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) Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS. December 1, 2010 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 Factors compromising safety in surgery: stressful events in the operating room. February 10, 2010 Managing intraoperative stress: what do surgeons want from a crisis training program? April 8, 2009 The effect of race and sex on physicians' recommendations for cardiac catheterization. July 15, 2002 Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. 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Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS. December 1, 2010
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
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 surgical count technology on retained surgical items rates in the Veterans Health Administration. April 22, 2020
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
Physician specialty differences in unprofessional behaviors observed and reported by coworkers. July 17, 2024
Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. May 18, 2022
Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020. September 23, 2020
Defensive medicine among high-risk specialist physicians in a volatile malpractice environment. June 8, 2005
Recognizing quality improvement and patient safety activities in academic promotion in departments of medicine: innovative language in promotion criteria. July 13, 2016
The impact of the 80-hour resident workweek on surgical residents and attending surgeons. July 12, 2006
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
Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: a systematic review. October 16, 2015
Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis. September 9, 2020
Adverse events related to accidental unintentional ingestions from cough and cold medications in children. August 26, 2020
Adverse effects of the Medicare PSI-90 hospital penalty system on revenue-neutral hospital-acquired conditions. September 5, 2018
Implementation of the World Health Organization Trauma Care Checklist Program in 11 centers across multiple economic strata: effect on care process measures. November 30, 2016
Simulation-based assessment of the management of critical events by board-certified anesthesiologists. September 13, 2017
A patient-centered prescription drug label to promote appropriate medication use and adherence. January 18, 2017
An insurer's care transition program emphasizes medication reconciliation, reduces readmissions and costs. July 27, 2016
A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus. March 26, 2014
Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors? June 5, 2013
Ventilator-related adverse events: a taxonomy and findings from 3 incident reporting systems. February 17, 2016
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
To err is human: patient misinterpretations of prescription drug label instructions. November 7, 2007
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
Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. November 16, 2022
Validation of new ICD-10-based patient safety indicators for identification of in-hospital complications in surgical patients: a study of diagnostic accuracy. September 11, 2019
Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in nursing. January 18, 2023
Use of the revised second victim experience and support tool to examine second victim experiences of respiratory therapists. April 26, 2023
Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. 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
A high-reliability organization framework for health care: a multiyear implementation strategy and associated outcomes. November 4, 2020
Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats. September 30, 2020
Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement. July 28, 2021
Resolving malpractice claims after tort reform: experience in a self-insured Texas public academic health system. December 7, 2016
Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. May 10, 2017
Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical safety checklist intervention. July 12, 2017
Use of unsolicited patient observations to identify surgeons with increased risk for postoperative complications. March 1, 2017
Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. November 8, 2017
A randomized controlled trial on the effect of a double check on the detection of medication errors. August 23, 2017
Comorbid conditions delay diagnosis of colorectal cancer: a cohort study using electronic primary care records. July 26, 2017
Speaking up about traditional and professionalism-related patient safety threats: a national survey of interns and residents. May 10, 2017
Screening electronic health record–related patient safety reports using machine learning. March 1, 2017
Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration. February 28, 2018
Association between measured teamwork and medical errors: an observational study of prehospital care in the USA December 11, 2019
Managing competing demands through task-switching and multitasking: a multi-setting observational study of 200 clinicians over 1000 hours. February 26, 2014
Structuring patient and family involvement in medical error event disclosure and analysis. January 22, 2014
A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. June 12, 2013
Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs. February 29, 2012
Using a logic model to design and evaluate quality and patient safety improvement programs. July 25, 2012
Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. July 18, 2012
Transformative learning in a professional development course aimed at addressing disruptive physician behavior: a composite case study. January 23, 2013
Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention. July 13, 2016
Cognitive tests predict real-world errors: the relationship between drug name confusion rates in laboratory-based memory and perception tests and corresponding error rates in large pharmacy chains. June 8, 2016
'Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two scales. August 26, 2015
Sustainability and long-term effectiveness of the WHO surgical safety checklist combined with pulse oximetry in a resource-limited setting: two-year update from Moldova. April 8, 2015
Triggers, bundles, protocols, and checklists—what every maternal care provider needs to know. April 13, 2016
Health care-associated infections among critically ill children in the US, 2007-2012. September 24, 2014
Medication rounds: a tool to promote medication safety for children with medical complexity. March 8, 2023
What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour. September 21, 2022
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