce rates of medication
errors in hospitals. BMJ 2000; 320(7237): 788-791.
Blum KV, Abel SR, Urbanski CJ, Pierce JM. Medication error prevention
by pharmacists. Am J Hosp Pharm. 1988;45(9):1902-1903.
Cavuto NJ, Woosley RL, Sale M. Pharmacies and the prevention of fatal
drug interactions. JAMA. 1996;275(14):1086-1087.
Cohen MR. Cooperative approaches to medication error management. Top
Hosp Pharm Manage. 1991;11(Apr):53-65.
Cohen MR, Anderson RW, Attilio RM et al. Preventing medication errors
in cancer chemotherapy. Am J Health-Syst Pharm. 1996;53737-746.
Cohen MR, Senders J, Davis NM. Failure mode and effects analysis: A
novel approach to avoiding dangerous medication errors and accidents.
Hosp Pharm. 1994; 29(4): 319-330.
Henry TR, Azuma L, Shaban HM. Learning and process improvement after
a sentinel event. Hosp Pharm. 1999;34 839-844.
Leape LL, Cullen DJ, Demspey-Clapp M et al. Pharmacist participation
on physician rounds and adverse drug events in the intensive care unit.
JAMA. 1999;282(3):267-270
Leape LL. Preventing adverse drug events. Am J Health-Syst Pharm.
1995;52(4):379-382.
Manasse HR. Pharmacists and the quality-of-care imperative. Am J
Health-Syst Pharm. 2000;57(12):1170-1172.
Raschke RA, Gollihare B, Wunderlich TA, Guidry JR, Leibowitz AI,
Peirce JC et al. A computer alert system to prevent injury from adverse
drug events. JAMA. 1998;280(15):1317-1320.
Schneider PJ. Five worthy aims for pharmacy's clinical leadership to
pursue in improving medication use. Am J Health-Syst Pharm.
1999;56:2549-2552.
Schneider PJ. Creating an environment for improving the
medication-use process. Am J Heath-Syst Pharm. 1999;56(17):1769-1972.
Seeger JD, Kong SX, Schumock GT. characteristics associated with
ability to prevent adverse drug reactions in hospitalized patients.
Pharmacotherapy. 1998;18(6):1284-1289.
Tucker LL, Cohen MR, Davis NM. Orientation teaching tool to prevent
medication error. Hosp Pharm. 1994;29(11):984,986-988,991.
Medication Error Reporting
Betz RP, Levy HB. An interdisciplinary method of classifying and
monitoring medication errors. Am J Hosp Pharm. 1985;42(8):1724-1732.
Cohen MR. Why error reporting systems should be voluntary. BMJ.
2000;320(7237):728-729.
Colodny L, Spillane J. Toward increased reporting of adverse drug
reactions. Hosp Pharm. 1999;34:1179-1185.
Dean BS, Barber ND. A validated, reliable method of scoring the
severity of medication errors. Am J Health-Syst Pharm. 1999 56(1):57-62.
Dunn EB, Wolfe JJ. Medication error classification and avoidance.
Hosp Pharm. 1997;32:860-865.
Maliekal J, Thorton J, . A description of a successful computerized
adverse drug reaction tracking program. Hosp Formul. 1990;25(4): 436-9,
442.
Schneider PJ, Hartwig SC. Use of severity-indexed medication error
reports to improve quality. Hosp Pharm. 1994;29(3):205-6,208-211.
Medication Error Research
Allan EL, Barker KN. Fundamentals of medication
error research. Am J Hosp Pharm. 1990;47:555-571.
|
|
