Recommended Reading
Abe C., Zack J. et al. Zero Tolerance – Curbing CR-BSI, Patient Safety & Quality and Healthcare, Nov/Dec 2007.
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, Wachter RM. Medication Safety Technologies: What is and is not working, Patient Safety & Quality Healthcare, July/August 2009.
Bates DW, Vanderveen T, Seger D, Yamaga C, Rothschild J. Variability in intravenous medication practices: implications for medication safety. Journal on Quality and Patient Safety. 2005; 31(4):203-10.
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, 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.
Cohen MR, Bates DW, et al. Preventing medication errors – The Institute of Medicine report. Am J Health-Syst Pharm Supplement, July 2007. [request a copy]
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.
Dager WE, Gosselin RC, Raschke R, et al. Heparin: Improving Treatment and Reducing Risk of Harm - Clinical, Laboratory and Safety Challenges. Patient Safety & Quality and Healthcare, Jan/Feb 2009.
Danello, SH, Maddox RR et al. Intravenous infusion safety technology: Return on investment. Hospital Pharmacy. 2009; 44: 680-687. [request a copy]
Eastham, J. et al. Reduction in Variation of Intravenous Drug Administration in 17 San Diego Hospitals with Standardized Drug Concentrations and Dosage Units. Hospital Pharmacy, 2009; 44:150-158. (request a copy)
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.
LaRocco M, Brient K. An interdisciplinary approach to safer blood transfusions. Patient Safety & Quality Healthcare March/April 2008.
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.
Maddox RR, Danello S, Williams C, Fields M: Intravenous infusion safety initiative: collaboration, evidence-based best practices and "smart" technology help avert high-risk adverse drug events and improve patient outcomes. In: Advances in Patient Safety: New Directions and Alternative Approaches, Vol. 4. Washington: Agency for Healthcare Research and Quality; 2008:143-56.
Maddox RR, Oglesby H, Williams C, Fields M, Danello S: Continuous respiratory monitoring and a "smart" infusion system improve safety of patient-controlled analgesia in the postoperative period. In: Advances in Patient Safety: New Directions and Alternative Approaches, Vol. 4. Washington: Agency for Healthcare Research and Quality; 2008:157-69.
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: 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.
Robertson WO. Errors in prescribing. American Society of Health-System Pharmacists. February 15 1995; 52.
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.
Tauman, A, Robicsek, A, Roberson, J, et. Al. Health Care–Associated Infection Prevention and Control: Pharmacists' Role in Meeting National Patient Safety Goal 7. Hospital Pharmacy. 2009; 44:101-411.
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, Newhouse JP. 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.
Vanderveen T, Lewis S, Almeida S. Reducing complexity: A strategic approach to optimizing the medication use process for all medications. Patient Safety & Quality Healthcare, Sept/Oct 2007.
Vanderveen T. Smart Pumps: Advanced capabilities and continuous improvement. Patient Safety & Quality Healthcare. January/February 2007.
Vanderveen T. IVs First: A new barcode implementation strategy. Patient Safety & Quality Healthcare. May/June 2006.
Vanderveen T. Averting highest-risk errors is first priority-Part 1. Patient Safety & Quality Healthcare. May/June 2005.
Vanderveen T. Averting highest-risk errors is first priority-Part 2. Patient Safety & Quality Healthcare. July/Aug 2005.
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