Challenges in the care of the acutely ill

[1]  M. Tivey,et al.  Prospective evaluation of a modified Early Warning Score to aid earlier detection of patients developing critical illness on a general surgical ward , 2000 .

[2]  L. Andrews,et al.  An alternative strategy for studying adverse events in medical care , 1997, The Lancet.

[3]  T. Brennan,et al.  The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. , 1991, The New England journal of medicine.

[4]  J. Bion,et al.  Comprehensive Critical Care: a national strategic framework in all but name , 2003, Intensive Care Medicine.

[5]  L L Leape,et al.  Institute of Medicine medical error figures are not exaggerated. , 2000, JAMA.

[6]  C. Vincent.  Understanding and responding to adverse events. , 2003, The New England journal of medicine.

[7]  S D Berns,et al.  The potential for improved teamwork to reduce medical errors in the emergency department. The MedTeams Research Consortium. , 1999, Annals of emergency medicine.

[8]  M. Meade,et al.  Mechanical ventilator weaning protocols driven by nonphysician health-care professionals: evidence-based clinical practice guidelines. , 2001, Chest.

[9]  L. Goldman,et al.  The autopsy as an outcome and performance measure. , 2002, Evidence report/technology assessment.

[10]  K. Weick.  Organizational Culture as a Source of High Reliability , 1987 .

[11]  R. Bellomo,et al.  Postoperative serious adverse events in a teaching hospital: a prospective study , 2002, The Medical journal of Australia.

[12]  C. Brooks,et al.  Reducing error, improving safety. Medical errors must be discussed during medical education. , 2000, BMJ.

[13]  K. McDonald,et al.  Making health care safer: a critical analysis of patient safety practices. , 2001, Evidence report/technology assessment.

[14]  R. Wachter,et al.  Assessing hospital quality: a review for clinicians. , 2001, Effective clinical practice : ECP.

[15]  B. Waxman,et al.  Recognising clinical instability in hospital patients before cardiac arrest or unplanned admission to intensive care: A pilot study in a tertiary‐care hospital , 1999, The Medical journal of Australia.

[16]  Worthington,et al.  The patient‐at‐risk team: identifying and managing seriously ill ward patients , 1999, Anaesthesia.

[17]  P Glassman,et al.  How well does chart abstraction measure quality? A prospective comparison of standardized patients with the medical record. , 2000, The American journal of medicine.

[18]  P. Bollaert,et al.  Adult presentation of MCAD deficiency revealed by coma and severe arrythmias. , 2003, Intensive Care Medicine.

[19]  C J McDonald,et al.  Deaths due to medical errors are exaggerated in Institute of Medicine report. , 2000, JAMA.

[20]  Y. Donchin,et al.  A look into the nature and causes of human errors in the intensive care unit , 2022 .

[21]  R. Hayward,et al.  What is an error? , 2000, Effective clinical practice : ECP.

[22]  David C Classen,et al.  The Roles and Responsibility of Physicians to Improve Patient Safety within Health Care Delivery Systems , 2002, Academic medicine : journal of the Association of American Medical Colleges.

[23]  C. Vincent,et al.  Adverse events in British hospitals: preliminary retrospective record review , 2001, BMJ : British Medical Journal.

[24]  M. Chassin,et al.  The urgent need to improve health care quality. Institute of Medicine National Roundtable on Health Care Quality. , 1998, JAMA.

[25]  Jeremy M. Grimshaw,et al.  Changing Provider Behavior: An Overview of Systematic Reviews of Interventions , 2001, Medical care.

[26]  Rawlins,et al.  Attitudinal survey of voluntary reporting of adverse drug reactions. , 1999, British journal of clinical pharmacology.

[27]  James Buchan,et al.  Global nursing shortages , 2002, BMJ : British Medical Journal.

[28]  R. Steinbrook,et al.  The debate over residents' work hours. , 2002, The New England journal of medicine.

[29]  D. Wilson,et al.  Medication errors in paediatric practice: insights from a continuous quality improvement approach , 1998, European Journal of Pediatrics.

[30]  C. McDonald,et al.  A computerized reminder system to increase the use of preventive care for hospitalized patients. , 2001, The New England journal of medicine.

[31]  Giles Morgan,et al.  Confidential inquiry into quality of care before admission to intensive care , 1998, BMJ.

[32]  James H. Diaz,et al.  Estimating Hospital Deaths Due to Medical Errors: Preventability Is in the Eye of the Reviewer , 2002 .

[33]  Robert Pool,et al.  Beyond Engineering: How Society Shapes Technology , 1997 .

[34]  F. Shann,et al.  Should paediatric intensive care be centralised? Trent versus Victoria , 1997, The Lancet.

[35]  J. Reason.  Human error: models and management , 2000, BMJ : British Medical Journal.

[36]  Charles Vincent,et al.  Exploring the Causes of Adverse Events in NHS Hospital Practice , 2001, Journal of the Royal Society of Medicine.

[37]  R. Lagasse,et al.  Anesthesia Safety: Model or Myth?: A Review of the Published Literature and Analysis of Current Original Data , 2002, Anesthesiology.

[38]  B Darchy,et al.  Iatrogenic diseases as a reason for admission to the intensive care unit: incidence, causes, and consequences. , 1999, Archives of internal medicine.

[39]  G. Perkins,et al.  Basic life support training for health care students. , 1999, Resuscitation.

[40]  H Pohl,et al.  Medication prescribing errors in a teaching hospital. , 1990, JAMA.

[41]  J. Mercy,et al.  Patient safety efforts should focus on medical injuries. , 2002, JAMA.

[42]  J. Reason.  Understanding adverse events: human factors. , 1995, Quality in health care : QHC.

[43]  E. Ackermann.  The Quality in Australian Health Care Study. , 1996, The Medical journal of Australia.

[44]  John C. Morey,et al.  Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. , 2002, Health services research.

[45]  T. Brennan,et al.  INCIDENCE OF ADVERSE EVENTS AND NEGLIGENCE IN HOSPITALIZED PATIENTS , 2008 .

[46]  L. Donaldson,et al.  An organisation with a memory. , 2002, Clinical medicine.

[47]  G. Moore,et al.  Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: preliminary study , 2002, BMJ : British Medical Journal.

[48]  D. Busse,et al.  Classification and analysis of incidents in complex medical environments. , 2000, Topics in health information management.

[49]  Ingrid Philibert,et al.  New requirements for resident duty hours. , 2002, JAMA.

[50]  R. Hayward,et al.  Discussion between reviewers does not improve reliability of peer review of hospital quality. , 2000, Medical care.

[51]  D. Woods,et al.  Gaps in the continuity of care and progress on patient safety , 2000, BMJ : British Medical Journal.

[52]  A. Wall,et al.  Book ReviewTo Err is Human: building a safer health system Kohn L T Corrigan J M Donaldson M S Washington DC USA: Institute of Medicine/National Academy Press ISBN 0 309 06837 1 $34.95 , 2000 .

[53]  T. Brennan,et al.  Incidence of adverse events and negligence in hospitalized patients. , 1991, The New England journal of medicine.

[54]  H. W. Heinrich,et al.  Industrial Accident Prevention: a Scientific Approach , 1951 .

[55]  M. Gillam,et al.  Defining, identifying, and measuring error in emergency medicine. , 2000, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[56]  G. Fetherston,et al.  The medical emergency team , 2001, The Medical journal of Australia.

[57]  P. Kilbridge.  Computer crash--lessons from a system failure. , 2003, The New England journal of medicine.

[58]  S. Bhagwanjee,et al.  Adverse events in a surgical intensive care unit--a cause of increased mortality. , 1994, South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie.

[59]  A. Wu,et al.  Do house officers learn from their mistakes?* , 2003, JAMA.

[60]  H R Rubin,et al.  Assessment of the validity and reliability of three systems of medical record screening for quality of care assessment. , 1998, Medical care.

[61]  Jonathan M. Teich,et al.  The impact of computerized physician order entry on medication error prevention. , 1999, Journal of the American Medical Informatics Association : JAMIA.

[62]  C. Goldfrad,et al.  Consequences of discharges from intensive care at night , 2000, The Lancet.

[63]  Harold Alan Pincus,et al.  Trends in care by nonphysician clinicians in the United States. , 2003, The New England journal of medicine.

[64]  S. Chevret,et al.  Iatrogenic complications in adult intensive care units: A prospective two‐center study , 1993, Critical care medicine.

[65]  P. Pronovost,et al.  Organizational characteristics of intensive care units related to outcomes of abdominal aortic surgery. , 1999, JAMA.

[66]  Eric Schneider,et al.  Views of practicing physicians and the public on medical errors. , 2002, The New England journal of medicine.

[67]  P. Kowey,et al.  New guidelines for potassium replacement in clinical practice: a contemporary review by the National Council on Potassium in Clinical Practice. , 2000, Archives of internal medicine.

[68]  Rawlins,et al.  Attitudinal survey of adverse drug reaction reporting by medical practitioners in the United Kingdom. , 1995, British journal of clinical pharmacology.

[69]  D. Bates,et al.  The Incidence and Severity of Adverse Events Affecting Patients after Discharge from the Hospital , 2003, Annals of Internal Medicine.

[70]  Thomas H. Lee.  A broader concept of medical errors. , 2002, The New England journal of medicine.

[71]  J M Rothschild,et al.  Preventable medical injuries in older patients. , 2000, Archives of internal medicine.

[72]  L. Kohn,et al.  To Err Is Human : Building a Safer Health System , 2007 .

[73]  R. Mcnutt,et al.  Patient safety efforts should focus on medical errors. , 2002, JAMA.

[74]  M. Chassin.  Is health care ready for Six Sigma quality? , 1998, The Milbank quarterly.

[75]  J. Chapple,et al.  Should paediatric intensive care be centralised? , 1997, The Lancet.

[76]  Charles Vincent,et al.  Clinical risk management , 1995 .

[77]  D. Hewett,et al.  How to investigate and analyse clinical incidents: Clinical Risk Unit and Association of Litigation and Risk Management protocol , 2000, BMJ : British Medical Journal.

[78]  R M Wachter,et al.  The emerging role of "hospitalists" in the American health care system. , 1996, The New England journal of medicine.

[79]  S. Mackenzie,et al.  Critical incidents in the intensive therapy unit , 1991, The Lancet.

[80]  L. Leape.  Error in medicine. , 1994, JAMA.

[81]  Arthur S Slutsky,et al.  One-year outcomes in survivors of the acute respiratory distress syndrome. , 2003, The New England journal of medicine.

[82]  C. Sprung,et al.  Clinical antecedents to in-hospital cardiopulmonary arrest. , 1990, Chest.

[83]  L. Leape.  Reporting of adverse events. , 2002, The New England journal of medicine.

[84]  Goss Rm.  Reducing error, improving safety. Health professionals should take responsibility for gross carelessness. , 2000 .

[85]  A. Wolff,et al.  Detecting and reducing hospital adverse events: outcomes of the Wimmera clinical risk management program , 2001, The Medical journal of Australia.

[86]  T A Brennan,et al.  The Institute of Medicine report on medical errors--could it do harm? , 2000, The New England journal of medicine.