Commentary Adverse outpatient drug events—a problem and an opportunity. Citation Text: Tierney WM. Adverse outpatient drug events--a problem and an opportunity. N Engl J Med. 2003;348(16):1587-9. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 6, 2005 Tierney WM. N Engl J Med. 2003;348(16):1587-9. View more articles from the same authors. PubMed citation Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Tierney WM. Adverse outpatient drug events--a problem and an opportunity. N Engl J Med. 2003;348(16):1587-9. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Physicians, information technology, and health care systems: a journey, not a destination. 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Physicians, information technology, and health care systems: a journey, not a destination. March 6, 2005
Parental involvement in the preoperative surgical safety checklist is welcomed by both parents and staff. July 2, 2014
Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS. December 1, 2010
Improving patient safety in radiotherapy by learning from near misses, incidents and errors. August 1, 2007
Malpractice liability, patient safety, and the personification of medical injury: opportunities for academic medicine. September 13, 2006
Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System? September 23, 2009
What do we know about financial returns on investments in patient safety? A literature review. December 21, 2005
The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. April 22, 2020
Ventilator-related adverse events: a taxonomy and findings from 3 incident reporting systems. February 17, 2016
Understanding interdisciplinary health care teams: using simulation design processes from the Air Carrier Advanced Qualification Program to identify and train critical teamwork skills. December 9, 2009
Screening electronic health record–related patient safety reports using machine learning. March 1, 2017
Implementation of a custom alert to prevent medication-timing errors associated with computerized prescriber order entry. September 16, 2015
Using Lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose." July 30, 2014
Use of nondisclosure agreements in medical malpractice settlements by a large academic health care system. May 27, 2015
Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory of planned behaviour. September 9, 2015
The ins and outs of change of shift handoffs between nurses: a communication challenge. February 22, 2012
Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. January 16, 2013
Using a logic model to design and evaluate quality and patient safety improvement programs. July 25, 2012
Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. November 25, 2015
The impact of the 80-hour resident workweek on surgical residents and attending surgeons. July 12, 2006
Resolving malpractice claims after tort reform: experience in a self-insured Texas public academic health system. December 7, 2016
Adverse effects of the Medicare PSI-90 hospital penalty system on revenue-neutral hospital-acquired conditions. September 5, 2018
Comorbid conditions delay diagnosis of colorectal cancer: a cohort study using electronic primary care records. July 26, 2017
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Recognizing quality improvement and patient safety activities in academic promotion in departments of medicine: innovative language in promotion criteria. July 13, 2016
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Causes of medication administration errors in hospitals: a systematic review of quantitative and qualitative evidence. September 18, 2013
Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence. March 27, 2013
A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. June 12, 2013
The Patient Safety and Quality Improvement Act of 2005: developing an error reporting system to improve patient safety. March 26, 2008
The Patient Safety and Quality Improvement Act of 2005: provisions and potential opportunities. January 31, 2007
Surgical specimen management: a descriptive study of 648 adverse events and near misses. October 5, 2016
Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers. December 5, 2018
Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review. June 25, 2014
The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system. February 3, 2021
National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies. March 3, 2021
Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features: a longitudinal linked data study. February 17, 2021
Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources. August 15, 2007
Beyond our walls: impact of patient and provider coordination across the continuum on outcomes for surgical patients. February 21, 2007
Can communication-and-resolution programs achieve their potential? Five key questions. December 19, 2018
Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States. December 17, 2008
'Corridor care' in the emergency department: managing patient care in non-clinical areas safely and efficiently. December 6, 2023
Accidents, claiming, and regional subcultures: are medical errors and malpractice lawsuits related to social capital? July 9, 2008
Hospital performance trends on national quality measures and the association with Joint Commission accreditation. October 26, 2011
A comparison of hospital adverse events identified by three widely used detection methods. August 5, 2009
Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving a labor and delivery ward. September 9, 2009
Meaningful use of health information technology and declines in in-hospital adverse drug events. March 8, 2017
Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs. April 28, 2010
Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention. July 13, 2016
Patient safety and the ageing physician: a qualitative study of key stakeholder attitudes and experiences. October 10, 2018
Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. December 17, 2008
Knowledge translation in critical care: factors associated with prescription of commonly recommended best practices for critically ill patients. August 22, 2007
Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions. December 12, 2007
For whom the Bell Commission tolls: unintended effects of limiting residents' hours. November 11, 2009
Adverse events and patient outcomes among hospitalized children cared for by general pediatricians vs hospitalists. January 9, 2019
Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills. December 21, 2011
Professionalism lapses and adverse childhood experiences: reflections from the island of last resort. August 14, 2019
Inside a closed-loop medication strategy: medication management targets stages in which errors occur, step by step. March 6, 2005
Prevalence, nature, severity and risk factors for prescribing errors in hospital inpatients: prospective study in 20 UK hospitals. August 26, 2015
Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. July 27, 2005
Reporting of perioperative adverse events by pediatric anesthesiologists at a tertiary children's hospital: targeted interventions to increase the rate of reporting. October 11, 2017
Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. November 8, 2017
Assessing medical students' perceptions of patient safety: The Medical Student Safety Attitudes and Professionalism Survey. January 29, 2014
An insurer's care transition program emphasizes medication reconciliation, reduces readmissions and costs. July 27, 2016
Health information technology and its effects on hospital costs, outcomes, and patient safety. October 24, 2012
Medication rounds: a tool to promote medication safety for children with medical complexity. March 8, 2023
What is an ethically informed approach to managing patient safety risk during discharge planning? January 20, 2020
Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach. February 13, 2019
A call for a systems-thinking approach to medication adherence: stop blaming the patient. May 30, 2018
What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers. August 24, 2016
ISMP National Vaccine Errors Reporting Program: one in three vaccine errors associated with age-related factors. August 10, 2016
The Feasibility of Determining the Effectiveness and Cost-effectiveness of Medication Organisation Devices Compared with Usual Care for Older People in a Community Setting: Systematic Review, Stakeholder Focus Groups and Feasibility RCT. August 10, 2016
Threats to safety during sedation outside of the operating room and the death of Michael Jackson. April 20, 2016
Enhancing patient safety in pediatric primary care: implementing a patient safety curriculum. November 4, 2015
An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. November 26, 2014