A chemotherapy incident reporting and improvement system.

Daniel J France; Paul Miles; Julia Cartwright; Nimesh Patel; Connie Ford; Cheryl Edens; James A Whitlock

Study

A chemotherapy incident reporting and improvement system.

March 6, 2005

France DJ, Miles P, Cartwright J, et al. Jt Comm J Qual Saf. 2003;29(4):171-80.

View more articles from the same authors.

PubMed citation

Available at

Related Resources From the Same Author(s)

An observational analysis of surgical team compliance with perioperative safety practices after crew resource management training.

April 2, 2008

Assessment of adverse drug events among patients in a tertiary care medical center.

November 29, 2006

Measuring and comparing safety climate in intensive care units.

March 17, 2010

Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations.

February 27, 2019

Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs.

November 30, 2005

Crew resource management training--clinicians' reactions and attitudes.

September 28, 2005

Novel use of electronic whiteboard in the operating room increases surgical team compliance with pre-incision safety practices.

March 14, 2012

Methodology and bias in assessing compliance with a surgical safety checklist.

February 13, 2013

Quantifying and characterizing adverse events in dermatologic surgery.

May 15, 2013

Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist-managed anticoagulation service.

June 1, 2005

Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years.

December 2, 2015

Perceived patient safety culture in a critical care transport program.

July 31, 2013

Diagnostic stewardship—leveraging the laboratory to improve antimicrobial use.

August 16, 2017

Diagnostic stewardship to prevent diagnostic error.

March 15, 2023

An integrative review: fatigue among nurses in acute care settings.

November 5, 2014

Labeling solutions and medications in sterile procedural settings.

May 3, 2006

Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review.

August 21, 2019

Progress in interoperability: measuring US hospitals' engagement in sharing patient data.

October 25, 2017

Relationship between patient complaints and surgical complications.

February 15, 2006

Detecting adverse events in dermatologic surgery.

January 6, 2010

2017 update on pediatric medical overuse: a review.

April 4, 2018

Measuring the rate of manual transcription error in outpatient point-of-care testing.

March 13, 2019

Using simulation to improve systems.

September 27, 2017

Making polypharmacy safer for children with medical complexity.

April 5, 2023

A multicomponent fall prevention strategy reduces falls at an academic medical center.

September 6, 2017

Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center data.

November 22, 2006

Association between opioid prescribing patterns and abuse in ophthalmology.

November 29, 2017

Adverse drug event–related emergency department visits associated with complex chronic conditions.

June 11, 2014

Fallacious reasoning and complexity as root causes of clinical inertia.

August 29, 2007

How surgical trainees handle catastrophic errors: a qualitative study.

July 1, 2015

Antibiotic timing and errors in diagnosing pneumonia.

March 5, 2008

The hard talk: dealing with the disruptive physician.

January 20, 2021

Physician understanding and ability to communicate harms and benefits of common medical treatments.

September 14, 2016

Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs.

December 5, 2018

Critical care transition programs and the risk of readmission or death after discharge from an ICU: a systematic review and meta-analysis.

September 25, 2013

Creating safety culture on nursing units: human performance and organizational system factors that make a difference.

January 3, 2007

Radiologists make more errors interpreting off-hours body CT studies during overnight assignments as compared with daytime assignments.

September 9, 2020

Opioid prescribing after surgical extraction of teeth in Medicaid patients, 2000–2010.

January 25, 2017

National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia.

August 25, 2010

The safety of emergency care systems: results of a survey of clinicians in 65 US emergency departments.

March 4, 2009

The National Emergency Department Safety Study: study rationale and design.

January 9, 2008

Improving incident reporting among physician trainees.

September 28, 2016

Graduating pediatrics residents' reports on the impact of fatigue over the past decade of duty hour changes.

September 16, 2015

Working conditions in primary care: physician reactions and care quality.

July 22, 2009

Resident duty-hour reform associated with increased morbidity following hip fracture.

October 7, 2009

Inappropriate surgeries resulting from misdiagnosis of early amyotrophic lateral sclerosis.

October 25, 2006

Evaluation of an anonymous system to report medical errors in pediatric inpatients.

August 22, 2007

Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia.

August 23, 2006

Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive care units.

December 8, 2010

Determinants of patient–oncologist prognostic discordance in advanced cancer.

August 3, 2016

Medication administration variances before and after implementation of computerized physician order entry in a neonatal intensive care unit.

January 16, 2008

Organisational culture: variation across hospitals and connection to patient safety climate.

January 5, 2011

International comparability of patient safety indicators in 15 OECD member countries: a methodological approach of adjustment by secondary diagnoses.

January 30, 2005

Antibiotic prescribing in ambulatory pediatrics in the United States.

January 11, 2012

Safety climate and medical errors in 62 US emergency departments.

January 9, 2013

Emergency department visits for antibiotic-associated adverse events.

August 27, 2008

Resident participation does not affect surgical outcomes, despite introduction of new techniques.

September 22, 2010

The effect of nurse staffing patterns on medical errors and nurse burnout.

June 25, 2008

Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification.

March 26, 2008

Communication through the electronic health record: frequency and implications of free text orders.

July 29, 2020

"Thank You for Listening": An exploratory study regarding the lived experience and perception of medical errors among those who receive care.

February 19, 2020

Reducing cognitive errors in dermatology: can anything be done?

November 6, 2013

A pilot study examining undesirable events among emergency department–boarded patients awaiting inpatient beds.

April 8, 2009

Impact of full personal protective equipment on alertness of healthcare workers: a prospective study.

February 2, 2022

In the wake of hospital inquiries: impact on staff and safety.

January 31, 2007

2019 update on medical overuse: a review.

September 25, 2019

Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities.

October 16, 2019

Increasing adoption of computerized provider order entry, and persistent regional disparities, in US emergency departments.

August 31, 2011

Patterns and predictors of medication discrepancies in primary care.

July 29, 2015

Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids.

August 25, 2021

What defines a high-performing health system: a systematic review.

September 6, 2017

Systematic review: the evidence that publishing patient care performance data improves quality of care.

February 27, 2008

Patient safety: the patient's role.

February 14, 2007

Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy.

May 26, 2010

Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study.

June 3, 2015

Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge.

December 9, 2009

Association between opioid tapering and subsequent health care use, medication adherence, and chronic condition control.

March 1, 2023

Is it time for the mental health field to consider unplanned discharge a key metric of patient safety?

May 4, 2022

A case of mistaken identity: staff input on patient ID errors.

April 22, 2009

Organisational failure: rethinking whistleblowing for tomorrow's doctors.

September 7, 2022

Sociotechnical work system approach to occupational fatigue.

July 26, 2023

Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity testing.

July 22, 2015

Nurse reports of adverse events during sedation procedures at a pediatric hospital.

November 11, 2009

Patient safety and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning.

July 22, 2020

Speaking up to reduce noise in the OR.

July 22, 2015

The impact of transitioning from a 24-hour to a 16-hour call model amongst a cohort of Canadian anesthesia residents at McMaster University—a survey study.

October 7, 2015

Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations.

November 30, 2016

Structure and outcomes of interdisciplinary rounds in hospitalized medicine patients: a systematic review and suggested taxonomy.

September 28, 2016

Long-term risk of overdose or mental health crisis after opioid dose tapering.

July 13, 2022

Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams.

December 11, 2013

Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program.

September 14, 2011

The effect of facility complexity on perceptions of safety climate in the operating room: size matters.

June 16, 2010

Improving the bar-coded medication administration system at the Department of Veterans Affairs.

August 9, 2006

Developing team cognition: a role for simulation.

May 31, 2017

A QI initiative: implementing a patient handoff checklist for pediatric hospitalist attendings.

February 8, 2017

The effect of contact precautions on frequency of hospital adverse events.

December 9, 2015

Association between hospital acquired harm outcomes and membership in a national patient safety collaborative.

August 10, 2022

Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events.

June 24, 2015

Use of artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test accuracy.

November 17, 2021

Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error.

December 7, 2016

Related Resources

Classification of health information technology safety events in a pediatric tertiary care hospital.

June 7, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Leveraging a safety event management system to improve organizational learning and safety culture.

March 30, 2022

Family Input for Quality and Safety (FIQS): using mobile technology for in-hospital reporting from families and patients.

March 2, 2022

Harnessing event report data to identify diagnostic error during the COVID-19 pandemic.

December 15, 2021

Emergency departments are higher-risk locations for wrong blood in tube errors.

September 29, 2021

FDA updates vinca alkaloid labeling for preparation in intravenous infusion bags only.

February 3, 2021

Computer-based simulation to reduce EHR-related chemotherapy ordering errors.

November 18, 2020

Impact of an electronic health record transition on chemotherapy error reporting.

June 17, 2020

Patient safety threats in information management using health information technology in ambulatory cancer care: an exploratory, prospective study.

June 10, 2020

Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management system on cancer patients' safety.

February 26, 2020

Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center.

January 29, 2020

Integrating adverse event reporting into a free-text mobile application used in daily workflow increases adverse event reporting by physicians.

January 8, 2020

Governing the safety of artificial intelligence in healthcare.

May 8, 2019

Usability testing of a mobile app to report medication errors anonymously: mixed-methods approach.

January 16, 2019

Introduction of a mobile adverse event reporting system is associated with participation in adverse event reporting.

July 25, 2018

Advancing perinatal patient safety through application of safety science principles using health IT.

April 4, 2018

Electronic approaches to making sense of the text in the adverse event reporting system.

September 7, 2016

Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature.

May 25, 2016

Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams.

December 17, 2014

'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports.

December 3, 2014

Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids.

April 9, 2014

Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists.

February 26, 2014

Does applying technology throughout the medication use process improve patient safety with antineoplastics?

February 5, 2014

The Orthopaedic Error Index: development and application of a novel national indicator for assessing the relative safety of hospital care using a cross-sectional approach.

December 18, 2013

Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis.

November 6, 2013

Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events.

October 23, 2013

Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items.

October 2, 2013

Building bridges: future directions for medical error disclosure research.

July 24, 2013

PCA safety data review after clinical decision support and smart pump technology implementation.

June 12, 2013

See More About The Topic

Health Care Providers

Risk Managers

Safety Scientists

Chemotherapeutic Agents

Error Reporting

A chemotherapy incident reporting and improvement system.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

A chemotherapy incident reporting and improvement system.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site