Adverse event reporting.pdf

References
1. Kohn LT, Corrigan JM, Donaldson MS, eds. To err is human: Building a safer health system. Washington, DC,
National Academy Press, 1999.
2. Quality Interagency Coordination Task Force. Doing what counts for patient safety: Federal actions to reduce
medical errors and their impact. Washington, DC, Agency for Healthcare Research and Quality, 2000 (http:
www.quic.gov/Report/error6.pdf, accessed 15 May 2005).
3. Agency for Healthcare Research and Quality National survey on Americans as health care consumers.
Washington, DC, Agency for Healthcare Research and Quality (AHRQ), 2000.
4. Blendon RJ et al. Views of practicing physicians and the public on medical errors. New England Journal of
Medicine, 2002, 347: 1933-1940.
5. Flowers L, Riley T. State-based mandatory reporting of medical errors. An analysis of the legal and policy
issues. Portland, ME, National Academy for State Health Policy, 2001.
6. Brennan TA et al. Incidence of adverse events and negligence in hospitalized patients: Results from the
Harvard medical practice study I. New England Journal of Medicine 1991, (324):370-376.
7. Bates DW, Leape LL. Adverse drug reactions. In: Carruthers SG, et al. eds. Clinical Pharmacology. New York,
McGraw-Hill: 2000.
8. Bates DW et al. Incidence of adverse drug events and potential adverse drug events. Journal of the American
Medical Association 1995, 274:29-34.
9. Kohn L, Corrigan JM, Donaldson MS. To err is human: Building a safer health system. Washington, DC:
National Academy Press, 1999.
10. Veterans Health Administration National Center for Patient Safety Presentation to the National Committee
on Vital and Health Statistics, Subcommittee on Populations, Work group on Quality. Veterans Health
Administration: National Center for Patient Safety, 2001.
11. Australian Patient Safety Foundation. Australian Incident Monitoring System: Collect, Classify, Analyse, Learn.
2003.
12. Vincent C et al. How to investigate and analyse clinical incidents: Clinical Risk Unit and Association of
Litigation and Risk Management Protocol. British Medical Journal, 2000, 320:777-781.
13. World Health Organization: Reduction Of Adverse Events Through Common Understanding And Common
Reporting Tools Towards An International Patient Safety Taxonomy Prepared by Jerod M. Loeb, PhD and
Andrew Chang, JD, MPH Joint Commission on Accreditation of Healthcare Organizations 30 June 2003
(http://www.who.int/patientsafety accessed on 9 November 2005)
14. Joint Commission on Accreditation of Healthcare Organizations Results of JCAHO sentinel events reporting.
2000.
15. Cohen M. Why error reporting systems should be voluntary. British Medical Journal, 2000, 320:728-729.
16. Summary of the 1999 information submitted to MedMARx SM . Rockville, MD, United States Pharmacopeia,
2000.
17. National Patient Safety Agency Building a Memory, Preventing Harm, Reducing Risks and Improving Patient
Safety The First Report of the National Reporting and Learning System and the Patient Safety Observatory
National Patient Safety Agency July 2005 (http: ww.npsa.nhs.uk accessed on 09 November 2005)
18. Australian Patient Safety Foundation (http://www.apsf.net.au/Newsletter_2004_03.pdf. accessed on 9
November 2005).