Patient Safety Efforts Should Focus on Medical Errors
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The first two widely cited CPOE studies did not demonstrate improvements in patient outcomes.
“Although the first two studies have been widely cited as showing CPOE benefits, neither showed improvements in patient outcomes.20 -22”
From EHR Safety: The Way Forward to Safe and Effective Systems (2008) · cites this paper as [21]
Only five studies have examined overall safety and effectiveness.
“Although some measures of error showed improvement, overall safety and effectiveness have been addressed in only five studies.[21][22][23][24][25]”
From EHR Safety: The Way Forward to Safe and Effective Systems (2008) · cites this paper as [21]
Cites
Institute of Medicine (2000) · National Academies Press eBooks · doi:10.17226/9728 · Cited by 14,174 · see citing works
Crossing the Quality Chasm: A New Health System for the 21st Century
Baker, A. (2001) · BMJ · doi:10.1136/bmj.323.7322.1192 · Cited by 10,754 · see citing works
Human error: models and management
Reason, J. (2000) · BMJ · doi:10.1136/bmj.320.7237.768 · Cited by 5,665 · see citing works
Normal Accidents: Living with High Risk Technologies
Grimes, A. J., & Perrow, C. B. (1985) · Academy of Management Review · doi:10.2307/257982 · Cited by 4,985 · see citing works
Incidence of Adverse Events and Negligence in Hospitalized Patients
Brennan, T. A., Leape, L. L., Laird, N. M., Hebert, L. E., Localio, A. R., Lawthers, A. G., Newhouse, J. P., Weiler, P. C., & Hiatt, H. H. (1991) · New England Journal of Medicine · doi:10.1056/nejm199102073240604 · Cited by 4,631 · see citing works
Joint Commission on Accreditation of Healthcare Organizations
Patterson, C. H. (1995) · Infection Control and Hospital Epidemiology · doi:10.1086/647001 · Cited by 1,338 · see citing works
The Impact of Computerized Physician Order Entry on Medication Error Prevention
Bates, D. W., Teich, J. M., Lee, J., Seger, D., Kuperman, G. J., Ma'Luf, N., Boyle, D., & Leape, L. (1999) · Journal of the American Medical Informatics Association · doi:10.1136/jamia.1999.00660313 · Cited by 1,260 · see citing works
Advances in the epidemiology of injuries as a basis for public policy.
Haddon, W. F. (1980) · PubMed Central · Cited by 748 · see citing works
An alternative strategy for studying adverse events in medical care
Andrews, L. B., Stocking, C., Krizek, T. J., Gottlieb, L. J., Krizek, C. R., Vargish, T., & Siegler, M. A. (1997) · The Lancet · doi:10.1016/s0140-6736(96)08268-2 · Cited by 525 · see citing works
Effects of Computerized Physician Order Entry on Prescribing Practices
Teich, J. M., Merchia, P., Schmiz, J. L., Kuperman, G. J., Spurr, C. D., & Bates, D. W. (2000) · Archives of Internal Medicine · doi:10.1001/archinte.160.18.2741 · Cited by 475 · see citing works
System changes to improve patient safety
Nolan, T. W. (2000) · BMJ · doi:10.1136/bmj.320.7237.771 · Cited by 380 · see citing works
Deaths Due to Medical Errors Are Exaggerated in Institute of Medicine Report
McDonald, C. J. (2000) · JAMA · doi:10.1001/jama.284.1.93 · Cited by 347 · see citing works
Institute of Medicine Medical Error Figures Are Not Exaggerated
Leape, L. L. (2000) · JAMA · doi:10.1001/jama.284.1.95 · Cited by 346 · see citing works
Goldratt's Theory of Constraints: A Systems Approach to Continuous Improvement
Dettmer, H. W. (1997) · Cited by 330 · see citing works
Physician Reporting Compared with Medical-Record Review to Identify Adverse Medical Events
O'Neil, A. C., Petersen, L. A., Cook, E. F., Bates, D. W., Lee, T. H., & Brennan, T. A. (1993) · Annals of Internal Medicine · doi:10.7326/0003-4819-119-5-199309010-00004 · Cited by 315 · see citing works
Operating at the Sharp End: The Complexity of Human Error
Cook, R. I., & Woods, D. D. (2018) · CRC Press eBooks · doi:10.1201/9780203751725-13 · Cited by 313 · see citing works
Goldratt, E. M. (1994) · Medical Entomology and Zoology · Cited by 212 · see citing works
Feldman, L. S., Barkun, J. S., Barkun, A. N., Sampalis, J. S., & Rosenberg, L. C. (1997) · Surgery · doi:10.1016/s0039-6060(97)90078-7 · Cited by 129 · see citing works
Berwick, D. (2001) · BMJ · doi:10.1136/bmj.322.7281.247 · Cited by 93 · see citing works
How many deaths are due to medical error? Getting the number right.
Sox, H. C., & Woloshin, S. (2001) · PubMed · Cited by 90 · see citing works
Use of morning report to enhance adverse event detection
Welsh, C. H., Pedot, R., & Anderson, R. J. (1996) · Journal of General Internal Medicine · doi:10.1007/bf02599039 · Cited by 71 · see citing works
Using Root Cause Analysis to Address Patient Satisfaction and Other Improvement Opportunities
Burroughs, T. E., Cira, J. C., Chartock, P., et al. (2000) · The Joint Commission Journal on Quality Improvement · doi:10.1016/s1070-3241(00)26037-9 · Cited by 35 · see citing works
Determining medical error. Three case reports.
McNutt, R., Abrams, R. I., Hasler, S., et al. (2002) · PubMed · Cited by 3 · see citing works
Self-citation
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Cited by
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Role of Computerized Physician Order Entry Systems in Facilitating Medication Errors
Koppel, R. (2005) · JAMA · doi:10.1001/jama.293.10.1197 · Cited by 2,126 · see citing works
Ash, J. S. (2003) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m1471 · Cited by 1,789 · see citing works
Missed and Delayed Diagnosis of Dementia in Primary Care: Prevalence and Contributing Factors
Bradford, A., Kunik, M. E., Schulz, P., Williams, S. P., & Singh, H. (2009) · Alzheimer Disease & Associated Disorders · doi:10.1097/wad.0b013e3181a6bebc · Cited by 969 · see citing works
Computer Physician Order Entry: Benefits, Costs, and Issues
Kuperman, G. J., & Gibson, R. F. (2003) · Annals of Internal Medicine · doi:10.7326/0003-4819-139-1-200307010-00010 · Cited by 438 · see citing works
Beyond usability: Designing effective technology implementation systems to promote patient safety
Karsh, B.-T. (2004) · Quality and Safety in Health Care · doi:10.1136/qshc.2004.010322 · Cited by 414 · see citing works
Errors in cancer diagnosis: current understanding and future directions
Singh, H., Sethi, S., Raber, M., & Petersen, L. A. (2007) · Journal of Clinical Oncology · doi:10.1200/jco.2007.13.2142 · Cited by 121 · see citing works
EHR Safety: The Way Forward to Safe and Effective Systems
Walker, J. M., Carayon, P., Leveson, N., Paulus, R. A., Tooker, J., Chin, H., Bothe, A., & Stewart, W. F. (2008) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m2618 · Cited by 113 · see citing works
Toward a theoretical approach to medical error reporting system research and design
Karsh, B.-T., Escoto, K. H., Beasley, J. W., & Holden, R. J. (2006) · Applied Ergonomics · doi:10.1016/j.apergo.2005.07.003 · Cited by 98 · see citing works
- Authors
- McNutt, R. A.
- Affiliations
- Rush University Medical Center (US)
- Corresponding author
- McNutt, Robert A.
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2002-04-17
- Volume
- 287
- Issue
- 15
- Pages
- 1997
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W1986640207
- Cited by
- 123
- References
- 23
- Citations by year
- 2025: 1 · 2024: 2 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 25 · 2018: 2 · 2017: 2 · 2016: 6 · 2015: 1 · 2013: 1 · 2012: 2
- FWCI
- 22.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
- Keywords
- patient safety, medical errors, medical error prevention
- MeSH terms
- Emergency Service, Hospital, Humans, Institutional Management Teams, Intensive Care Units, Patient Care Management, Quality of Health Care, Safety, Models, Organizational, Medical Errors
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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