Bibliography of Patient Safety Articles
Allan EL, Barker KN. Fundamentals of medication error research. Am J Hosp Pharm. 1990;47:555-571.
Bates DW. Using information technology to reduce rates of medication errors in hospitals. BMJ 2000; 320(7237): 788-791.
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. Drugs and adverse reactions: how worried should we be? JAMA. 1998;279(15):1216-1217.
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.
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.
Betz RP, Levy HB. An interdisciplinary method of classifying and monitoring medication errors. Am J Hosp Pharm. 1985;42(8):1724-1732.
Blum KV, Abel SR, Urbanski CJ, Pierce JM. Medication error prevention by pharmacists. Am J Hosp Pharm. 1988;45(9):1902-1903.
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.
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.
Cavuto NJ, Woosley RL, Sale M. Pharmacies and the prevention of fatal drug interactions. JAMA. 1996;275(14):1086-1087.
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. Why error reporting systems should be voluntary. BMJ. 2000;320(7237):728-729.
Cohen MR. Cooperative approaches to medication error management. Top Hosp Pharm Manage. 1991;11(Apr):53-65.
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.
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
Coleman IC. Medication errors: Picking up the pieces. Drug Top. 1999;1483-92.
Colodny L, Spillane J. Toward increased reporting of adverse drug reactions. Hosp Pharm. 1999;34:1179-1185.
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.
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.
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.
Henry TR, Azuma L, Shaban HM. Learning and process improvement after a sentinel event. Hosp Pharm. 1999;34 839-844.
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, 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, Cullen DJ, Clapp MD, Burdick E, Demonaco HJ, Erickson JI, Bates DW. 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.
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.
Maliekal J, Thorton J, . A description of a successful computerized adverse drug reaction tracking program. Hosp Formul. 1990;25(4): 436-9, 442
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.
Manasse HR. Pharmacists and the quality-of-care imperative. Am J Health-System Pharm. 2000 ;57(12):1170-1172.
McCarthy ID, Cohen MR, Kateiva J, McAllister JC, Ploetz PA. What should a pharmacy manager do when a serious medication error occurs? A panel discussion. Am J Hosp Pharm. 1992;49(16):1405-1412.
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
Neuenschwander M. Limiting or increasing opportunities for errors with dispensing automation. Hosp Pharm. 1996;31:1102-1106.
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.
Ryan KD. Driving fear out of the medication-use process so that improvement can occur. Am J Heath-Syst Pharm. 1999;56(17):1765-1769.
Sanks RJ. A pharmacy manager's perspective on a serious adverse drug event. Am J Health-Syst Pharm. 1999 ;56:907-909.
Schiff GD, Rucker TD. Computerized prescribing: building the electronic infrastructure for better medication usage. JAMA. 1998;279(13):1024-1029.
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.
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.
Schneider PJ, Hartwig SC. Use of severity-indexed medication error reports to improve quality. Hosp Pharm. 1994;29(3):205-6,208-211.
Seeger JD, Kong SX, Schumock GT. characteristics associated with ability to prevent adverse drug reactions in hospitalized patients. Pharmacotherapy. 1998;18(6):1284-1289.
Sellers JA. Too many medication errors, not enough pharmacists. Am J Health-System Pharm. 2000 15;57:337.
Smetzer JL, Cohen MR. Lessons from the Denver medication error/criminal negligence case: Look beyond blaming individuals. Hosp Pharm. 1998;33:640-657.
Tucker LL, Cohen MR, Davis NM. Orientation teaching tool to prevent medication error. Hosp Pharm. 1994;29(11):984,986-988,991.
Weideman RA, Bernstein IH, McKinney WP. Pharmacist recognition of potential drug interactions. Am J Health-Syst Pharm. 1999 1;56:1524-1529.