Center for Patient Safety Research and Practice

| Lack of Recognition of Adverse Events Selected Publications

Understanding the Nature of Medication Errors in an ICU with a Computerized Physician Order Entry System. Cho I, Park H, Choi YJ, Hwang HM, Bates DW. PLoS One. 2014; 9(12): e114243.

Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not? Weissman JS, Schneider EC, Weingart SN, et al. Ann Intern Med 2008;149:100-108.

Risk factors in preventable adverse drug events among pediatric outpatients. Zandieh SO, Goldmann DA, Keohane CA, Yoon C, Bates DW, Kaushal R. J Pediatr. 2008;152(02):225-231.

Costs of adverse events in intensive care units. Kaushal R, Bates DW, Franz C, Soukup JR, Rothschild JM. Crit Care Med. 2007;35(22):2479-2483.

Case study on the use of health care technology to improve medication safety. Fiumara K, Moniz T, Churchill WM, Bane A, Luppi CJ, Bates DW, Gandhi TK. In: Medication use: a system approach to reducing errors, second edition. Porche RA, editor. Oakbrok, Illinois: Joint Commission Resources; 2007.pp.103-114.

Improving acceptance of computerized prescribing alerts in ambulatory care. Shah NR , Seger AC, Seger DL, Fiskio JM, Kuperman GJ, Blumenfeld B, Recklet EG, Bates DW, Gandhi TK. J Am Med Inform Assoc. 2006 Jan-Feb;13(1):5-11.

How many hospital pharmacy medication dispensing errors go undetected? Cina JL, Gandhi TK, Churchill W, et al. Jt Comm J Qual Patient Safety. 2006;32:73-80.

What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents.
Weingart SN, Pagovich O, Sands DZ, Li JM, Aronson MD, Davis RB, Bates DW, Phillips RS. J Gen Intern Med. 2005 Sep;20(9):830-6. Full text.

What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and surveyors. Grasso BC, Rothschild JM, Jordan CW, Jayaram G. J Psychiatr Pract. 2005 Jul;11(4):268-73.

Adverse drug events occurring following hospital discharge. Forster AJ, Murff HJ, Peterson JF, Gandhi TK, Bates DW. J Gen Intern Med. 2005 Apr;20(4):317-23.

Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Rosen AB, Blendon RJ, DesRoches CM, Benson JM, Bates DW, Brodie M, Altman DE, Zapert K, Steffenson AE, Schneider EC. Acad Med. 2005 Feb;80(2):189-92.

Patient-reported medication symptoms in primary care. Weingart SN, Gandhi TK, Seger AC, Seger DL, Borus J, Burdick E, Leape LL, Bates DW. Arch Intern Med. 2005 Jan 24;165(2):234-40.

Strategies for detecting adverse drug events among older persons in the ambulatory setting. Field TS, Gurwitz JH, Harrold LR, Rothschild JM, Debellis K, Seger AC, Fish LS, Garber L, Kelleher M, Bates DW. J Am Med Inform Assoc. 2004 Nov-Dec;11(6):492-98.

Prioritizing strategies for preventing medication errors and adverse drug events in pediatric inpatients
. Fortescue EB, Kaushal R, Landrigan CP, McKenna KJ, Clapp MD, Federico F, Goldmann DA, Bates DW. Pediatrics. 2003 Apr;111(4 Pt 1):722-9.

Multifaceted approach to reducing preventable adverse drug events. Silverman JB, Stapinski CD, Churchill WW, Neppl C, Bates DW, Gandhi TK. Am J Health Sys Pharm. 2003 Mar15;60(6):582-6.

Incidence and preventability of adverse drug events among older persons in the ambulatory setting. Gurwitz JH, Field TS, Harold LR, Rothschild J, Debellis K, Seger AC, Cadoret C, Fish LS, Garber L, Kelleher M, Bates DW. JAMA 2003 Mar 5;289(9):1107-16.

The incidence and severity of adverse events affecting patients after discharge from the hospital. Forster AJ, Murff HJ, Peterson JF, Gandhi TK, Bates DW. Ann Intern Med. 2003 Feb 4;138(3):161-7.

Information technology and medication safety: what is the benefit? Kaushal R, Bates DW. Qual Saf Health Care. 2002 Sep;11(3):261-5.

Incidence of adverse drug events and potential adverse drug events: Implications for prevention. ADE Prevention Study Group. Bates DW, Cullen DL, Laird N, Peterson LA, Small SD, Servi D, Laffel G, Sweitzer BJ, Shea BF, Hallisey R, et al. JAMA 1995 Jul;274(1):29-34.





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