Pediatric Informatics: Computer Applications in Child Health (Health ...

30 Error Reporting Systems 395
References
1. Institute of Medicine Committee on Quality of Health Care in America. To Err is Human
Building a Safer Health System. Washington, DC: National Academy Press; 2000.
2. Institute of Medicine Committee on Quality of Health Care in America. Crossing the Quality
Chasm: A New Health System for the 21st Century. Washington, DC: National Academy
Press; 2001.
3. Lohr KN, ed. Medicare: A Strategy for Quality Assurance. Washington, DC: National
Academy Press; 1990.
4. US Department of Health and Human Serrvices. Hospital Compare; 2008. Available at: http://
www.hospitalcompare.hhs.gov/. Accessed December 21, 2008.
5. Cincinnati Children’s Hospital Medical Center. How Cincinniati Children’s Measures Up;
2008. Available at: http://www.cincinnatichildrens.org/about/measures/. Accessed December
21, 2008.
6. Stockwell DC, Slonim AD, Pollack MM. Physician team management affects goal achievement
in the intensive care unit. Pediatr Crit Care Med. 2007;8(6):540–545.
7. Skiba M. Strategies for identifying and minimizing medication errors in health care settings.
Health Care Manag. 2006;25:70–77.
8. Pronovost PJ, Thompson DA, Holzmueller CG, et al. Defining and measuring patient safety.
Crit Care Clin. 2005;21(1):1–19, vii.
9. McGlynn EA, Asch SM, Adams J, et al. The quality of health care delivered to adults in the
United States. N Engl J Med. 2003;348(26):2635–2645.
10. Slonim AD, Pollack MM. Integrating the Institute of Medicine’s six quality aims into pediatric
critical care: relevance and applications. Pediatric Crit Care Med. 2005;6:264–269.
11. Bates DW, Evans RS, Murff H, et al. Detecting adverse events using information technology.
J Am Med Inform Assoc. 2003;10(2):115–128.
12. Cullen DJ, Bates DW, Small SD, Cooper JB, Nemeskal AR, Leape LL. The incident reporting
system does not detect adverse drug event: a problem for quality improvement. Jt Comm J
Qual Improv. 1995;21:541–548.
13. Taylor JA, Brownstein D, Christakis DA, et al. Use of incident reports by physicians and
nurses to document medical errors in pediatric patients. Pediatrics. 2004;114:729–735.
14. Buckley MS, Erstad BL, Kopp BJ, et al. Direct observation approach for deteching medication
errors and adverse drug events in a pediatric intensive care unit. Pediatr Crit Care Med.
2007;8(2):145–152.
15. Stockwell DC, Slonim AD. Detecting medication errors: a job for six sigma. Pediatr Crit Care
Med. 2007;8(2):190–192.
16. Friedman JN, Pinard MS, Laxer RM. The morbidity and mortality conference in universityaffiliated
pediatric departments in Canada. J Pediatr. 2005;146:1–2.
17. Pronovost PJ, Miller MR, Wachter RM. Tracking progress in patient safety: an elusive target.
JAMA. 2006;296:696–699.
18. Pronovost PJ, Wu AW, Sexton JB. Acute decompensation after removing a central line:
practical approaches to increasing safety in the intensive care unit. Ann Intern Med.
2004;140:1025–1033.
19. Wears RL, Janiak B, Moorhead JC, et al. Human error in medicine: promise and pitfalls,
part 2. Ann Emerg Med. 2000;36:142–144.
20. Joint Commission. Medical Errors, Sentinel Events, and Accreditation. A report to the
Association of Anesthesia Program Directors.
21. Leape LL, Bates DW, Cullen DJ, et al. Systems analysis of adverse drug events. JAMA.
1995;274:35–43.
22. Roos NP, Black CD, Roos LL, et al. A population-based approach to monitoring adverse
outcomes of medical care. Med Care. 1995;33:127–138.
23. Vicente K. The Human Factor: Revolutionizing the Way People Live with Technology.
New York: Routledge.